AN ASSESSMENT OF SUCCESS OF DENTAL IMPLANTS PLACED WITH IMMEDIATE AND STANDARD METHODS IN PERIODONTALLY COMPROMISED PATIENTS

Yıl 2018, Cilt: 28 Sayı: 2, 216 - 221, 22.04.2018

Adnan Kılınç , Mustafa Gündoğdu , Tuba Aydın Mehmet Zahit Baş Ümit Ertaş Ertunç Dayı

https://doi.org/10.17567/ataunidfd.418998

Öz

ABSTRACT

 

Aim: The aim of this study
was to evaluate the success rates of implants placed in alveolar sockets
immediately after the extraction of teeth or with a standard approach in normal
alveolar bone in periodontally compromised patients.

Material
and Methods:
In this study, patients who had implant placement both into healed bone after
previous extraction and into the alveolar sockets in the same surgical session
after extraction of periodontally hopeless teeth that had inadequate attachment
and bone loss who could not be treated were selected for inclusion. Implant
success, complications, and failures were recorded during follow-up.

Results: Twelve patients
(four female and eight male) ranging in age from 27 to 62 years (mean 48.6
years) were studied; the mean duration of follow-up was 27 months (range 18–36
months).. A total of 152 implants were placed (89 in the maxilla, 63 in the
mandible). Of these, 83 (54.6%) were placed immediately into alveolar sockets
following extraction and 69 (45.4%) into normal alveolar bone. The success rate
for all immediately placed implants was 97.6%, and the success rate for all
implants placed as non-immediate was 98.6 %.

Conclusion: The study findings
show that both imme- diate implant placement and non-immediate implant pla- cement
in periodontally compromised patients receiving treatment of implant-supported
fixed full or partial prostheses are safe and preferable treatment modalities.

* Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ataturk University, Erzurum ** Department of Prosthodontics, Faculty of Dentistry, Ataturk University, Erzurum ***Department of Periodontology, Faculty of Dentistry, Ataturk University, Erzurum

Keywords: Immediate dental implant, implant survival, periodontitis, immediate implantation, non-immediate
implantation, implant survival, periodontally compromised sites

 

PERIODONTAL OLARAK
PROBLEMLİ HASTALARDA İMMEDİYAT VE STANDART YÖNTEMLERLE YERLEŞTİRİLEN DENTAL
İMPLANTLARIN BAŞARISININ DEĞERLENDİRİLMESİ

ÖZ

 

Amaç: Bu çalışmanın amacı, periodontal problemli
hastalarda diş çekiminin ardından alveoler soketlere immediyat olarak
yerleştirilen ya da normal alveoler kemiğe standart yaklaşım ile yerleştirilen
implantların başarı oranlarını değerlendirmektir.

Gereç ve Yöntem: Bu çalışmaya, hem daha
önceden yapılmış diş çekimleri sonrası iyileşmiş kemiklere hem de uygun olmayan
ataçman ve kemik kaybı sebebiyle tedavi edilemeyecek olan periodontal açıdan
umutsuz dişlerin çekimi ile aynı cerrahi işlemde alveoler soketlere implant
yerleştirilen hastalar dahil edilmiştir. Takip süresi boyunca implant başarısı,
komplikasyonlar ve kayıplar kaydedilmiştir.

Bulgular: Yaşları 27 ile 62 arasında on iki hasta (4 bayan ve 8 erkek)  çalışmaya alınmıştır; ortalama takip süresi
27 aydır (18-36 arası). Toplam 152 implant yerleştirilmiştir ( 89 adet
maksillaya, 63 adet mandibulaya). Bunların 83 tanesi (%54,6) diş çekimini
takiben immediate olarak ve 69 tanesi (%45,4)normal alveoler kemiğe
yerleştirilmiştir. İmmediayat olarak yerleştirilen implantların başarı oranı %97,6
ve immediyat olarak yerleştirilmeyen implantların başarısı %98,6 olarak
gösterilmiştir.

Sonuç: Çalışma sonuçları göstermektedir ki;
periodontal problemli hastalara hem immediayat hem de immediayat olmayan
prosedürlerle yerleştirilen implantlar ile uygulanan implant destekli sabit tam
ve bölümlü protezler güvenli ve tercih edilebilir bir tedavi seçeneğidir.

Anahtar Kelimeler: Acil dental implant, İmplant sağkalımı, İmmediayat implantasyon, implant
sağkalımı,  periodontal problemli bölge

Anahtar Kelimeler

Immediate dental implant , implant survival , periodontitis , immediate implantation , non-immediate implantation

