Sažetak sa skupa
Early Clinical Results of Immediate Placement of Dental Implants into Extraction Sockets
M Gorjanc
Sažetak
The first report on immediate placement of dental implants dates back to 1978. Since then, many studies have been published and some guidelines have been established. The advantages include reductions in the number of surgical interventions and in the treatment time required. Appropriate orientation of the implant is achived more easily, there is less bone resorption and better soft tissue aesthetics can be expected. On the other hand, incongruity between the shape of the implant body and the extraction socket and the presence infection may adversely affect clinical success. The goal of out study was to compare the success and survival rates of immediately palced implants to delayed and late implant placements.
Review of all implants placed from 1998 to 2005 at the Clinical Department of Maxillofacial and Oral Surgery in Ljubljana was performed. Epidemiological characteristics were recorded and clinical success rates for immediate versus delayed/late groups were calculated and compared.
421 implantation operations on 381 patients were performed and 911 dental implants were placed. Among them, 62 were immediate mplants. The general survival rate was 98.5%. Survival rate for the delayed/late palcements was 98.5% (836/849) and 98.4% (61/62) for the immediate group. There have been some differences regarding implant localisation and the use of osteoplastic procedures between the groups.
Survival rate of immediately placed implants is similar to the late/delayed placed implants. Straightforward surgical technique with thorough debridement of the socket, use of guided bone regeneration procedures and systematic application of antibiotics outweights the increased risk infection and implant loss in immediate palcements. As soft tissue aesthetics are expected to be superior with immediate implants, this type of implantation should be encouraged with our patients.
Ključne riječi
Hrčak ID:
605
URI
Datum izdavanja:
15.12.2005.
Posjeta: 2.043 *