A Comparison of Outcome of the Immediate Implant Placement of Implants When Used In the Replacement of Teeth with and Without Chronic Periapical Lesions
Outcome Of The Immediate Implant Placement Of Implants In Case With And Without Chronic Periapical Lesions
Keywords:
immediate implant, periapical pathology, treatment outcomeAbstract
Objectives: Thepurpose of this prospective controlled study wasto compare the outcome of the immediate placementof implantswhen used in extraction sockets with and without chronic periapical lesions, in an Indian population. Methods: 10 implants each were immediately placed in extraction sockets with chronic periapical lesions (Test group-TG), and non-infected extraction sockets (Control group-CG). Surgery was done under pre and post-operative antibiotic coverage and 0.2% chlorhexidine rinsing, with debridement of infected sockets. At baseline, 12 months and 24 months follow up, evaluations were carried out for implant survival, clinical parameters (probing depth-PD, modified plaque index-mPI, modified bleeding index-mBI, marginal gingival level-MGL, width of the keratinized mucosa-KM, and radiographic parameters -Marginal bone levels). To compare differences between CG and TGdata at every time point, a Student two-tailed t testwas adopted. Results: Both CG and TG showed 100% implant survival rate even at the end of 24 months. The clinical and radiographic parameters evaluated showed no statistical differences between CG and TG at baseline, 12 months or 24 months. Conclusion: If appropriate clinical measures like antibiotic prophylaxis, and meticulous cleaning to decontaminate the surgical sites are performed, immediate implant placement into extraction sockets with chronic periapical lesions give comparable results with those placed in non–infected sockets, as far as the clinical and radiographic parameters are concerned. [Manish K NJIRM 2017; 8(2):133-139]
References
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17. Novaes AB Jr., MarcacciniAM, Souza SL, Taba M Jr., Grisi MF. Immediate placement of implants into periodontally infected sites in dogs: A histomorphometricstudy of bone-implant contact. Int J Oral Maxillofac Implants 2003; 18: 391-398.12.
18. Evian CI, Emling R, Rosenberg ES, Waasdorp JA, Halpern W, Shah S, et al. Retrospective analysis of implant survival and the influence of periodontaldisease and immediate placement on long term results. Int J Oral Maxillofac Implants 2004; 19: 393-398.
19. Tehemar S, Hanes P, Sharawy M. Enhancement of osseointegration of implants placed into extraction sockets of healthy and periodontally diseased teeth by using graft material, an ePTFE membrane, or a combination. Clin Implant Dent Relat Res 2003; 5: 193-211.
20. Lindeboom JA, Tjiook Y, Kroon FH. Immediate placement of implants in peri apical infected sites: a prospective randomized study in 50 patients. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2006; 101: 705–710.
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23. Cochran DL, Buser D, Ten Bruggenkate CM, Weingart D, Taylor TM, Bernard JP, et al. The use of reduced healing times on ITIs implants with a sandblasted and etched (SLA) surface: early results from clinical trials on ITI SLA implants. Clin Oral Implants Res 2002; 13: 144–153.
24. Mombelli A, Lang NP. Clinical parameters for the evaluation of dental implants. Periodontol 2000 1994; 4: 81-88.
25. Waasdorp JA, Evian CI, and Mandracchia M. Immediate placement of implants into infected sites: a systematic review of the literature. J Periodontol 2010;81: 801–8.
26. Crespi R, Cappare` P, Gherlone E. Fresh socket implants in periapical infected sites in humans. J Periodontol 2010; 81: 378–83.
27. A´ lvarez-Camino JC, Valmaseda-Castello´n E, Gay-Escoda C. Immediate implants placed in fresh sockets associated to periapical infectious processes. A systematic review. Medicina Oral Patologı´a Oral y Cirugı´aBucal 2013; 18: 780–5.
28. Casap N, Zeltser C, Wexler A, Tarazi E, Zeltser R. Immediate placement of dental implants into debrided infected dentoalveolar sockets. J Oral MaxillofacSurg 2007; 65: 384–92.
29. Karoussis IK, Salvi GE, Heitz-Mayfield LJ, Bragger U, Hammerle CH, Lang NP. Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res 2003; 14: 329–39.
