World Journal of Dentistry

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VOLUME 9 , ISSUE 6 ( November-December, 2018 ) > List of Articles

ORIGINAL RESEARCH

Success of Immediate Implants in Anterior Esthetic Zone: One Year Prospective Study

Saurabh Sathe, Khalid Gufran, Mariam OB Hamza, Inderjit M Gowdar, Mohammed AA Elqomsan, Mubashir B Mirza

Keywords : Esthetic zone, Immediate implants, Missing tooth, Prospective study

Citation Information : Sathe S, Gufran K, Hamza MO, Gowdar IM, Elqomsan MA, Mirza MB. Success of Immediate Implants in Anterior Esthetic Zone: One Year Prospective Study. World J Dent 2018; 9 (6):451-456.

DOI: 10.5005/jp-journals-10015-1579

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The present study was aimed to assess the success of immediate implants in the anterior esthetic zone. Materials and methods: Fifteen patients with 15 teeth to be replaced were selected for the study. After extraction, the socket was thoroughly cleaned and curetted with betadine and saline. Using physiodispenser and drills socket was prepared for implant insertion and implants were placed with initial stability with hand motion followed by complete insertion with hand ratchet. The socket was closed with 3-0 silk and medications were given with instructions to care for wound and recall after 1 week. The variables were measured postoperatively according to clinical parameters, i.e., mobility, exudate, pain, patient satisfaction score at a regular interval of 1, 3, 6 and 12th month. A p value of < 0.05 was considered as statistically significant. Qualitative data were analyzed using the Fischer exact test. Results: The mean age was found to be 23.33 years (range 14–38 years). There were 13 (86.6%) males and 2 (13.4%) females. Central incisors were replaced in 12 (80%) patients, lateral incisors were replaced in 2 (13.33%) patient and 1st premolar was replaced in 1 (6.66%) patient. No pain, exudates was experienced by any of the patients in all 4 follow up scheduled. Only 2 (13.33%) implant which was experienced mobility of grade 1 at 12 months follow-up. Three (20%) patients had satisfaction scores of 8, 6 (40%) had a satisfaction score of 9 and 6 (40%) had a score of 10. Thus, the majority of patients were very happy with the implants placed. Conclusion: In conclusion, the present study has shown that immediate placement of implants in the anterior esthetic zone has a predictable success rate with good patient acceptance. Clinical significance: Clinically, placing an implant at the time of extraction has more advantages like healing time reduction, helps maintain alveolar architecture, surgical interventions will be decreased. So it helps enhance the success rate.


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  1. Branemark P I. Osseointegration and its experimental background. J Prosthet Dent 1983;50:399-410.
  2. Kan JY, Rungcharassaeng K, Lozada J. Immediate Placement and Provisionalization of Maxillary Anterior Single Implants: 1-Year Prospective Study. Int J Oral Maxillofac Implants. 2003;18(1):31-39.
  3. Simsek B, Simsek S. Evaluation of success rates of immediate and delayed implants after tooth extraction. Chin Med J. 2003; 116(8):1216-1219.
  4. Douglass GL, Merin RL. The immediate dental implant. J Calif Dent Assoc 2002;30:362.
  5. Schwartz-Arad D, Chaushu G. The ways and wherefores of immediate placement of implants into fresh extraction sites: A literature review. J Periodontol. 1997;68(10):915-923.
  6. Ring ME. A thousand years of dental implants: a definitive history--part 1. Compendium of continuing education in dentistry (Jamesburg, NJ: 1995). 1995 Oct;16(10):1060-1062.
  7. Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T. A long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants. 1990 Winter;5(4):347-359.
  8. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. International Journal of Periodontics and Restorative Dentistry. 2003 Aug 1;23(4):313-323.
  9. Rosenquist B, Grenthe B. Immediate placement of implants into extraction sockets: implant survival. Int J Oral Maxillofac Implants. 1996 Mar-Apr;11(2):205-209.
  10. Covani U, Bortolaia C, Barone A, Sbordone L. Bucco-lingual crestal bone changes after immediate and delayed placement. J Periodontol. 2004;75:1605-1612.
  11. Ganeles J, Wismeijer D. Early and immediately restored and loaded dental implants for single-tooth and partial-arch applications. Int J Oral Maxillofac Implants. 2004;19 Suppl: 92-102.
  12. Cornelini R, Cangini F, Covani U. and Wilson T G Jr. Immediate restoration of implants placed into fresh extraction sockets for single-tooth replacement: a prospective clinical study Int J Periodontics Restorative Dent. 2005 Oct;25(5): 439-447.
  13. Sekine H, Komiyama Y, Hotta H, Yoshida K. Mobility characteristics and tactile sensitivity of osseointegrated fixturesupporting systems. Tissue integration in oral maxillofacial reconstruction. In “Van Steenberghe”, Elservier, Amsterdam. 1986:326-332.
  14. Winkler S, Morris HF, Spray JR. Stability of implants and natural teeth as determined by the Perio test over 60 months of function. J Oral Implantol. 2001;27:198-203.
  15. Mombelli A, Lang NP. The diagnosis and treatment of periimplantitis. Periodontol 2000. 1998;17:63-76.
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