Journal of Dental Implants
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ORIGINAL ARTICLE
Year : 2011  |  Volume : 1  |  Issue : 2  |  Page : 58-63

Evaluation of implants placed into fresh extraction sockets in the maxillary anterior region: A clinico-radiographic study


1 Department of Periodontology, Kanti Devi Dental College and Hospital, Mathura, Uttar Pradesh, India
2 Department of Periodontology and Implantology, Bapuji Dental College and Hospital, Davangere, Karnataka, India

Correspondence Address:
Srinivas Sulugodu Ramachandra
Department of Periodontology, Kanti Devi Dental College and Hospital, Delhi-Agra National Highway # 2, P.O. Chhatikara, Mathura - 281 006, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-6781.91281

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Aim: The purpose of this study is to determine the survival rate of dental implants placed immediately into fresh extraction sockets in the maxillary anterior region by clinically evaluating the peri-implant soft tissue health and by radiographically evaluating the bone height mesial and distal to the implants. Materials and Methods: Patients with maxillary anterior teeth indicated for extraction were selected. Indicated teeth were extracted, sockets were prepared and implants were placed into prepared sockets. After the integration period, prostheses were cemented. Patients were reviewed at three-month intervals after prosthesis placement for a period of one year with evaluation of all clinical and radiographic parameters. Results: Causes for extraction of teeth were root fractures, endodontic failures, internal resorption, external resorption, teeth with open apex and over-retained deciduous teeth. The mean plaque index and gingival index showed a decrease in values during the follow-up period. All implants were immobile. Radiographic analysis using Image J software (of the peri-apical radiographs) showed significant bone remodeling around the neck of the implants. Immediate implant survival rate was 100% during one-year follow-up. Conclusion: Thus, with regard to implant survival, there seems to be no reason to refrain from placement of implants into extraction sockets in the maxillary anterior region when the sites are carefully selected.


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