M Viswambaran1, Vimal Arora2, R C Tripathi3, R K Dhiman4. 1. Commanding Officer, Military Dental Centre, Jabalpur 482001, (MP). 2. Addl DGDS, Integrated HQ of MOD, O/o DGDS, 'L' Block, New Delhi 110001. 3. Ex- Scientist 'E', DRDO, Delhi, India. 4. Assoc Professor (Prosthodontics), Department of Dental Surgery, Armed Forces Medical College, Pune 411 040, India.
Abstract
BACKGROUND: The immediate placement of implants into fresh extraction socket has proven to be a safe and predictable procedure. However, there is lack of scientific evidence regarding the healing pattern and osseointegration associated with immediate implants especially with different grafting materials. METHODS: A total of 30 patients male or female, with a mean age of 23.1 years ± 6.0 in the age group of 18-38 years, each having at least one tooth indicated for extraction (either maxillary or mandibular anterior teeth) were selected and randomly divided in to two groups. 30 Implants (Xive(®) friadent, Germany) were placed into fresh extraction sockets during this study. Two types of graft materials namely Dembone(®) (freeze-dried bone allograft) for group A and G-Bone(®) (modified hydroxyapatite) for group B were used. After implant placement all implants were evaluated clinically and radiographically at baseline, 3 months, 6 months, 9 months and 12 months. All clinical and radiographic parameters were subjected to statistical analysis. Intragroup comparisons were made with paired 't' test and intergroup comparisons with unpaired 't' test (P > 0.05 NS, ≤0.05 S, ≤0.01 HS). RESULT: During the 1-year interval, no implant was lost and the mean bone level at the implants was maintained or even improved. CONCLUSION: Immediate restoration of single tooth implants placed in fresh extraction sockets could be considered a valuable option to replace a missing tooth. The graft materials used in both groups have been found to be equally effective.
RCT Entities:
BACKGROUND: The immediate placement of implants into fresh extraction socket has proven to be a safe and predictable procedure. However, there is lack of scientific evidence regarding the healing pattern and osseointegration associated with immediate implants especially with different grafting materials. METHODS: A total of 30 patients male or female, with a mean age of 23.1 years ± 6.0 in the age group of 18-38 years, each having at least one tooth indicated for extraction (either maxillary or mandibular anterior teeth) were selected and randomly divided in to two groups. 30 Implants (Xive(®) friadent, Germany) were placed into fresh extraction sockets during this study. Two types of graft materials namely Dembone(®) (freeze-dried bone allograft) for group A and G-Bone(®) (modified hydroxyapatite) for group B were used. After implant placement all implants were evaluated clinically and radiographically at baseline, 3 months, 6 months, 9 months and 12 months. All clinical and radiographic parameters were subjected to statistical analysis. Intragroup comparisons were made with paired 't' test and intergroup comparisons with unpaired 't' test (P > 0.05 NS, ≤0.05 S, ≤0.01 HS). RESULT: During the 1-year interval, no implant was lost and the mean bone level at the implants was maintained or even improved. CONCLUSION: Immediate restoration of single tooth implants placed in fresh extraction sockets could be considered a valuable option to replace a missing tooth. The graft materials used in both groups have been found to be equally effective.
Authors: K Pragna; Vikas Bulkar; R Naveen Reddy; Arshad Jamal Sayed; Mohammed Abid Zahir Hussain; Anas Abdul Khader Journal: J Pharm Bioallied Sci Date: 2022-07-13