30. Becker W, Dahlin C, Lekholm U, Bergstrom C, van Steenberghe D, Higuchi K, et al. Five-year evaluation of implants placed at extraction and with dehiscences and fenestration defects augmented with ePTFE membranes: results from a prospective multicenter study. Clin Implant Dent Relat Res 1999; 1: 27–32
31. Blus C, Szmuklerâ€Moncler S, Khoury P, Orrù G. Immediate implants placed in infected and noninfected sites after atraumatic tooth extraction and placement with ultrasonic bone surgery. Clin Implant Dent Relat Res. 2015; 17: e287-97.
32. Corbella S, Taschieri S, Tsesis I, Del Fabbro M. Post extraction implant in sites with endodontic infection as an alternative to endodontic retreatment: a review of literature. J Oral Implantol2013; 39: 399–405
33. Sundqvist G. Associations between microbial species in dental root canal infections. Oral MicrobiolImmunol 1992; 7: 257–62.
34. Peters LB, WesselinkPR,and van Winkelhoff AJ. Combinations of bacterial species in endodontic infections. IntEndod J 2002; 35: 698–702.
35. Chrcanovic BR, Martins MD, Wennerberg A. Immediate placement of implants into infected sites: a systematic review. Clin Implant Dent Relat Res. 2015; 17: e1-6.
2. Adell R, Lekhholm U, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1985; 10: 387–418.
3. Botticelli D, Berglundh T, Persson LG, Lindhe J. Bone regeneration at implants with turned or rough surfaces in self-contained defects. An experimental study in the dog. J ClinPeriodontol 2005; 32: 448–455.
4. Branemark PI, Hansson BO, Adell R, Breine U, Lindstro J, Halle´n O, et al. Osseointegrated implants in thetreatment of the edentulous jaw. Experience from a 10-year period. Scand J PlastReconstrSurg Suppl. 1977; 16: 1–132.
5. 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;18:31–39.
6. Ferrara, A, Galli, C, Mauro G, Macaluso G.M. Immediate provisional restoration of postextraction implants for maxillary single-tooth replacement. Int J Periodontics Restorative Dent 2006; 26: 371–377.
7. Den Hartog, L, Slater J.J, Vissink, A, Meijer H.J., Raghoebar G.M. Treatment outcome of
immediate, early and conventional single-toothimplants in the aesthetic zone: a systematic review to survival, bone level, soft-tissue, aesthetics and patient satisfaction. J ClinPeriodontol 2008; 35: 1073–1086.
8. De Rouck T, Collys K, Cosyn J. Single-tooth replacement in the anterior maxilla by means of immediate implantation and provisionalization: a review. Int J Oral Maxillofac Implants 2008; 23: 897-904.
9. Esposito M, Grusovin MG, Willings M, Coulthard P, Worthington HV. The effectiveness of immediate, early, and conventional loading of dental implants: a Cochrane systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants 2007; 22: 893–904.
10. Del Fabbro M, Boggian C, Taschieri S. Immediate implant placement into fresh extraction sites with chronic periapical pathologic features combined with plasma rich in growth factors: preliminary results of single-cohort study. J Oral Maxillofac Surg. 2009; 67: 2476–2484.
11. Bhola M, Neely AL, Kolhatkar S. Immediate implant placement: clinical decisions, advantages, and disadvantages. J Prosthodont. 2008; 17: 576–581.
12. Missika P. [Immediate placement of an implant after extraction]. Int J Dent Symp. 1994;2:42–45.
13. Werbitt MJ, Goldberg PV. The immediate implant: bone preservation and bone regeneration. Int J Periodontics Restorative Dent. 1992; 12: 206–217
14. Quirynen M, Gijbels F, Jacobs R. An infected jawbone site compromising successful osseointegration. Periodontol 2000 2003; 33: 129-144.
15. Rosenquist B, Grenthe B. Immediate placement of implants into extraction sockets: Implant survival. Int J Oral Maxillofac Implants 1996; 11: 205-209.
16. Marcaccini AM, Novaes AB Jr., Souza SL, Taba M Jr., Grisi MF. Immediate placement of implants into periodontally infected sites in dogs. Part 2: A fluorescence microscopy study. Int J Oral Maxillofac Implants 2003; 18: 812-819.
17. Novaes AB Jr., MarcacciniAM, Souza SL, Taba M Jr., Grisi MF. Immediate placement of implants into periodontally infected sites in dogs: A histomorphometricstudy of bone-implant contact. Int J Oral Maxillofac Implants 2003; 18: 391-398.12.
