Immediate Placement Implant in Fresh Extraction Socket: A Clinical Study of Seven Cases

Abstract

Aims and objectives:To reduce the prolonged waiting period post tooth extraction for rehabilitation with implants. This study was carried out to determine the outcome of implants placed into fresh extraction sockets with the simultaneous use of particulate bone graft. Patient response to rehabilitation with immediate placement single tooth implants was monitored clinically and radiographically. Materials and methods:Among seven patients, with the average age of 28 years were treated for single tooth replacement in fresh extraction sockets in the esthetic zone by means of 2 stage immediate placement of implant. Bioactive glass particulate bone graft was used as bone graft material. Reason for teeth loss was caries, trauma and internal resorption. All patients were followed clinically and radiographically for 1 year after loading of implant.Results: Follow-up was done after stage I surgery (placement of implant) for pain, soft tissue dehiscence, inflammation, altered sensation at site of implant placement monthly for 4 to 6 months. After giving final prosthesis, patients were evaluated for bleeding index (Muhlemann and Son), plaque index (Turesky-GilmoreGlickman) gingival index (Loe and Silness), marginal bone loss (parallel cone technique using IOPA) with follow-up at 6th and 12th months. All the implants were osseointegrated at the time of abutment placement. Radiographic examination showed only slight marginal bone around the implants. Conclusion:Hence, implants can be placed successfully in fresh extraction socket using bioactive glass (perioglass) particulate bone graft material to fill gap between implant and bone through a submerged (2 stage) surgical technique.

Immediate Nonfunctional Loading of Two Single-Maxillary Postextractive Implants: 6-Year Postloading Results of Two Case Reports

“…Performing a flapless technique could be useful to further reduce bone resorption [ 35 ], even though some authors showed that this technique does not increase benefits [ 36 ]. An atraumatic extraction of the selected tooth, respecting both hard and soft tissues, will be crucial [ 14 , 37 , 38 ]. Looking for fenestrations and fractures of the bone socket is important [ 10 ] as well as the evaluation of the gingival biotype, its dimension, and the distance between gingival margin and the residual bone crest level.…”

“…In order to reduce gingival dimensional changes and to obtain a long-term success, profiling emergence of the abutment, temporary, and final crowns should be well-finished and should present a concave contour [ 44 , 45 ]. Contraindications of immediate-loaded postextractive implants are related to all conditions in which primary stability with torque values higher than 35 N/cm cannot be obtained, like insufficient apical bone or the presence of bone gaps [ 46 , 47 ] and the absence of intact peri-implant bone walls [ 32 , 38 , 48 ]. Benefits of immediate nonfunctional loaded postextractive implant surgery can be listed as good preservation of gingival architecture, reduction of surgical and prosthetic phases with a significant shortening of time, reduced morbidity, reduced costs, improved patient's comfort, and satisfaction [ 14 ].…”

Evaluation of Resorbable Blast Media Surface in Immediate Dental Implant

“…According to the original Branemark's protocol for implant placement, a 3 months soft and hard tissue healing period following tooth removal and an additional 3 to 6 months of load free period were recommended (3).…”