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Evaluation of Immediate post-extraction implants of 34 patients in Basrah province.

Author: Dr. Riad G. Altaee F.I.C.M.S * د. رياض الطائي
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2013 Volume: 10 Issue: 1 Pages: 98-105
Publisher: Al-Mustansyriah University الجامعة المستنصرية


The aim of this study was to evaluate the success rate of the immediate postextractionimplants without incision or primary flap closure.Patients and Methods: The study included 34 patients in good general health,referred to the department of oral surgery in the specialized center of dentistry inBasra between August 2009 and July 2010, immediate post extraction implanttreatment 20(58.82 % ) female and 14(41.18%)male, aged 22 to 53 years withmean age 32.85 . Each patient had a tooth that required extraction, and each had atleast 4 mm of bone beyond the root apex. After tooth extraction, the implants wereimmediately placed without incision or flap elevation. Implant sites showing bonebone defects or bone fenestrations, were excluded from this study. The secondstagesurgical procedure was performed4 months after the first procedure. Thefollowing clinical parameters were evaluated at the time of implant placement andat second stage surgery: peri-implant radiolucency and marginal bone loss, whichwere evaluated radiographically.Results: The postsurgical healing period was uneventful for all patients. Soft tissueclosure over the implant sites was achieved in1to 3 weeks after surgery at all sites.At second stage surgery, no peri-implant bone defects were observed or detectedby probing. The soft tissue anatomy was considered clinically acceptable in allpatients.Conclusions: Immediate post-extraction implant treatment is an implant alternativewith a survival rate similar to that of the conventional technique for implantplacement and enables preserving both the bone structure and gingivalarchitecture.

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