Immediate Dentoalveolar Regeneration: Integrating Evidence and Current Concepts

Immediate Dentoalveolar Regeneration (IDR) is a therapeutic approach aimed at the immediate preservation or restoration of the alveolar ridge following tooth extractions. This strategy seeks to enable faster, more predictable, and aesthetically satisfactory prosthetic rehabilitation. Given the high global prevalence of dental extractions, IDR has emerged as an essential tool in contemporary regenerative dentistry. To critically analyze the current scientific evidence regarding the clinical application of IDR, including its biological foundations, materials employed, surgical protocols, and the main factors influencing treatment outcomes. A scoping review was conducted using the databases PubMed, Scopus, ScienceDirect, Web of Science, SciELO, and LILACS, covering the period from 2020 to 2025. Original research articles, systematic reviews, meta-analyses, and clinical guidelines were included. Study selection was based on thematic relevance, methodological rigor, and full-text availability. Tools such as Rayyan, Zotero, and the SANRA checklist were employed for data organization and quality assessment. The literature indicates that, when properly indicated, IDR allows for effective control of bone resorption and preservation of soft tissues. The use of biomaterials, such as xenogeneic grafts, and bioactive agents, such as PRF, enhances osteogenesis and accelerates the healing process. However, factors such as the integrity of the buccal bone plate, gingival biotype, and absence of local infection are critical determinants of clinical success. IDR is a promising technique in regenerative dentistry, though it still requires robust clinical trials to standardize protocols and confirm its long-term effectiveness. The integration of emerging technologies and advanced biomaterials is expected to further optimize future clinical outcomes.

KEY WORDS: Dental Rehabilitation; Dental Implants; Restorative Dentistry.

BATISTA, J. P. O.; MATOS, J. D. M.; ANDRADE, V. C.; MORAIS, T. C.; QUEIROZ, D. A.; SCALZER-LOPES, G. R. & RAMOS, D. U. Immediate dentoalveolar regeneration: Integrating evidence and current concepts. Int. J. Odontostomat., 19(4):470-475, 2025.