Immediate Placement of Implants into Infected Sites : A Systematic Review

DSpace Repository

Immediate Placement of Implants into Infected Sites : A Systematic Review

Show full item record

Files for download

Find Full text There are no files associated with this item.

Facebook

Simple item record

Publication Article, peer reviewed scientific
Title Immediate Placement of Implants into Infected Sites : A Systematic Review
Author(s) Chrcanovic, Bruno ; Delany Martins, Maximiliano ; Wennerberg, Ann
Date 2014
English abstract
Background Traditionally, before placing dental implants, the compromised teeth are removed and the extraction sockets are left to heal for several months. To preserve the alveolar bone level from the collapse caused by healing and to reduce treatment time in situations in which tooth extraction precedes implant placement, some clinicians began to install the implant immediately into the postextraction socket without waiting for the site to heal. Purpose The purpose of this study was to review the literature regarding treatment outcomes of immediate implant placement into sites exhibiting pathology after clinical procedures to perform the decontamination of the implant's site. The following questions were raised: Does the presence of periodontal or endodontic infection affect immediate implant placement success? What is suggested to address the infection in the socket prior to immediate placement? Materials and Methods An electronic search in PubMed (U.S. National Library of Medicine, Bethesda, MD, USA) was undertaken in March 2013. The titles and abstracts from these results were read to identify studies within the selection criteria. Eligibility criteria included both animal and human studies, and excluded any review and case reports articles. The publication's intervention had to have been implant placement into a site classified as having an infection (periapical, endodontic, perioendodontic, and periodontal). Results The search strategy initially yielded 706 references. Thirty-two studies were identified within the selection criteria, from which nine were case reports and review articles and were excluded. Additional hand-searching of the reference lists of selected studies yielded five additional papers. Conclusions The high survival rate obtained in several studies supports the hypothesis that implants may be successfully osseointegrated when placed immediately after extraction of teeth presenting endodontic and periodontal lesions, provided that appropriate clinical procedures are performed before the implant surgical procedure such as meticulous cleaning, socket curettage/debridement, and chlorhexidine 0.12% rinse. However, more randomized controlled clinical trials with a longer follow-up are required to confirm this procedure as a safe treatment. Moreover, the outcome measures were not related to the type of infection; the classification of infection was often vague and varied among the studies. The benefits of antibiotic solution irrigation and systemic antibiotic administration in such conditions are not yet proved and remain unclear.
DOI http://dx.doi.org/10.1111/cid.12098 (link to publisher's fulltext)
Publisher Wiley
Host/Issue Clinical implant dentistry and related research;
ISSN 1523-0899
Pages e-pub ahead of print
Language eng (iso)
Subject(s) dental implants
immediate implant placement
infected extraction sites
infection
tooth socket
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/17556 (link to this page)

This item appears in the following Collection(s)

Show full item record

Search


Browse

My Account

Statistics