Radiographic Bone Changes Around Immediately Placed Immediately Restored Dental Implants In Periodontally Compromised Sites

Abstract

Background: The aim of this study is to evaluate radiographic success of immediately restored dental implants placed immediately after extraction of periodontally compromised anterior teeth. Methods: In this prospective clinical trial human study, ten patients were selected from outpatient clinic of the Department of Oral Medicine, Periodontology, Oral Diagnosis, and Radiology, Faculty of Dentistry, Tanta University. Teeth were extracted as a result of sever periodontal destruction, followed by immediate implant placement and immediate implant restoration. Implant survival, bone level was evaluated for each patient at 6, 9 and 12-month follow-up period. Subtraction radiography was performed to compare the baseline image from 12 months follow up period image. Results: The survival rates of the immediately placed implants in the present study were 100%. Results showed significant reduction of the bone defect depth at 6, 9 and 12 months when compared to immediate post-operative record. Also massive increase of the mean bone density scores at 12 months when compared to immediate post operative record. Conclusion: Based on the results of this clinical trial, placement of implants immediately in fresh extraction sockets affected by periodontal disease followed by immediate restoration may be a valid operative technique that leads to predictable results if adequate preoperative and postoperative care is taken.