Immediate Placement of Dental Implants Into Debrided Infected Dentoalveolar Sockets

Casap, Nardy; Zeltser, Chassiel; Wexler, Alon; Tarazi, Eyal; Zeltser, Rephael

doi:10.1016/j.joms.2006.02.031

Cited by 91 publications

(123 citation statements)

References 10 publications

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“…Many studies have investigated immediate implant placement in infected extraction sockets due to periapical lesions 5,12,13,17,20,24,31,32,35,55) . Few have investigated the potential adjunctive effect of concomitant use of PRF and DFDBA bone grafts in such cases, however, which was, therefore, the purpose of the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, the presence of periapical infection should not be considered as a potential contraindication for immediate implant placement. Furthermore, human clinical studies have reported that implant survival rate ranged from 92 to 100% after 12 to 60 months of follow-up 13,17,20,31,32,50,55) . One study reported that the implant survival rate was 100%, and that hard and soft tissue integration was similar and favorable between the healthy and infected groups 18) .…”

Section: Discussionmentioning

confidence: 99%

“…Although several antibiotic regimens have been proposed 39) , the evidence remains inconclusive. In some studies, clindamycin was administered at 600 mg at 1 hour preoperatively 31,50) , whereas in another 1.5 gm amoxicillin was given over a 4-day period preoperatively and then continued for 10 days postoperatively 13) . A case of Pseudomembranous colitis was reported as a result of prolonged administration of antibiotics 13) .…”

Section: Discussionmentioning

confidence: 99%

“…In some studies, clindamycin was administered at 600 mg at 1 hour preoperatively 31,50) , whereas in another 1.5 gm amoxicillin was given over a 4-day period preoperatively and then continued for 10 days postoperatively 13) . A case of Pseudomembranous colitis was reported as a result of prolonged administration of antibiotics 13) . In other studies, postoperative administration of antibiotics was recommended 3,50,56) .…”

Section: Discussionmentioning

confidence: 99%

“…A high rate of implant failure has been reported in sockets with periapical lesions, especially with placement of machined-surface implants 5) . Moreover, many studies have reported an increase in loss of endosseous implants at sites associated with periodontal disease 12,24,35) , whereas few have reported satisfactory results 13,20) . Similar success rates have been reported, however, with immediate implant placement whether the site was infected or not, provided infection was controlled thorough debridement of alveolar tissue by curettage and administration of broad-spectrum antibiotics 17,20,31,32,50,55) .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Effect of PRF and Allograft Use on Immediate Implants at Extraction Sockets with Periapical Infection —Clinical and Cone Beam CT Findings—

Medikeri

Meharwade

Wate

et al. 2018

Bull. Tokyo Dent. Coll.

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Immediate implant placement can be successful, even at infected sites. The adjunctive effects of concomitant use of platelet-rich fibrin (PRF) and decalcified freeze-dried bone allografts (DFDBA) at periapically infected sites remains to be determined, however. The purpose of this prospective study was to investigate the effect of combined use of PRF and DFDBA on immediate implant survival at tooth extraction sites exhibiting periapical lesions. Implants were immediately placed in 8 patients under a standard chemotherapeutic protocol. Adin titanium implants were used in all cases. The combination of PRF and DFDBA was used to fill the gap between the implant body and the surrounding socket wall. The final restoration was placed after 3 months. The full-mouth plaque, gingival bleeding index, and gingival esthetics scores were assessed at 3, 6, and 12 months. Cone beam computed tomography images obtained at baseline and at 12 months after implant loading were analyzed. The plaque index scores showed statistically significant differences at 3, 6, and 12 months (p<0.05). The gingival bleeding index score showed no significant difference. No difference was noted in buccal gingival level on the implant surface or adjacent teeth at 91.7% of sites. Complete closure of the interproximal space was seen in 91.7% of the implant sites. Crestal bone levels on all implant surfaces were non-significant. Implant survival was 91.67% at 12 months. The adjunctive use of PRF with DFDBA at periapically infected sites yielded a significant reduction in bone resorption and accelerated bone healing during the initial post-extraction stage. A significant improvement was achieved in the gingival esthetic score at the interproximal and midfacial surfaces. The combined use of growth factors with pre-and postoperative broadspectrum antibiotics over a short time resulted in a higher implant survival rate at the end of the 1 year post-restoration period.

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