Immediate implant in single rooted teeth - Study on primary stability and bone formation

Area of Science:

• Dental Implantology
• Oral Surgery
• Periodontology

Background:

• Dental implants (DI) are increasingly preferred over dentures.
• Immediate DI placement is in high demand for esthetic reasons.
• This study evaluates the success of immediate DI in single-rooted tooth sockets.

Purpose of the Study:

• To assess the success rate of immediately placed dental implants (DI) in fresh single-rooted tooth sockets.
• To analyze clinical, radiographic, and soft/hard tissue changes over a 1-year follow-up.
• To determine the efficacy of immediate DI placement in esthetic zones.

Main Methods:

• Retrospective analysis of immediate DI cases in single-rooted sockets.
• Inclusion/exclusion criteria applied to 324 placed implants, with 61 meeting criteria.
• Data collected included patient demographics, tooth/jaw details, socket dimensions, keratinized gingiva width (WKG), and radiographic measures for 1 year.

Main Results:

• A total of 61 immediate DI cases in 207 patients were analyzed.
• Mean patient age was 34.82 years; mean socket diameter was 4.6 mm.
• WKG showed a statistically significant decrease from baseline to 3 months, then regained at 12 months (P=0.01). Mesial/distal papilla distance showed a similar trend (P=0.075). Radiographic changes mirrored these findings.

Conclusions:

• Immediate dental implants placed in single-rooted fresh extraction sockets yield adequate clinical results.
• Success is supported by clinical and radiographic parameters.
• The findings support the viability of immediate DI placement for predictable outcomes.