Clinicoradiographic Evaluation and Feasibility of Dental Implant in Infected Dentoalveolar Socket

Abstract

Purpose: To describe a protocol for immediate placement of endosseous implant into debrided infected dentoalveolar socket. Patients and methods:A total of 21 implants were placed in 10 patients. The immediate placement protocol emphasized the meticulous debridement of the infected tissue in combination with periapical ostectomy of socket. Guided bone regeneration was accomplished to support bony healing of alveolar defects surrounding implantation site. Pre-and postsurgical antibiotic therapy was administered.Results: All implants, but one, were osseointegrated after 6 months follow-up and were functional 6 months postoperatively. One implant was mobile on exposure after 6 months and was removed.Conclusion: Successful immediate implantation in debrided infected alveolus depends on complete removal of all contaminated tissue and the controlled regeneration of alveolar defect.