Background: Dental conditions like periodontal, periapical pathologies and failed endodontically treated teeth are one of the commonest reasons for tooth removal. These conditions also contraindicate replacement of such teeth with immediate implant procedures.
Aim: This study aimed to evaluate the clinical and radiological fate of immediately placed dental implants in debrided infected dentoalveolar sockets.
Materials and methods: A total of 24 implants were immediately placed into prepared infected sockets. The pathology at the receptacle sockets included subacute periodontal infection, perio-endo infection, chronic periapical infection, periodontal cyst and traumatic infected teeth. The treatment protocol emphasized on meticulous debridement of the infected sockets under pre- and post-surgical antibiotic therapy. Follow up of at least 24 months was done to evaluate the survival of implants.
Results: At the end of follow up time period of 24 months, all 24 implants were stable with no signs of clinical mobility and infection. However, on radiological examination, crestal bone loss was observed during the osseointegration periods which settled at the level of first thread.
Conclusion: Survival of immediately placed implants in infected sockets is predictable and depends on the meticulous debridement of dentoalveolar sockets along with adequate pre- and post-operative antibiotic coverage.
Keywords: Debridement; Immediate implants; Infected sockets.
Immediate Placement of Dental Implants Into Debrided Infected Dentoalveolar SocketsN Casap et al. J Oral Maxillofac Surg 65 (3), 384-92. PMID 17307582. - Case ReportsSuccessful immediate implantation in debrided infected alveoli depends on the complete removal of all contaminated tissue and the controlled regeneration of the alveolar …
Outcome of Single Immediate Implants Placed in Post-Extraction Infected and Non-Infected Sites, Restored With Cemented Crowns: A 3-year Prospective StudyV Montoya-Salazar et al. J Dent 42 (6), 645-52. PMID 24675527. - Clinical TrialUnder the tested conditions, immediate implant placement can be considered a predictable treatment option for the restoration of fresh postextraction infected sockets. …
A Prospective, Controlled Clinical Trial Evaluating the Clinical Radiological and Aesthetic Outcome After 5 Years of Immediately Placed Implants in Sockets Exhibiting Periapical PathologyRE Jung et al. Clin Oral Implants Res 24 (8), 839-46. PMID 22672584.The replacement of teeth exhibiting periapical pathologies by implants placed immediately after tooth extraction can be a successful treatment modality with no disadvanta …
[Immediate Implant Placement in Endodontically Infected Sites: An Alternative Treatment for Compromised Teeth]S Corbella et al. Refuat Hapeh Vehashinayim (1993) 28 (4), 25-9, 36. PMID 22471158. - ReviewIn certain clinical conditions when endodontic treatment is either impractical or unlikely to improve the previous results, tooth extraction and replacement with a dental …
Immediate Implants Placed in Fresh Sockets Associated to Periapical Infectious Processes. A Systematic ReviewJC Álvarez-Camino et al. Med Oral Patol Oral Cir Bucal 18 (5), e780-5. PMID 23722139. - ReviewThere is a limited evidence regarding implant placement immediately to the extraction of teeth affected by chronic periapical pathology. Following analysis of the article …
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A Clinical and Radiographical Comparison of Buccolingual Crestal Bone Changes After Immediate and Delayed Implant PlacementV Amin et al. Med Pharm Rep 92 (4), 401-407. PMID 31750442.This study suggests that circumferential defect heals on itself without any guided bone regeneration in both the groups. The data suggests that the healing in both the gr …