Citation Information :
Kumar D, Singh S, Gupta H, Agrawal R, Natu SS, Gupta N. Immediate Implant Placement along with Bone Graft and Delayed Implants Placement in a Grafted Socket: A Comparative Study. Int J Oral Implantol Clin Res 2015; 6 (2):40-47.
Purpose: A prospective study was performed to observe clinical outcomes of dental implants placed immediately after extraction with grafting of voids vs delayed implant placement in grafted socket after extraction of tooth/root.
Materials and methods: A total of 12 patients were enrolled in the study and randomly divided into two groups. In group I, implants were placed immediately with simultaneous bone grafting following the atraumatic extraction and osteotomy as required. In group II after extraction, socket preservation was done with alloplastic bone graft (synthetic tri-calcium phosphate and hydroxyapatite granules) on followed by implant placement after 3 months. The implant survival rates were assessed clinically and radiographically over a minimum of 3 months of follow-up.
Results: In the present study, with the help of the intraoral periapical radiograph, the distance from the marginal osseous level to the implant platform was measured in millimeters, on mesial and distal aspects of each implant for both the groups we found bone loss, invariably in both the groups, of which, bone loss was higher in group II than in group I at all the instances and was statistically significant. None of the other investigated factors (age, gender, pain, swelling, implant mobility, peri-implant mucosal inflammation and postoperative satisfaction) were statistically significant modifiers of success.
Conclusion: This study concludes that immediate implants with graft have less crestal bone loss and the graft within the socket consolidates more as compared to delayed implants with graft.
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