Immediate implants in anterior maxillary arch

Abstract

Aim:The aim of the study was to evaluate the osseo-integration and soft tissue status of the endosseous implants placed in immediate extraction socket.Methodology:Seven patients (4 males and 3 females) aged 20-30 years were selected for the study. Nine implants were placed in seven patients in the maxillary arch. All the patients were clinically αnd thoroughly examined. Under local anesthesia, the indicated tooth was extracted. The extracted socket was prepared using standard drills with palatal wall as guide. The longest and widest implants were placed (Hi-Tec Implants). All implants showed good primary stability. The implants used in the study were tapered design endosseous implants with Threaded implants (TI) unit plasma-sprayed surface. Surgical re-entry (secondary surgery) was performed to remove the healing cap after 6 months for supra crestal fabrication. All patients were reviewed periodically at 3rd and 6th month interval and the following clinical parameters including modified plaque index (mPlI), modified bleeding index (mBI), probing depth (PD), attachment level (AL), and distance between the implant shoulder and mucosal margin (DIM), distance between the implant shoulder and first bone-implant contact, and Clinical Mobility Index were recorded. The results were computed and subjected to statistical evaluation.Results:The mPlI, mBI, PD, AL, and DIM were evaluated around the implants at baseline, 3rd and 6th month intervals and analyzed statistically by Friedman T-test. The results of the above were shown to be statistically non-significant. The distance between the implant shoulder and first bone implant contact was evaluated around the implants at base line, 3rd and 6th month intervals. The results proved to be statistically significant (0.01) implying that there was a bone apposition around the implants.Conclusion:During the course of the study, soft tissue status around implants was found to be healthy. Osseointegration as assessed by clinical and radiographic findings was found to be sound.

Minimal invasive crestal sinus technique using autologous fibrin glue versus sticky bone with simultaneous implant insertion: a prospective study

“…In the study, the mean IS at T 0 was 63.67 and 63.87 in the groups A and B, respectively. This was satisfactory according to previous reports of Shiigai et al [13] and Anitha et al [14], who stated that the primary implant stability with ISQ above 62 was considered suitable; however, Lai et al observed a mean ISQ of 68.0 with RBH of 48 mm [15].…”

Delayed and Immediately Loaded Implants Placed in Fresh Extraction Socket – A Clinical and Radiological Study

“…[ 20 ] Anitha et al . [ 21 ] stated that the distance from the implant shoulder to crest of alveolar bone at base line initially was 0.3 ± 0.3 mm and at the 6 th month follow up, increased to 0.5 ± 0.5 mm. Whereas, Pal et al .…”

Nasopalatine duct cyst as a delayed consequence of dental implant placement in the anterior maxilla: A case report

“…Dental implants are nowadays considered the most acceptable treatment for replacing missing teeth. 1 - 3 Placement of dental implants in the anterior maxilla may sometimes have some limitations from the depth and angulation aspects due to anatomical landmarks, esthetic considerations, and possible bone loss following tooth extraction. 4 , 5 The nasal cavity, maxillary sinus, and nasopalatine duct are among landmarks of great importance and may even put implant surgical preparation at risk.…”