Immediate Implant Placement in Infected Sockets: A Consecutive Cohort Study

Abstract

Introduction: Immediate placement of implants in a fresh post-extraction socket is an increasingly popular and established treatment option. However, active infection in the extraction site may adversely affect the outcome of this procedure. This study was designed to assess the clinical results of immediate placement of dental implants in infected extraction sockets using a standardized protocol, which included (a) the use of an Er,Cr:YSGG laser for the decontamination of the infected socket prior to implant insertion, and (b) the utilization of an in situ hardening alloplastic bone graft substitute to augment the gap between the implant surface and the labial plate of bone. Patients and Methods: A retrospective record review was used to identify 68 patients who had implants placed as per the described protocol. A total of 126 implants were placed in 68 patients (65 implants in the maxilla, 61 implants in the mandible). The implants were loaded 136 ± 73 days (mean ± standard deviation; range: 37–400 days) after implant placement. Eight patients (16 implants) were subsequently lost to follow up. Results: 105 of the 110 implants (95.45%) placed immediately in the infected sites using the described protocol survived after prosthetic loading. Conclusion: Immediate implant placement in previously infected sites using the protocols mentioned in our study with laser decontamination of the socket, grafting with an in situ hardening alloplastic bone graft material and non-submerged healing shows a similar survival rate to the published success rates for immediate implants placed in non-infected sites.

Immediate dental implant placement in post-extraction-infected sites decontaminated with Er,Cr:YSGG laser: a retrospective cohort study

“…In a recent publication by Kakar et al, the authors followed a clinical protocol similar to the present study, including debridement with Er,Cr:YSGG 2780 nm laser, to treat a case series without a control group [ 19 ]. However, despite the lack of measurements of the MBL, the highlight of the study was that the survival of the implants exceeded 95%, which is in line with the survival rate expected from conventional implantology methods.…”

“…Kusek presented the first case series, which included 10 immediate implantation [16]. Later, other authors carried out independent research illustrating the use of Er,Cr:YSGG laser to treat dental alveoli [17][18][19].…”

Incidental finding of paradental cyst in the maxillary anterior teeth during immediate implant placement

“…Recent findings suggest that immediate implant placement in infected socket sites is not associated with inferior implant survival rates or increased risks compared to noninfected sites. [ 15 ] However, thorough debridement and decontamination of hard and soft tissues and removal of microbial debris are prerequisites for successful immediate implant placement. [ 15 ] It is suggested that laser can be used for debridement of extraction sockets during immediate implant placement.…”

“…[ 15 ] However, thorough debridement and decontamination of hard and soft tissues and removal of microbial debris are prerequisites for successful immediate implant placement. [ 15 ] It is suggested that laser can be used for debridement of extraction sockets during immediate implant placement. [ 16 ] The present case awakens the practitioners to be cautious regarding long-standing periodontal and periapical pathologies, which may interfere in treatment outcomes of immediate implant placement.…”

Management of Postsurgical Complication in Multiple Implant-Infected Postextraction Sites in the Lower Arch

“…Although postextraction implant placement has been widely validated, few studies have reported results at infected sites during the healing process. Some studies have described the use of erbium, chromium-doped yttrium, scandium, gallium, and garnet (Er,Cr : YSGG) laser therapy to disinfect infectious processes, which can reduce treatment time [ 15 ].…”