A Comparative Assessment of Peri-implant Soft and Hard Tissues with Immediate and Delayed Implants
Srinivasan Bhuvaneshwari, Priyaranjan, Jyotirmay Singh, Baburajan Kandasamy, Sumit Dash, Mohammed A Razi
Delayed implants, Immediate implants,Bone loss
Citation Information :
Bhuvaneshwari S, P, Singh J, Kandasamy B, Dash S, Razi MA. A Comparative Assessment of Peri-implant Soft and Hard Tissues with Immediate and Delayed Implants. J Contemp Dent Pract 2020; 21 (11):1249-1252.
Aim and objective: This study was done to assess peri-implant soft tissues and hard tissues in immediate and delayed titanium implants cases.
Materials and methods: 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.
Results: 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).
Conclusion: 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.
Clinical significance: Immediate implants can be used to improve esthetic and determined result in healing of peri-implant bone and peri-implant soft tissues.
Wilson Jr TG, Schenk R, Buser D, et al. Implants placed in immediate extraction sites: a report of histologic and histometric analyses of human biopsies. Int J Oral Maxillofac Implants 1998;13(3):333–341.
Wilson Jr TG, Carnio J, Schenk R, et al. Immediate implants covered with connective tissue membranes: human biopsies. J Periodontol 2003;74(3):402–409. DOI: 10.1902/jop.2003.74.3.402.
Garber DA, Belser UC. Restoration-driven implant placement with restoration-generated site development. Compend Contin Educ Dent 1995;16(8):796, 798–802, 804.
Mayfield LJ. Immediate, delayed and late submerged and transmucosal implants. In: Lang NP, Karring T, Lindhe J, ed. Proceedings of the 3rd European Workshop on Periodontology Implant Dentistry. National J Maxillofac Surgery 2007. pp. 54–62.
Zitzmann NU, Schärer P, Marinello CP. Factors influencing the success of GBR. Smoking, timing of implant placement, implant location, bone quality and provisional restoration. J Clin Periodontol 1999;26(10):673–682. DOI: 10.1034/j.1600-051X.1999.261007.x.
Gomez-Roman G, Kruppenbacher M, Weber H, et al. Immediate post-extraction implant placement with root-analog stepped implants: surgical procedure and statistical outcome after 6 years. Int J Oral Maxillofac Implants 2001;16(4):503–513.
Hämmerle CH, Chen ST, Wilson Jr TG. Consensus statements and recommended clinical procedures regarding the placement of implants in extraction sockets. Int J Oral Maxillofac Implants 2004;19(Suppl):12–25.
Smith DE, Zarb GA. Criteria for success of osseointegrated endosseous implants. J Prosthet Dent 1989;62(5):567–572. DOI: 10.1016/0022-3913(89)90081-4.
Albrektsson T, Zarb G, Worthington P, et al. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1(1):11–25.
Testori T, Bianchi F, Del Fabbro M, et al. Implant esthetic score for evaluating the outcome: immediate loading in the esthetic zone. Pract Proced Aesthet Dent 2005;17(3):123–130.
Esposito M, Grusovin MG, Polyzos IP, et al. Timing of implant placement after tooth extraction: immediate, immediate-delayed or delayed implants? A cochrane systematic review. Eur J Oral Implantol 2010;3(3):189–205.
Edward J, George JM, Prakash DG. Evaluation of peri-implant soft tissues and hard tissues in titanium implants in immediate and delayed cases: a comparative study. J Dent Implant 2017;7:3–10. DOI: 10.4103/jdi.jdi_1_17.
Block M, Finger I, Castellon P, et al. Single tooth immediate provisional restoration of dental implants: technique and early results. J Oral Maxillofac Surg 2004;62(9):1131–1138. DOI: 10.1016/j.joms.2004.05.115.
Lindeboom JA, Tjiook Y, Kroon FH. Immediate placement of implants in periapical infected sites: a prospective randomized study in 50 patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101(6):705–710. DOI: 10.1016/j.tripleo.2005.08.022.
Palattella P, Torsello F, Cordaro L. Two-year prospective clinical comparison of immediate replacement vs. immediate restoration of single tooth in the esthetic zone. Clin Oral Implants Res 2008;19(11):1148–1153. DOI: 10.1111/j.1600-0501.2008.01578.x.
Schropp L, Kostopoulos L, Wenzel A. Bone healing following immediate vs delayed placement of titanium implants into extraction sockets: a prospective clinical study. Int J Oral Maxillofac Implants 2003;18(2):189–199.
Paolantonio M, Dolci M, Scarano A, et al. Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man. J Periodontol 2001;72(11):1560–1571. DOI: 10.1902/jop.2001.72.11.1560.
Grunder U. Immediate functional loading of immediate implants in edentulous arches: 2 years results. Int J Periodont Rest Dent 2001;21(6):545–551.
Devlin H, Sloan P. Early bone healing events in the human extraction socket. Int J Oral Maxillofac Surg 2002;31(6):641–645. DOI: 10.1054/ijom.2002.0292.
Karagianes MT, Westerman RE, Hamilton AI, et al. Investigation of long-term performance of porous-metal dental implants in nonhuman primates. J Oral Implantol 1982;10(2):189–207.