EVALUATING THE OSSEOINTEGRATION OF IMMEDIATE DENTAL IMPLANT PLACED IN THE PRESENCE OF CHRONIC INFLAMMATORY PERIAPICAL LESIONS

Document Type : Original Article

Authors

1 Department of Oral and Maxillofacial Surgery, Alexandria University

2 Lecturer, Department of Oral and Maxillofacial Surgery, Alexandria University

3 Assistant Professor, Oral Medicine and Periodontology, Faculty of Dentistry, Alexandria University, Alexandria City, Egypt

4 Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt.

Abstract

ABSTRACT

INTRODUCTION: Compromised teeth with periapical pathologies are removed before dental implant placement and sockets are left to heal. Some clinicians began to immediately place dental implants in fresh extraction sockets associated with chronic inflammatory periapical lesions and these studies revealed high success rates.
OBJECTIVES: To evaluate healing of dental implants placed in sockets with chronic inflammatory periapical lesions after socket debridement.
MATERIALS AND METHODS: 10 patients received 10 implants that were immediately inserted in sockets associated with chronic periapical granuloma. A variety of clinical and radiological parameters were assessed.
RESULTS: All implants were osseointegrated with satisfactory implant stability at the end of the 6-month follow-up period and with no signs of clinical mobility or infection. All periapical lesions healed with no radiographic signs of peri-implantitis or lesion recurrence.
CONCLUSIONS: Implants could osseointegrate successfully when their placement was done immediately after extraction of teeth with periapical lesions, assuming that proper clinical measures, such as careful cleaning, socket debridement and curettage are undertaken prior to the implant surgical placement.

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Alexandria Dental Journal
Volume 48, Issue 1
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
April 2023
Pages 109-116

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