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Delayed and Immediately Loaded Implants Placed in Fresh Extraction Socket - A Clinical and Radiological Study
Sankaranarayanan Padmasree1, Balakrishnan Liji1, Chengalvarayan Sasikala1
1Department of Prosthodontics, Chettinad Dental College and Research Institute, Rajiv Gandhi Salai, Kelambakkam, Affliated to Tamil Nadu Dr. M.G.R Medical University, Guindy, Chennai, Tamil Nadu, India.
Purpose:
To present the outcomes of immediately loaded single implants placed in the anterior region compared to conventional protocol.
Methodology:
10 patients requiring single anterior tooth extraction was randomised either into immediate or delayed loaded group. Implants were positioned immediately after extraction and prosthesis was providing for the immediately loaded group. The cases were followed up for a period of 9 months at regular 3-month interval after the placement of definitive crowns. The parameters taken were probing depth, pain score and crestal marginal bone loss.
Results:
A total of 10 AD1N-Touareg Spiral tapered Implant with spiral tap, 5 immediately loaded and 5 delayed loaded were evaluated. For immediate loaded cases, there was 0.93 ± 0.04 mm bone lost after 3 months, 1.26 ± 0.21 mm after 6 months and 1.72 ± 0.13 mm after 9 months. For delayed loading, there was 0.90 ± 0.02 mm bone lost after 3 months, 1.26 ± 0.15 mm after 6 months and 1.80 ± 0.07 mm after 9 months. Pain and probing depth showed gradual reduction in both the groups during the course of treatment.
Conclusion:
In the present study, the success rate and radiographic results of immediate loading of implants in freshly extracted sockets in the anterior region where comparable to those obtained from delayed groups.
