Chintan Narad1, J B Lingraj2, Kamaldeep Kaur Aulakh3, Karan Handa4, S M Kotrashetti5, P X Pinto5. 1. Department of Dentistry & Oral & Maxillofacial Surgery, Punjab Institute of Medical Sciences, Jalandhar, Punjab, India. 2. Department of Oral & Maxillofacial Surgery, K.L.E. Institute of Dental Sciences, Belgaum, India. 3. Dasmesh Institute of Research & Dental Sciences, Faridkot, Punjab, India. 4. Private Practitioner, India. 5. Department of Oral & Maxillofacial Surgery, K.L.E. Dental College, Belgaum, India.
Abstract
BACKGROUND: Dental conditions like periodontal, periapical pathologies and failed endodontically treated teeth are one of the commonest reasons for tooth removal. These conditions also contraindicate replacement of such teeth with immediate implant procedures. AIM: This study aimed to evaluate the clinical and radiological fate of immediately placed dental implants in debrided infected dentoalveolar sockets. MATERIALS AND METHODS: A total of 24 implants were immediately placed into prepared infected sockets. The pathology at the receptacle sockets included subacute periodontal infection, perio-endo infection, chronic periapical infection, periodontal cyst and traumatic infected teeth. The treatment protocol emphasized on meticulous debridement of the infected sockets under pre- and post-surgical antibiotic therapy. Follow up of at least 24 months was done to evaluate the survival of implants. RESULTS: At the end of follow up time period of 24 months, all 24 implants were stable with no signs of clinical mobility and infection. However, on radiological examination, crestal bone loss was observed during the osseointegration periods which settled at the level of first thread. CONCLUSION: Survival of immediately placed implants in infected sockets is predictable and depends on the meticulous debridement of dentoalveolar sockets along with adequate pre- and post-operative antibiotic coverage.
BACKGROUND: Dental conditions like periodontal, periapical pathologies and failed endodontically treated teeth are one of the commonest reasons for tooth removal. These conditions also contraindicate replacement of such teeth with immediate implant procedures. AIM: This study aimed to evaluate the clinical and radiological fate of immediately placed dental implants in debrided infected dentoalveolar sockets. MATERIALS AND METHODS: A total of 24 implants were immediately placed into prepared infected sockets. The pathology at the receptacle sockets included subacute periodontal infection, perio-endo infection, chronic periapical infection, periodontal cyst and traumatic infected teeth. The treatment protocol emphasized on meticulous debridement of the infected sockets under pre- and post-surgical antibiotic therapy. Follow up of at least 24 months was done to evaluate the survival of implants. RESULTS: At the end of follow up time period of 24 months, all 24 implants were stable with no signs of clinical mobility and infection. However, on radiological examination, crestal bone loss was observed during the osseointegration periods which settled at the level of first thread. CONCLUSION: Survival of immediately placed implants in infected sockets is predictable and depends on the meticulous debridement of dentoalveolar sockets along with adequate pre- and post-operative antibiotic coverage.
Authors: Arthur B Novaes; Andréa M Marcaccini; Sérgio L S Souza; Mário Taba; Márcio F M Grisi Journal: Int J Oral Maxillofac Implants Date: 2003 May-Jun Impact factor: 2.804