Immediate implant placement in fresh extraction sites in the maxillary esthetic zone: a case series with 2-years' follow-up.

Abstract

The objective of the present case series with 24 months of follow-up was to document the clinicoradiographic status of IDI placed in fresh extraction sockets (FES) in the maxillary esthetic zone (MEZ). Immediate implants were placed in the FES of three adult patients. Medical history and demographics of these patients were retrieved from their respective healthcare records. All extractions were done using atraumatic techniques and performed in the MEZ. Diameter and lengths of IDI ranged between 4-4.1 mm and 14-16 mm, respectively. Osseous drilling was done at 2000 rpm and implants were inserted using an insertion torque of 45 Ncm. All implants were restored with screw-retained ceramic restorations. Follow-up clinicoradiographic investigations were done after 2-years. At follow-up, peri-implant plaque and gingival indices were measured and peri-implant probing depth was measured. Marginal bone loss was also measured. The two-year follow-up clinical and radiographic results from all cases showed that the implant success and survival rates were 100% and 100%, respectively. There was no clinical evidence of peri-implant soft tissue inflammation in all cases. Scores of peri-implant plaque index, bleeding on probing, probing depth and crestal bone loss showed no evidence of peri-implant inflammation at 2-years' follow-up. All implants and their prostheses were clinically stable. It is concluded that IDI can osseointegrate and remain functionally and esthetically stable when placed in FES located in the MEZ.