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Bone-Level Tapered Implants for Single Tooth Replacement: Immediate vs Delayed Placement-A Multicenter Randomized

Saba Sameeh Ghazal, Rawan Marey Alshahry, Michael P Mills

    The International Journal of Oral & Maxillofacial Implants
    |April 12, 2024
    PubMed
    Summary

    Immediate implant placement in extraction sockets yields comparable outcomes to delayed placement. This study confirms similar bone level changes and facial plate thickness after 1 year, supporting both dental implant strategies.

    Keywords:
    complicationdental implantmarginal bone levelprospective studyrandomized clinical trialsoft tissue

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    Area of Science:

    • Dental implantology
    • Oral surgery
    • Periodontology

    Background:

    • Dental implant placement timing is crucial for successful osseointegration and long-term outcomes.
    • Immediate implant placement offers potential advantages like reduced treatment time but requires careful case selection.
    • Delayed implant placement allows for initial healing and bone remodeling, potentially offering a more predictable outcome in certain situations.

    Purpose of the Study:

    • To compare the clinical and radiographic outcomes of immediate versus delayed implant placement using bone-level tapered implants.
    • To evaluate crestal bone level changes, facial plate thickness, implant stability, survival rates, and patient-centered outcomes at 1 year postloading.

    Main Methods:

    • A multicenter, prospective, randomized controlled study involving 53 patients undergoing immediate (test) or delayed (control) implant placement.
    • Primary endpoint: 1-year assessment of mean crestal bone level changes from implant loading using digital periapical radiographs.
    • Secondary endpoints included CBCT-measured facial plate thickness, implant success/survival, stability, soft tissue evaluation, and adverse events.

    Main Results:

    • No statistically significant difference in mean crestal bone level changes between immediate and delayed implant groups at 1 year (P = .950).
    • Facial plate thickness changes were also similar between groups (P = .022).
    • Implant survival rates were high in both groups (95.8% immediate vs. 92% delayed).

    Conclusions:

    • Immediate implant placement in extraction sockets demonstrates comparable outcomes to delayed placement at 1 year postloading.
    • The study supports the hypothesis that immediate implant placement is a viable option with predictable results.
    • Both immediate and delayed implant placement protocols showed favorable results regarding bone stability and implant survival.