Evaluation of implants placed immediately or delayed into extraction sites

Natl J Maxillofac Surg. 2011 Jan;2(1):54-62. doi: 10.4103/0975-5950.85855.

Abstract

Aims and objectives: To compare the success rate of implant placed immediately in extraction socket vs implant placed delayed in extraction socket.

Materials and methods: The study comprised of 8 patients (6 male and 2 female, aged from 14 to 58 year) for evaluation of implant placement immediately (i.e. Group - A) or delayed (i.e. Group - B) into extraction site, in which at 12 sites implants were placed.

Results: The inclusion criteria for implantation was tooth/teeth with one or two degree mobility, root stumps, tooth with failure root canal treatment and extraction sockets. HI-TEC TRX-OP (Life Care) with abutment, non-submerged, tapered at apical 5 mm, sand-blasted & acid etched surfaced implants were used. These are one stage single implants made of commercially pure titanium. The length of implants used was 10 mm and 13 mm and diameter was 3.70 mm and 4.50 mm. The vertical bone dimension was determined by palpation and radiograph (intra-oral periapical, orthopantomograph and dentascan in some patients). Gingival condition, bone condition was examined clinically and radiographically.

Discussion: Post-operative evaluation was done under clinical parameters (i.e. Pain (VAS), Swelling, Stability (By Glickman method), Gingival status, Probing depth (By Williams Periodontal probe), Patient's compliance / satisfaction, Complications (If any) and Radiological parameters was (Intra-oral periapical radiograph, orthopantomograph, Dentascan).

Conclusion: Overall conclusion drawn from this study was that both the groups are showing similar results but Group-A is slightly better than Group-B.

Keywords: Bone resorption; dental implant; osteosynthesis.