Year : 2023

Volume : Volume 14

Issue : Issue 3

Address for correspondence :
Amruta Kulkarni
amrutajune10@gmail.com

Abstract

 Background: The replacement of teeth with dental implant by traditional protocols has been done in multiple stages. It includes a dormant 
healing period of 3–6 months, which allows osseointegration of the implant. Implant placement into the fresh extraction socket and its surgical 
protocols has become increasingly routine. The idea underpinning immediate implant placement is to preserve the alveolar height and avoid the 
marginal bone reduction that typically follows extraction socket healing and helps to achieve better and faster functional and esthetic results. 
Materials and Methods: Eleven patients desiring replacement of one or more missing teeth in the maxillary anterior esthetic zone were selected. 
Surgery for the placement of implant was carried out and abutment was then attached. A temporary acrylic resin crown was fabricated and 
cemented on the same day. The permanent prosthesis was placed in the 3rd month after osseointegration. Results: A clinical study was performed 
to evaluate the treatment outcomes of the dental implants installed according to Stage I surgical procedure, followed by immediate implant 
placement in the fresh extraction socket with temporary prosthesis. Eleven out of ten implants showed signs of successful osseointegration 
over a follow-up period of 6 months. There is a statistically clinical difference in the papillary levels at various durations (<0.05). Satisfactory 
marginal bone level was observed as per Albreksson’s criteria. Conclusion: Within the limits of the evaluated data, it can be concluded that 
immediate implant placement in fresh extraction socket shows osseointegration successfully. This concept itself offers an attractive alternative 
to the conventional protocols that involved a waiting period of 3–6 months. Immediate total teeth replacement allows maintenance of bony 
housing and soft tissue that was present before extraction, while establishing root form anchorage in the bone for esthetic restoration