Preliminary communication
Immediate Implantation in Infected Tooth Sockets
Joško Viskić
Slađana Milardović
Davor Katanec
Denis Vojvodić
Ketij Mehulić
Abstract
Although immediate implantation has not been previously recommended in infected sites, it is now becoming a procedure
of choice in modern implant dentistry. We report a case of a 65-year-old male patient, who required multiple tooth
extractions in the lower jaw and fabrication of a new overdenture in the lower jaw and a complete denture in the upper
jaw. Immediate implantation in infected tooth sockets followed extraction. Two NobelReplace™ Tapered implants (Nobel
BioCare, Zürich, Switzerland), one 13 mm long and 4.3 mm wide and the other 13 mm long and 5.0 mm wide, were
placed in the position 33 and 43. The site was sutured and a temporary denture was fabricated by adjusting the old denture.
After a period of three months the implant site was reopened and healing abutments were placed. Impressions were
made using the Impregum Penta Soft (3M ESPE, St. Paul, Minn, USA) polyether material. Ball Abutment Titanium™
was used as a patrix attachment and a matrix was inserted into the denture. Clinical examination and x-ray analysis after
six months showed no significant changes of the implants. Bone resorption was within standard values. Although it
is still a controversial subject, immediate implantation in infected sites can be a safe and predictable procedure if surgical
protocols are followed. However, further research is needed to draw firm conclusions.
Keywords
implants; immediate implantation; infection; periodontitis; tooth socket
Hrčak ID:
64789
URI
Publication date:
7.3.2011.
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