A Comparative Assessment of Peri-implant Soft and Hard Tissues with Immediate and Delayed Implants

This study was done to assess peri-implant soft tissues and hard tissues in immediate and delayed titanium implants cases.

This study was conducted on 84 patients who were randomly divided into two groups. Group I was immediate implant group (42 patients) and group II was delayed implant group (42 patients). Parameters such as peri-implant esthetic score, crestal bone defect, and densitometry of peri-implant were evaluated after 1 week, 1 month, 3 months, and 6 months.

The mean peri-implant esthetic score at first week in group I was 7.4 and in group II was 5.8, at first month in group I was 6.8 and in group II was 4.6, at third month in group I was 6.7 and in group II was 4.5 and at sixth month in group I was 6.4 and in group II was 4.4. The difference was significant (p value < 0.05). The mean peri-implant crestal bone loss (mm) after 1 week, 1 month, 3 months, and 6 months in group I was 0.24, 0.64, 0.86, and 1.04 and in group II was 0.28, 0.70, 0.94, and 1.14, respectively. The difference was nonsignificant (p value > 0.05). The mean peri-implant bone densitometry after 1 week, 1 month, 3 months, and 6 months in group I was 52.4, 45.6, 42.4, and 40.2 and in group II was 64.2, 60.5, 55.2, and 47.6, respectively. The difference was significant (p value < 0.05).

Instantaneous implants exhibited enhanced esthetic and purposeful result such as healing of peri-implant bone and peri-implant soft tissues when compared to delayed implants.

Immediate implants can be used to improve esthetic and determined result in healing of peri-implant bone and peri-implant soft tissues.