Assessment of primary stability of the implant placed in prepared infected extraction sockets

Narad, Chintan; Lingraj, J.B.; Aulakh, Kamaldeep Kaur; Handa, Karan; Kotrashetti, S.M.; Pinto, Pascal X.

doi:10.1016/j.jobcr.2016.10.002

Cited by 6 publications

(7 citation statements)

References 7 publications

(6 reference statements)

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“…The relation between dental implants and cysts has been analyzed in the literature both preliminarily on implant insertion and late cyst development in the fixture insertion area. Researchers have also focused on post-cystectomy surgical timing and implant insertion in post-extractive infected sites [11][12][13][14][15][16][17][18]. Furthermore, studies have been made on implant periapical lesion and radiolucent lesions that could derive from epithelium inclusion in particular situations such as dental implant fixation following sinus augmentation [7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…The cases focused on radiolucent lesions related to implant periapical lesions or derived from epithelium inclusion caused by sinus surgery and implant placement near the nasopalatine duct [7][8][9][10]. Other studies have considered surgical timing, outcome, and implant insertion in infected sites [11][12][13][14][15][16][17][18]. The common treatment plan in implant failure usually follows three steps: explantation of the implant, bone regeneration, and reimplantation.…”

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confidence: 99%

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Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal

et al. 2020

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The aim of this case report was to evaluate the use of Partsch I cystotomy in order to preserve a dental implant located in an odontogenic cyst extended from 3.2 to 4.4. A 50 year-old woman showed a circular, well-defined unilocular radiolucent area, Ø2.5 cm, in the right mandibular region with an oral implant intruding inside it. The overdenture in the mandibular right site showed no clinical mobility. The authors decided to perform a surgical treatment aimed to preserve the implant. The patient underwent Partsch I surgery followed by iodoform gauze insertion replaced weekly for one month, revision of the previous orthograde endodontic treatments, and an acrylic resin obturator prosthesis application for the following two months. The twelve month follow-up showed no clinical mobility of the right lateral mandibular implant prostheses. Radiographical analysis revealed cystic lesion healing and perimplant bone regeneration. This report highlights the opportunity to apply cystotomy when the cyst involves a dental implant and undermines its stability. This possibility is offered by the peculiar clinical scenario where the implant was stabilized by the presence of a previous prosthetic fixation. Our study led to the application of an operative protocol that allowed for the preservation of the implant.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal

et al. 2020

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“…There are strict protocols which facilitate osseointegration of immediate implant placement in infected extraction socket in a more liable mode. Some of the protocols include proper case selection, atraumatic extraction, prophylactic antibiotic administration, adequate osteotomy for primary stability [36]. Ayangco et al in a study proposed that cases of retrograde peri-implantitis have been thought to result from placement into such sites [37].…”

Section: Discussionmentioning

confidence: 99%

A clinical and radiographical comparison of buccolingual crestal bone changes after immediate and delayed implant placement

Amin

Kumar

Joshi

et al. 2019

Medicine and Pharmacy Reports

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AimThe study aims to clinically and radiographically compare the bucco-lingual crestal bone changes after immediate and delayed placement of implants.MethodsTwo groups that consisted of fifty implants were considered for this study. In group A the implants were placed immediately post extraction, whereas, in group B implants placement were delayed by four to six weeks. All the implants were submerged within the alveoli confines. Bone grafts were only placed if the jumping distance was more than 1.5 mm. Barrier membrane was not placed in any of the cases. Bucco-lingual width was measured at the time of implant placement and during abutment placement after four to six weeks. Primary flap closure was ensured in all the cases.ResultsThirty-one implants were placed in the mandible and nineteen were placed in the maxilla. All the implants achieved osseointegration. Immediate implant group showed a mean width of 8.80 mm (SD2.280) at the time of implant placement whereas, 7.60 mm (SD 1.871) after six months. Delayed implant group showed a mean width of 8.40 mm (SD1.673) at the time of implant placement, and 7.40 mm (SD 1.658) after six months. Intragroup showed statistically significant data (P<0.05). When the intergroup comparison of group 1 and group 2 was made at implant placement day and abutment placement day, it was found to be statistically non-significant.ConclusionThis 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 group were equally good. The equally good results suggest placing the implant immediately post extraction. This saves the cost, time and most importantly the need for an extra surgery.

