CLINICAL AND RADIOLOGICAL EVALUATION OF IMMEDIATE IMPLANT PLACEMENT FOLLOWING TOOTH EXTRACTION USING PHYSICS FORCEPS

Abstract

INTRODUCTION: A traumatic dental extraction preserves bone, gingival architecture, and allows for the option of future or immediate dental implant placement. A number of tools and techniques have been proposed for minimally invasive tooth removal such as the physics forceps. The biomechanical design of the physics forceps decreases the incidence of root fracture, and maintains the buccal bone plate, which is essential for the proper healing of an immediately placed dental implant. OBJECTIVE: This study was designed to clinically and radiologically evaluate immediate implant placement into fresh extraction sockets of maxillary anterior teeth following extraction by physics forceps. MATERIALS AND METHODS:10 adult patients seeking immediate implant placement in anterior maxillary region were selected and randomly allocated into two groups; a study group: included 5 patients, in this group extraction was done using physics forceps, and a control group: included 5 patients, in this group extraction was done using conventional forceps. RESULTS: Clinical results revealed that there was statistically no significant difference between the two groups according to plaque and gingival indices throughout the follow up period. There was no mobility of the implants in both groups. Interproximal papillae of all cases were intact during implant placement and throughout the study. According to the probing depth ,there was a statistically significant difference in favor to the study group immediately and after one week then became non significant after 1, 3 and 6 months. Radiographic results revealed that there was a statistically significant difference between the two groups in favor to the study group, Immediately post-operative, then, became non significant after 3 and 6 months in relation to the mean values of both bone density and marginal bone level. CONCLUSION: Immediate implant placement following tooth extraction using Physics forceps showed superior results in the immediate post-operative phase only. KEYWORDS: Atraumatic extraction, physics forceps, conventional forceps, immediate implantation