Placement of Implants into Fresh Extraction Sites: 4 to 7 Years Retrospective Evaluation of 95 Immediate Implants

Devorah Schwartz-Arad*, Gavriel Chaushu

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

169 Scopus citations

Abstract

A 7-YEAR FOLLOW-UP OF IMPLANTS placed immediately after tooth extraction into fresh extraction sites is reported. Small autogenous bone chips (from bone adjacent to implant sites) were grafted into the defect between the implant and the socket walls when needed. Closure of the wound was obtained by coronal repositioning of the flap, and no membranes were used. Care was taken to minimize hematoma formation under the flap during healing by part-time use of removable prosthesis with thick soft linings after implant surgery. At second stage surgery, mucoperiosteal flaps were apically repositioned for maximum attached gingival width and to reconstruct the vestibule. Minor complications such as exposure occurred in 16% of cases. Implant mean 5-year cumulative survival rate was 95%. There was no implant loss after loading. The results indicated that implants placed into fresh extraction sites grafted with autogenous bone chips will heal predictably.

Original languageEnglish
Pages (from-to)1110-1116
Number of pages7
JournalJournal of Periodontology
Volume68
Issue number11
DOIs
StatePublished - Nov 1997
Externally publishedYes

Keywords

  • Bone transplantation
  • Dental implants
  • Grafts, bone
  • Retrospective studies
  • Surgical flaps
  • Tooth extraction/rehabilitation
  • Wound healing

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