scholarly journals Immediate Implant Placement: Success or Failure?

2013 ◽  
Vol 01 (01) ◽  
pp. 046-048
Author(s):  
Ashutosh Nirola ◽  
Shallu Bhardwat

AbstractEdentulism is most often the result of repeated tooth extraction from combined pathological process and/or dental trauma. Dental implants have emerged to be a highly successful and predictable treatment modality for replacement of missing teeth. Dental implants are the devices that are surgically inserted into the jaw bone to support a single prosthetic tooth and serve as abutments or as cosmetic replacements for missing teeth. Timing of implant placement following tooth removal may be important and this concept has challenged the original treatment protocol. This article aims to present two case reports of immediate placement of implant.

2013 ◽  
Vol 39 (1) ◽  
pp. 85-90 ◽  
Author(s):  
Andrew Kelly ◽  
Dennis Flanagan

Endosseous dental implants may require bone augmentation before implant placement. Herein is described an approach to edentulous ridge expansion with the use of piezosurgery and immediate placement of implants. This may allow for a shortened treatment time and the elimination of donor-site morbidity. Two cases are reported. This technique uses a piezoelectric device to cut the crestal and proximal facial cortices. Space is then created with motorized osteotomes to widen the split ridge. This technique allows for expansion of narrow, anatomically limiting, atrophic ridges, creating space for immediate implant placement. The facial and lingual cortices provide support with vital osteocytes for osteogenesis. The 2 patients presented had adequate bone height for implant placement but narrow edentulous ridges. In patient 1 at site #11, the ridge crest was 3.12 mm thick and was expanded to accept a 4.3 mm × 13 mm implant. The resulting ridge width was 8.88 mm, which was verified using cone beam computerized tomography (CBCT). In patient 2 at site #8 and site #9, the narrow ridge was expanded using the same technique to accept 2 adjacent 3.5 mm × 14 mm implants. The implants were restored to a functional and esthetic outcome.


2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Rafał Flieger

Every year, a higher percentage of bisphosphonates is prescribed for osteoporosis treatment which can lead to bone osteonecrosis after several surgical procedures in the oral cavity. This report describes an approach to restore two missing teeth, employing bilateral bone ridge splitting in the maxilla with immediate placement of implants in a patient using bisphosphonates in the management of osteoporosis. Two titanium implants with a width of 3.45 mm and a length of 10 mm were placed in the maxillary ridge with a diameter of 4.4 mm and 3.0 mm in positions 15 and 24 according to the classification of the World Dental Federation. The implants were placed immediately by bone splitting, using a piezosurgery device and guided bone regeneration with an alloplastic material and a collagen membrane. Five months later, the implants were uncovered and the final porcelain crowns were cemented. 24 months later, the control through clinical and radiographical examinations showed no bone loss in the collar part of the implants and the proper status of the peri-implant soft tissue without any signs of inflammation. Piezosurgery is a useful and safe method of ridge splitting in a very thin ridge (4.5 and 3.0 mm).


2010 ◽  
Vol 36 (2) ◽  
pp. 153-157 ◽  
Author(s):  
Jun-Beom Park

Abstract The loss of the buccal alveolar plate following tooth extraction in the maxillary anterior may lead to palatal implant positioning with esthetic complications. Immediate placement of dental implants has been suggested because it may preclude dramatic postextraction bone loss. In this report, the harmony of soft and hard tissue was achieved by immediate implant placement with bone augmentation in an esthetically challenging situation.


2008 ◽  
Vol 19 (2) ◽  
pp. 159-164 ◽  
Author(s):  
Márcio José Rodrigues Barcelos ◽  
Arthur Belém Novaes Júnior ◽  
Marcio Baltazar Conz ◽  
Nassin David Harari ◽  
Guaracilei Maciel Vidigal Júnior

This article addresses diagnostic parameters that should be assessed in the treatment of extraction sockets with dental implant placement by presenting three case reports that emphasize the relevance of the amount of remaining bone walls. Diagnosis was based on the analysis of clinical and radiographic parameters (e.g.: bone defect morphology, remaining bone volume, presence of infections on the receptor site). Case 1 presents a 5-wall defect in the maxillary right central incisor region with severe root resorption, which was treated with immediate implant placement. Cases 2 and 3 present, respectively, two- and three-wall bone defects that did not have indication for immediate implants. These cases were first submitted to a guided bone regeneration (GBR) procedure with bone graft biomaterial and membrane barriers, and the implants were installed in a second surgical procedure. The analysis of the preoperative periodontal condition of the adjacent teeth and bone defect morphology is extremely important because these factors determine the choice between immediate implant or GBR treatment followed by implant installation in a subsequent intervention.


