An Assessment of Success of Dental Implants Placed With Immediate and Standard Methods in Periodontally Compromised Patients

Abstract

Aim: The aim of this study was to evaluate the success rates of implants placed in alveolar sockets immediately after the extraction of teeth or with a standard approach in normal alveolar bone in periodontally compromised patients. Material and Methods: In this study, patients who had implant placement both into healed bone after previous extraction and into the alveolar sockets in the same surgical session after extraction of periodontally hopeless teeth that had inadequate attachment and bone loss who could not be treated were selected for inclusion. Implant success, complications, and failures were recorded during follow-up. Results: Twelve patients (four female and eight male) ranging in age from 27 to 62 years (mean 48.6 years) were studied; the mean duration of follow-up was 27 months (range 18-36 months).. A total of 152 implants were placed (89 in the maxilla, 63 in the mandible). Of these, 83 (54.6%) were placed immediately into alveolar sockets following extraction and 69 (45.4%) into normal alveolar bone. The success rate for all immediately placed implants was 97.6%, and the success rate for all implants placed as non-immediate was 98.6 %. Conclusion:The study findings show that both immediate implant placement and non-immediate implant placement in periodontally compromised patients receiving treatment of implant-supported fixed full or partial prostheses are safe and preferable treatment modalities.