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“…However, there are still some contraindications that restrict the clinical promotion of immediate implantation ( Koh et al, 2010 ). At present, socket infection has been considered as one of the most commonly faced complications of immediate implantation ( Rass, 2010 ; Narad et al, 2018 ). An incomplete pre-implantation curettage (conventional surgical treatment of infected socket before implantation) of infected tissues will leave residual bacteria around the implant which significantly increases the risk of multiple complications and ultimately results in implant failure ( Narad et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

“…At present, socket infection has been considered as one of the most commonly faced complications of immediate implantation ( Rass, 2010 ; Narad et al, 2018 ). An incomplete pre-implantation curettage (conventional surgical treatment of infected socket before implantation) of infected tissues will leave residual bacteria around the implant which significantly increases the risk of multiple complications and ultimately results in implant failure ( Narad et al, 2018 ). A published meta-analysis has shown that the implant failure rate increase by 116% when the implants are placed directly in a bacterial-infected socket compared with a normal socket ( Zhao et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Antibacterial and Osteogenic Functionalization of Titanium With Silicon/Copper-Doped High-Energy Shot Peening-Assisted Micro-Arc Oxidation Technique

Shen

Ping

et al. 2020

Front. Bioeng. Biotechnol.

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Antibacterial and osteogenic functionalization of titanium (Ti) implants will greatly expand their clinical indications in immediate implant therapy, accelerate osteointegration, and enhance long-term prognosis. We had recently shown that the high-energy shot peening (HESP)-assisted micro-arc oxidation (MAO) significantly improved the bioactivity and coating stability of Ti-based substrates. In this study, we further functionalized Ti with antibacterial and osteogenic properties by doping silicon (Si) and/or copper (Cu) ions into HESP/MAO-treated coatings. Physicochemical characterization displayed that the doping of Si and Cu in HESP/MAO-treated coatings (Si/Cu-MAO) did not significantly change their surface topography, roughness, crystal structure, coating thickness, bonding strength, and wettability. The results of X-ray photoelectron spectroscopy (XPS) showed that Si and Cu in the Si/Cu-MAO coating was in the form of silicate radical (SiO 3 2– ) and bivalent copper (Cu 2+ ), respectively. The total amounts of Si and Cu were about 13.5 and 5.8 μg/cm 2 , which released about 33.2 and 31.3% within 14 day, respectively. Compared with the control group (MAO), Si doping samples (MAO-Si) significantly increased the cell viability, alkaline phosphatase (ALP) activity, mineralization and osteogenic genes (ALP, collagen I and osteocalcin) expression of MC3T3-E1 cells. Furthermore, the addition of Cu presented good bactericidal property against both Staphylococcus aureus and Streptococcus mutans (even under the co-culture condition of bacteria and MC3T3-E1 cells): the bacteriostatic rate of both bacteria was over 95%. In conclusion, the novel bioactive Si/Cu-MAO coating with antibacterial and osteogenic properties is a promising functionalization method for orthopedic and dental implants, especially in the immediate implant treatment with an infected socket.

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Assessment of primary stability of the implant placed in prepared infected extraction sockets

Abstract: 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.

Cited by 6 publications

References 7 publications

Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal

Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal

A clinical and radiographical comparison of buccolingual crestal bone changes after immediate and delayed implant placement

Antibacterial and Osteogenic Functionalization of Titanium With Silicon/Copper-Doped High-Energy Shot Peening-Assisted Micro-Arc Oxidation Technique

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