2020 ◽  
Vol 11 (2) ◽  
pp. 167-173 ◽  
Author(s):  
Ashish Kakar ◽  
Kanupriya Kakar ◽  
Minas D. Leventis ◽  
Gaurav Jain

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.


2015 ◽  
Vol 19 (2) ◽  
pp. 113-115
Author(s):  
M. Koray ◽  
I. Ozcan ◽  
B. Alkan ◽  
O. Kesmez ◽  
H. Tanyeri

SUMMARYObjective: The aim of this study was to evaluate the outcome of immediate postextraction implant placement. Immediate placement of dental implants have been claimed of the potential advantages such as reductions in the number of surgical interventions, a shorter treatment time, an ideal 3-dimensional implant positioning, the presumptive preservation of alveolar bone at the site of the tooth extraction and soft tissue aesthetics.Method: In this case series we reported to extract 15 teeth in 12 patients (8 males; 4 females, mean age: 46.08 years) and replace the teeth with implants immediately.Results: There were no signs of inflammation or infection and none of the patients had complaints subsequently. All implants were osseointegrated at the time of abutment connection. Postoperative healing was uneventful in all of the patients. No complications were observed.Conclusion: Within the limits of the present study, immediate implant placement was a predictable treatment.


2011 ◽  
Vol 37 (5) ◽  
pp. 543-548 ◽  
Author(s):  
Ashish T. Kunnekel ◽  
Mohit T. Dudani ◽  
Chandrasekharan K. Nair ◽  
E. M. Naidu ◽  
G. Sivagami

Ten identical implants were equally divided into 2 groups. In the immediate placement (control) group, implants were placed immediately following osteotomy preparation, and in the delayed placement (test) group, implants were placed 2 weeks following osteotomy preparation, in rabbit femurs. Implant stability quotient values for both groups were measured using resonance frequency analysis immediately following placement and at day 40. Results were statistically analyzed and indicate that delayed placement of implants leads to faster rates of osseointegration.


2012 ◽  
Vol 38 (1) ◽  
pp. 95-100 ◽  
Author(s):  
Rita Chandki ◽  
Munniswamy Kala

Since time immemorial, man has constantly contrived to replace natural body parts that are either congenitally absent or lost subsequent to disease or injury, so as to maintain a perfect amalgam of form and function. Dental implants have recently become established as a standard treatment protocol for replacing missing teeth. Ostensibly, a dilemma has arisen whether the implant should obviate the necessity to preserve teeth with debatable restorative prognosis. This article attempts to review the work done hitherto and to formulate a combined perspective in such cases.


2020 ◽  
pp. 23-26
Author(s):  
Gracia Alvarenga ◽  
Vilma Umanzor ◽  
Sarahí Avila ◽  
Hugo Romero ◽  
Juan Guifarro

Objective: There are several developed protocols for implant placement. When treating the esthetic zone different alternatives can be presented according to case variations and implications of the treatment planning and clinical challenges. Immediate implant placement protocols, favor both the patient and the clinician. This particular technique reduces time needed throughout the planning and performing. This document presents the clinical outcome of immediate implant placement in esthetic zone. Clinical Considerations: This case report describes the treatment of a 33 years old patient that requested the rehabilitation of missing teeth in the esthetic zone, previously lost due to facial trauma. All medical and clinical implications were taken into consideration to establish the treatment plan. Radiographic analysis and digital planning were carried through, accordingly. In the second surgical phase of implant treatment, the augmentation of keratinize tissue, in the treated area had no significant results, therefore a third surgery was performed “vestibuloplasty”. Conclusions: The proper planification of immediate implant placement should be ideally included, all the diagnostic tools available, granting the complete visualization of the patient’s conditions, permitting the development of the ideal treatment plan. The treatment with osseointegrated implants inserted immediately after the tooth extraction could be an implantological secure alternative, achieving a successful treatment. However, there’re still several issues that should be addressed. Further investigation is needed.


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