Open Access
CC BY-NC-ND 4.0 · European Journal of General Dentistry 2013; 2(01): 46-49
DOI: 10.4103/2278-9626.106809
Original Article

Evaluation of stability of immediately placed implants in infected sockets

Uma Shankar Pal
Department of Oral and Maxillofacial Surgery, K. G. Medical University, Lucknow, Uttar Pradesh, India
,
Nimisha Singh
Department of Oral and Maxillofacial Surgery, K. G. Medical University, Lucknow, Uttar Pradesh, India
,
R. K. Singh
Department of Oral and Maxillofacial Surgery, K. G. Medical University, Lucknow, Uttar Pradesh, India
,
Shadab Mohammad
Department of Oral and Maxillofacial Surgery, K. G. Medical University, Lucknow, Uttar Pradesh, India
,
Laxman R. Malkunje
Department of Oral and Maxillofacial Surgery, K. G. Medical University, Lucknow, Uttar Pradesh, India
,
Parveen Akhtar Loan
1   Department of Oral and Maxillofacial Surgery, Government Dental College, Jammu, India
› Institutsangaben
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Abstract

Purpose: To describe a protocol for the immediate placement of implant into the infected alveolar socket. Materials and Methods: In this study, a total number of 40 implants were placed immediately into the extraction sockets. Each case had a different periapical condition (acute, endodontic and periodontal infection). Great care had been taken in debridement of the socket, extraction of tooth/teeth and guided bone regeneration along with the use of pre-operative and post-operative anti-microbial agent. Results: All except three implants were osseo-integrated within 6 months to 1 year. The complications were due to the extraction procedure and bone regeneration process. Conclusion: Predisposing factors for failures are incomplete debridement of the socket, poor oral hygiene, incomplete closure of the wound, and systemic factors like hormones. From this study, we may conclude that immediate implants are a viable treatment option for patients with periapical infections.



Publikationsverlauf

Artikel online veröffentlicht:
01. November 2021

© 2013. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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  • References

  • 1 Waasdorp JA, Evian CI, Mandracchia M. Immediate placement of implants into infected sites: A systematic review of the literature. J Periodontol 2010;81:801-8.
  • 2 Crespi R, Capparè P, Gherlone E. Fresh-socket implants in periapical infected sites in humans. J Periodontol 2010;81:378-83.
  • 3 Hee HT, Majd ME, Holt RT, Pienkowski D. Better treatment of vertebral osteomyelitis using posterior stabilization and titanium mesh cages. J Spinal Disord Tech 2002;15:149-156.
  • 4 Liljenqvist U, Lerner T, Bullmann V, Hackenbrg L, Halm H, Winkelmann W. Titanium cages in the surgical treatment of severe vertebral osteomyelitis. Eur Spine 2003;12:606-612.
  • 5 Kan JY, Shiotsu G, Rungcharassaeng K, Lozada, JL. Maintaining and attenuating periodontal tissues for aesthetic implant placement. J Oral Implantol 2000;26:35-41.
  • 6 Schropp L, Kostopoulos L, Wenzel A. Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: A prospective clinical study. Int J Oral Maxillofac Implants 2003;18:189-199.
  • 7 Werbitt MJ, Goldberg PV. The immediate implant: Bone preservation and bone regeneration. Int J Periodontics Restorative Dent 1992;12:206-217.
  • 8 Bartee BK. Extraction site reconstruction for alveolar ridge preservation. Part 1: Rationale and materials selection. J Oral Implantol 2001;27:187-93.
  • 9 Yang J, Lee HM, Vernino A. Ridge preservation of dentition with severe periodontitis. Compend Contin Educ Dent 2000;21:579-83.
  • 10 Lazzara RJ. Immediate implant placement into extraction sites: Surgical and restorative advantages. Int J Periodontics Restorative Dent 1989;9:332-43.
  • 11 Ohrnell LO, Hirsch JM, Ericsson I, Branemark PI. Single-tooth rehabilitation using osseointegration. A modified surgical and prosthodontic approach. Quintessence Int 1988;19:871-6.
  • 12 Ayangco L, Sheridan PJ. Development and treatment of retrograde peri-implantitis involving a site with a history of failed endodontic and apicoectomy procedures: A series of reports. Int J Oral Maxillofac Implants 2001;16:412-7.
  • 13 Oh TJ, Yoon J, Wang HL. Management of the implant periapical lesion: A case report. Implant Dent 2003;12:41-6.
  • 14 Karoussis IK, Salvi GE, Heitz-Mayfield LJ, Brägger U, Hämmerle CH, Lang NP. Long-term implant prognosis in patients with and without a history of chronic periodontitis: A 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res 2003;14:329-39.
  • 15 Polizzi G, Grunder U, Goené R, Hatano N, Henry P, Jackson WJ, et al. Immediate and delayed implant placement into extraction sockets: A 5-year report. Clin Implant Dent Relat Res 2000;2:93-9.
  • 16 Becker W, Becker BE. Guided tissue regeneration for implants placed into extraction sockets and for implant dehiscences: Surgical techniques and case report. Int J Periodontics Restorative Dent 1990;10:376-91.
  • 17 Barzilay I. Immediate implants: Their current status. Int J Prosthodont 1993;6:169-75.
  • 18 Novaes AB Jr, Vidigal GM Jr, Novaes AB, Grisi MF, Polloni S, Rosa A. Immediate implants placed into infected sites: A histomorphometric study in dogs. Int J Oral Maxillofac Implants 1998;13:422-7.
  • 19 Lindeboom JA, Tijiook Y, Kroon FH. Immediate placement of implants in periapical infected sites: A prospective randomized study in 50 patients. Oral Surg Oral Med Oral pathol Oral Radiol Endod 2006;101:705-10.