A STUDY OF IMMEDIATE IMPLANT PLACEMENT IN FRESH EXTRACTION SOCKET.

Corresponding Author:
Syed Asimuddin,
H. No. 12-2-831/24/25, Flat No. 103,
Mayfair Residency, MIGH Colony, Mehdipatnam,
Hyderabad-500028, Telangana, India.
E-mail: sayasim@gmail.com

ABSTRACT

BACKGROUND

Missing teeth and supporting oral tissues have traditionally been replaced with dentures or bridges permitting restoration of mastication, speech, and aesthetics. Dental Implants are inserted into the jawbones to support prosthesis and are retained because of the intimacy of bone growth on their surface. This direct structural and functional connection between living bone and implant surface is termed as osseointegration.

Design- A prospective observational study on 20 patients undergoing extraction and immediate implant placement was carried out in the Department of Oral and Maxillofacial Surgery, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, from May 2011 to April 2013 with a minimum Post Op follow up of six months.

MATERIALS AND METHODS

20 cases were selected during 2 years period May 2011 to April 2013 with various indications for extractions. Patients’ records were kept for demographics and 6 months follow up period was included in the study. Evaluation was done among implants complications and patients satisfaction following surgery. Data was statistically analysed and presented.

RESULTS

Assessment was done clinically and radiographically at the following intervals; preoperatively (pre-op/baseline), at one month (1M), three months (3M) and six months (6M). Statistical analysis was performed to evaluate the changes at various time intervals. No significant complications were noted except for mild swelling, pain and gingival erythema which persisted for 5 days; exposure of implant healing screw was observed in 3 cases. Most of the patients were satisfied and happy with the results.

CONCLUSION

Immediate implants placed in fresh extraction sockets often produce good results with good functional outcome. Minimally invasive surgical technique, ease of procedure proper case selection and meticulous postoperative care preceded by good surgical and prosthetic protocol are the essentials for success.

KEYWORDS

Atraumatic Extraction, Immediate Implant Placement, GBR, Primary Stability, BMP, Osseointegration.