18. Evian CI, Emling R, Rosenberg ES, Waasdorp JA, Halpern W, Shah S, et al. Retrospective analysis of implant survival and the influence of periodontaldisease and immediate placement on long term results. Int J Oral Maxillofac Implants 2004; 19: 393-398.
19. Tehemar S, Hanes P, Sharawy M. Enhancement of osseointegration of implants placed into extraction sockets of healthy and periodontally diseased teeth by using graft material, an ePTFE membrane, or a combination. Clin Implant Dent Relat Res 2003; 5: 193-211.
20. Lindeboom JA, Tjiook Y, Kroon FH. Immediate placement of implants in peri apical infected sites: a prospective randomized study in 50 patients. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2006; 101: 705–710.
21. Siegenthaler DW, Jung RE, Holderegger C, Roos M, Hammerle CH. Replacement of teeth exhibiting periapical pathology by immediate implants: A prospective, controlled clinical trial. Clin Oral Implants Res 2007; 18: 727-737.
22. Buser D, Mericskeâ€stern R, Bernard P, Pierre J, Behneke A, Behneke N, et al. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997; 8: 161– 172.
23. Cochran DL, Buser D, Ten Bruggenkate CM, Weingart D, Taylor TM, Bernard JP, et al. The use of reduced healing times on ITIs implants with a sandblasted and etched (SLA) surface: early results from clinical trials on ITI SLA implants. Clin Oral Implants Res 2002; 13: 144–153.
24. Mombelli A, Lang NP. Clinical parameters for the evaluation of dental implants. Periodontol 2000 1994; 4: 81-88.
25. Waasdorp JA, Evian CI, and Mandracchia M. Immediate placement of implants into infected sites: a systematic review of the literature. J Periodontol 2010;81: 801–8.
26. Crespi R, Cappare` P, Gherlone E. Fresh socket implants in periapical infected sites in humans. J Periodontol 2010; 81: 378–83.
27. A´ lvarez-Camino JC, Valmaseda-Castello´n E, Gay-Escoda C. Immediate implants placed in fresh sockets associated to periapical infectious processes. A systematic review. Medicina Oral Patologı´a Oral y Cirugı´aBucal 2013; 18: 780–5.
28. Casap N, Zeltser C, Wexler A, Tarazi E, Zeltser R. Immediate placement of dental implants into debrided infected dentoalveolar sockets. J Oral MaxillofacSurg 2007; 65: 384–92.
29. Karoussis IK, Salvi GE, Heitz-Mayfield LJ, Bragger U, Hammerle CH, Lang NP. Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res 2003; 14: 329–39.
30. Becker W, Dahlin C, Lekholm U, Bergstrom C, van Steenberghe D, Higuchi K, et al. Five-year evaluation of implants placed at extraction and with dehiscences and fenestration defects augmented with ePTFE membranes: results from a prospective multicenter study. Clin Implant Dent Relat Res 1999; 1: 27–32
31. Blus C, Szmuklerâ€Moncler S, Khoury P, Orrù G. Immediate implants placed in infected and noninfected sites after atraumatic tooth extraction and placement with ultrasonic bone surgery. Clin Implant Dent Relat Res. 2015; 17: e287-97.
32. Corbella S, Taschieri S, Tsesis I, Del Fabbro M. Post extraction implant in sites with endodontic infection as an alternative to endodontic retreatment: a review of literature. J Oral Implantol2013; 39: 399–405
33. Sundqvist G. Associations between microbial species in dental root canal infections. Oral MicrobiolImmunol 1992; 7: 257–62.
34. Peters LB, WesselinkPR,and van Winkelhoff AJ. Combinations of bacterial species in endodontic infections. IntEndod J 2002; 35: 698–702.
35. Chrcanovic BR, Martins MD, Wennerberg A. Immediate placement of implants into infected sites: a systematic review. Clin Implant Dent Relat Res. 2015; 17: e1-6.
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Published
2018-02-01
How to Cite
Katyayan, M. K., Katyayan, P. A., Reddy, P. S., & Kumar, Y. B. (2018). A Comparison of Outcome of the Immediate Implant Placement of Implants When Used In the Replacement of Teeth with and Without Chronic Periapical Lesions: Outcome Of The Immediate Implant Placement Of Implants In Case With And Without Chronic Periapical Lesions. National Journal of Integrated Research in Medicine, 8(2), 133–139. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/1221
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