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Saudi Journal of Oral and Dental Research (SJODR)
Volume-4 | Issue-06 | 317-324
Case Report
Clinico-Radiographic Evaluation and Feasibility of Dental Implant in Infected Dentoalveolar Socket
Dr. Bharti, Dr. Ravi Narula, Dr. K.Premnath, Dr. Rahul VC Tiwari, Dr. Heena Tiwari, Dr. V K Sasank Kuntamukkula
Published : June 14, 2019
DOI : 10.21276/sjodr.2019.4.6.2
Abstract
Introduction: There are various methods for dental rehabilitation but osseointegrated oral implants are now a days one of the most successful method to restore oral esthetics and function. But still immediate implants are often deferred or avoided at a site where infection is present because of the fear of failure. Recent experimental studies and updated literature have shown that with meticulous socket debridement and prophylactic use of antibiotics, successful outcome can be achieved for implants placed in infected socket. Aim and Objectives: The aim of this present study was to evaluate the feasibility of immediately placed dental implant into infected and debrided dentoalveolar socket and Clinico radiographic evaluation to assess the osseointegration of immediately placed dental implants. Materials and Method: A total of Twelve implants were placed in 10 patients reporting to Department of Oral and Maxillofacial Surgery at Guru Nanak Dev Dental College and Research Institute Sunam. All implants were immediately placed following extraction of tooth having periapical pathology where the extraction socket was thoroughly debrided and curetted to remove any granulation tissue and necrotic bone from the socket and treated with clindamycin prior to implant placement. Patients were examined on 1st day, 7th day, 1 month and 3 months post-operatively. Results: The various parameters evaluated included pain, inflammation, infection/suppuration, detectable implant mobility and periimplant radiolucency. Where pain, inflammation and infection was evaluated at 1st day, 7th day, 1 month and 3 months postoperatively and implant mobility and periimplant radiolucency was checked at 3rd month after implant surgery. None of the implants failed during the healing or follow-up period in our study. No peri-implant complications were seen either. Conclusion: It can be concluded that successful immediate implant placement in infected dentoalveolar socket depends upon the meticulous debridement of alveolar socket and controlled regeneration of alveolar defect.
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