Is there bone loss with immediate or delayed implant placement?
This summary is based on the article published in the International Journal of Oral Implantology and Clinical Research: Mesiodistal Bone Loss of Fresh Socket Placed Implants and Delay Placed Implants at the Anterior of the Maxilla (May-Aug 2013)
Immediate implant placement in fresh extraction sockets provides the advantage of shorter treatment time along with minimizing the number of surgical interventions.
Purpose of the Study
To compare the amount of mesiodistal bone loss of fresh socket placed implants and delay placed implants at the anterior of the maxilla.
- Comparison of marginal bone loss in fresh socket placed implants and delay implants did not show a significant difference. Also a continuous bone resorption was observed over the time in the both groups.
- The amount of bone loss was not different between a delay placed implant and a fresh socket placed implant in the same conditions.
- Placing the implants in a lingual position into the extraction socket, the large buccal gap that occurred between the titanium device and the bone wall during healing became filled with bone. The implant thus became fully integrated into bone.
- In fresh extraction socket implants, the width of the gap between the implant surface and the bone walls at the time of implant placement
- represents a critical point for bone healing, since as the gap widens, the amount of bone-implant contact decreases, and the point of the highest bone-implant contact shifts apically.
- It may be needed to investigate other success criteria in fresh socket placed implants for making an appropriate treatment plan.
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