Kaynakça

• 1. Branemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O, Ohman A: Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl 1977; 16:1-132.
• 2. Chrcanovic BR, Martins MD, Wennerberg A: Immediate placement of implants into infected sites: a systematic review. Clin Implant Dent Relat Res 2015; 17 Suppl 1:e1-e16.
• 3. Casap N, Zeltser C, Wexler A, Tarazi E, Zeltser R: Immediate placement of dental implants into debrided infected dentoalveolar sockets. J Oral Maxillofac Surg 2007; 65:384-92.
• 4. Paolantonio M, Dolci M, Scarano A, d'Archivio D, di Placido G, Tumini V, Piattelli A: Immediate implantation in fresh extraction sockets. A controlled clinical and histological study in man. J Periodontol 2001; 72:1560-71.
• 5. Schropp L, Kostopoulos L, Wenzel A: Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: a prospective clinical study. Int J Oral Maxillofac Implants 2003; 18:189-99.
• 6. Lee CT, Chiu TS, Chuang SK, Tarnow D, Stoupel J: Alterations of the bone dimension following immediate implant placement into extraction socket: systematic review and meta-analysis. J Clin Periodontol 2014; 41:914-26.
• 7. Lang NP, Pjetursson BE, Tan K, Bragger U, Egger M, Zwahlen M: A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. II. Combined tooth--implant-supported FPDs. Clin Oral Implants Res 2004; 15:643-53.
• 8. Pjetursson BE, Tan K, Lang NP, Bragger U, Egger M, Zwahlen M: A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clin Oral Implants Res 2004; 15:667-76.
• 9. Altintas NY, Taskesen F, Bagis B, Baltacioglu E, Cezairli B, Senel FC: Immediate implant placement in fresh sockets versus implant placement in healed bone for full-arch fixed prostheses with conventional loading. Int J Oral Maxillofac Surg 2016; 45:226-31.
• 10. Schwartz-Arad D, Laviv A, Levin L: Survival of immediately provisionalized dental implants placed immediately into fresh extraction sockets. J Periodontol 2007; 78:219-23.
• 11. Karoussis IK, Salvi GE, Heitz-Mayfield LJ, Bragger U, Hammerle CH, Lang NP: Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res 2003; 14:329-39.
• 12. Matarasso S, Rasperini G, Iorio Siciliano V, Salvi GE, Lang NP, Aglietta M: A 10-year retrospective analysis of radiographic bone-level changes of implants supporting single-unit crowns in periodontally compromised vs. periodontally healthy patients. Clin Oral Implants Res 2010; 21:898-903.
• 13. Mengel R, Schroder T, Flores-de-Jacoby L: Osseointegrated implants in patients treated for generalized chronic periodontitis and generalized aggressive periodontitis: 3- and 5-year results of a prospective long-term study. J Periodontol 2001; 72:977-89.
• 14. Leonhardt A, Grondahl K, Bergstrom C, Lekholm U: Long-term follow-up of osseointegrated titanium implants using clinical, radiographic and microbiological parameters. Clin Oral Implants Res 2002; 13:127-32.
• 15. Klokkevold PR, Han TJ: How do smoking, diabetes, and periodontitis affect outcomes of implant treatment? Int J Oral Maxillofac Implants 2007; 22 Suppl:173-202.
• 16. Jiang BQ, Lan J, Huang HY, Liang J, Ma XN, Huo LD, Xu X: A clinical study on the effectiveness of implant supported dental restoration in patients with chronic periodontal diseases. Int J Oral Maxillofac Surg 2013; 42:256-9.
• 17. Barzilay I: Immediate implants: their current status. Int J Prosthodont 1993, 6:169-75.
• 18. Becker W, Becker BE: Guided tissue regeneration for implants placed into extraction sockets and for implant dehiscences: surgical techniques and case report. Int J Periodontics Restorative Dent 1990; 10:376-91.
• 19. Werbitt MJ, Goldberg PV: The immediate implant: bone preservation and bone regeneration. Int J Periodontics Restorative Dent 1992; 12:206-17.
• 20. Wagenberg B, Froum SJ: A retrospective study of 1925 consecutively placed immediate implants from 1988 to 2004. Int J Oral Maxillofac Implants 2006; 21:71-80.
• 21. Alves CC, Correia AR, Neves M: Immediate implants and immediate loading in periodontally compromised patients-a 3-year prospective clinical study. Int J Periodontics Restorative Dent 2010; 30:447-55.
• 22. Villa R, Rangert B: Early loading of interforaminal implants immediately installed after extraction of teeth presenting endodontic and periodontal lesions. Clin Implant Dent Relat Res 2005; 7 Suppl 1:S28-35.
• 23. Buser D, Janner SF, Wittneben JG, Bragger U, Ramseier CA, Salvi GE: 10-year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients. Clin Implant Dent Relat Res 2012; 14:839-51.
• 24. Evian CI, Emling R, Rosenberg ES, Waasdorp JA, Halpern W, Shah S, Garcia M: Retrospective analysis of implant survival and the influence of periodontal disease and immediate placement on long-term results.Int J Oral Maxillofac Implants 2004;19:393-8.
• 25. Horwitz J, Zuabi O, Peled M, Machtei EE: Immediate and delayed restoration of dental implants in periodontally susceptible patients: 1-year results. Int J Oral Maxillofac Implants 2007; 22:423-9.
• 26. Rabel A, Kohler SG: [Microbiological study on the prognosis of immediate implant and periodontal disease]. Mund Kiefer Gesichtschir 2006; 10:7-13.
• 27. Meltzer AM: Immediate implant placement and restoration in infected sites. Int J Periodontics Restorative Dent 2012; 32:e169-73.
• 28. Villa R, Rangert B: Immediate and early function of implants placed in extraction sockets of maxillary infected teeth: a pilot study. J Prosthet Dent 2007; 97:96-108.
• 29. Bruschi GB, Crespi R, Cappare P, Bravi F, Bruschi E, Gherlone E: Localized management of sinus floor technique for implant placement in fresh molar sockets. Clin Implant Dent Relat Res 2013; 15:243-50.
• 30. Zinser MJ, Randelzhofer P, Kuiper L, Zoller JE, De Lange GL: The predictors of implant failure after maxillary sinus floor augmentation and reconstruction: a retrospective study of 1045 consecutive implants. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115:571-82