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Immediate occlusal loading of implants placed in fresh sockets after tooth extraction
Roberto Crespi1, Paolo Capparè, Enrico Gherlone
1Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy.
The International Journal of Oral & Maxillofacial Implants
|February 15, 2008
Summary
Immediate dental implant loading in fresh extraction sockets shows successful clinical and radiographic outcomes over 18 months. This technique offers a viable option for tooth replacement, with minimal bone loss observed.
Area of Science:
- Dentistry
- Oral Surgery
- Implantology
Background:
- Immediate implant placement and loading protocols aim to reduce treatment time.
- Assessing long-term outcomes is crucial for validating these accelerated procedures.
Purpose of the Study:
- To evaluate the clinical and radiographic success of dental implants placed and immediately loaded into fresh extraction sockets.
- To assess outcomes at 18 months post-implantation.
Main Methods:
- A case series involving 27 patients and 160 implants (150 immediate, 10 in healed sites).
- Immediate provisional prosthetic reconstruction followed by definitive restorations at 5 months.
- Clinical assessments and intraoral digital radiography at 3 and 18 months.
Main Results:
- No significant complications like mucositis or suppuration were reported.
- Mean marginal bone loss at 18 months was 0.65-0.84 mm (maxilla) and 1.13-1.24 mm (mandible).
- No difference in bone loss was noted between splinted and non-splinted implants.
Conclusions:
- Immediate loading of dental implants in fresh extraction sockets is a successful clinical procedure.
- The findings support the efficacy of immediate implant loading in suitable extraction sites.
