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Immediate Implant Placement in Infected Sockets: A Consecutive Cohort Study
Ashish Kakar1,2,3, Kanupriya Kakar4, Minas D Leventis5
1Sr. Consultant Indraprastha Apollo Hospitals and Private Practice, New Delhi, India.
Journal of Lasers in Medical Sciences
|April 11, 2020
Summary
Immediate dental implant placement in infected extraction sites shows high success rates. A protocol using laser decontamination and bone grafting achieved 95.45% implant survival, comparable to non-infected sites.
Area of Science:
- Dentistry
- Oral Surgery
- Biomaterials
Background:
- Immediate implant placement is popular but risky in infected sites.
- Infection can compromise the success of immediate dental implants.
Purpose of the Study:
- To evaluate immediate implant placement in infected extraction sockets.
- To assess a protocol involving laser decontamination and bone grafting.
Main Methods:
- Retrospective review of 68 patients with 126 implants.
- Used Er,Cr:YSGG laser for socket decontamination.
- Employed in situ hardening alloplastic bone graft material.
Main Results:
- 105 out of 110 implants (95.45%) survived after loading.
- Implants were loaded between 37 and 400 days post-placement.
Conclusions:
- Immediate implant placement in infected sites is viable with this protocol.
- Laser decontamination and bone grafting yield success rates similar to non-infected sites.
