Evaluation of the Clinical Success of Immediate Loading Implant in the Aesthetic Zone: An In Vivo Study.

Abstract

Aim:The aim of the current study was to assess the clinical success of immediate loading implant in the esthetic zone.Materials and Methods:20 patients with 20 teeth to get replaced were selected for the study. All patients underwent a pre-surgical preparation followed by draping. Following stringent asepsis, necessary precaution was taken to not to injure the socket wall while removal of tooth. After removal, socket was thoroughly cleaned and curetted with saline and betadine. Using physiodispenser and drills, socket was properly prepared for implant insertion taking care of irrigation with saline to avoid heating of socket while drilling. Implants were then placed with initial stability with hand motion followed by complete insertion with hand ratchet. Black silk sutures were used to close the socket. Patients underwent the first control one week after surgery. They were recalled at the 1st, 3rd and 6th months to evaluate the following parameters to assess the success of immediate implant placement: mobility, soft tissue conditions (gingival index and probing pocket depth (PPD)), and a graded scale ranging from “very satisfied” to “very unsatisfied” were employed to subjectively evaluate patient contentedness.Results:During the 1st and 3rd months, 100% mobility was absent. But on the 6th month, the implant of 3 patients (15%) was mobile. The maximum gingival index score was noted in the 1st month (1.02 ± 0.01) and reduced more in the 3rd month (0.74 ± 0.08). The probing depth was more in the 1st month (3.88 ± 0.10) and it was reduced in the 3rd month (3.02 ± 0.12). Significant difference was not found between different times of intervals. 14 patients were very satisfied, 5 patients were fairly satisfied, and 1 was fairly unsatisfied.Conclusion:The current study concluded that immediate implant placement in the esthetic zone has a better success rate with good patient acceptance.