Immediate implant placement into fresh extraction sites with chronic periapical pathologic features combined with plasma rich in growth factors: preliminary results of single-cohort study. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [J Oral Maxillofac Surg] Journal article | | Title | Immediate implant placement into fresh extraction sites with chronic periapical pathologic features combined with plasma rich in growth factors: preliminary results of single-cohort study. | | Author(s) | Del Fabbro M, Boggian C, Taschieri S | | Institution | Department of Health Technologies, Università degli Studi di Milano Dental Clinic IRCCS, Istituto Ortopedico Galeazzi, Milan, Italy. massimo.delfabbro@unimi.it | | Source | J Oral Maxillofac Surg 2009 Nov; 67(11):2476-84. | | MeSH | Adult
Aged
Alveolar Bone Loss
Biological Dressings
Cohort Studies
Dental Abutments
Dental Implantation, Endosseous
Dental Implants
Dental Implants, Single-Tooth
Dental Prosthesis, Implant-Supported
Dental Restoration Failure
Female
Follow-Up Studies
Humans
Intercellular Signaling Peptides and Proteins
Jaw, Edentulous, Partially
Male
Middle Aged
Periapical Diseases
Plasma
Prospective Studies
Tooth Extraction
Tooth Socket
Treatment Outcome
Weight-Bearing
| | Abstract | PURPOSE: The purpose of this prospective study was to evaluate the clinical outcome of implants immediately placed into fresh extraction sockets of teeth affected by chronic periapical pathologic findings, using plasma rich in growth factors (PRGFs) as an adjunct during the surgical procedure.
MATERIALS AND METHODS: A total of 30 partially edentulous patients with teeth requiring extraction and chronic periapical lesions were included in the present study. A total of 61 transmucosal implants were installed immediately after extraction and careful debridement combined with PRGF placement into the socket. Before insertion, the implant surface was bioactivated by humidification with liquid PRGFs. The prosthetic phase occurred 3 to 4 months after surgery. The implant success and survival and radiographic bone loss were evaluated after 1 year of function. Patient satisfaction for mastication function, phonetics, and esthetics was assessed using a questionnaire.
RESULTS: Of the 61 implants, 1 had failed 2 months after insertion because of infection. No additional complications were recorded. The overall implant success and survival rate was 98.4% at 1 year of function. The mean follow-up was 18.5 months (range 10 to 21). All prostheses were successful. The peri-implant bone loss after 1 year averaged 0.41 +/- 0.22 mm. All patients reported full satisfaction for mastication function, phonetics, and esthetics.
CONCLUSIONS: The use of PRGFs combined with an immediate implant placement procedure can be considered a safe, effective, and predictable treatment option for the rehabilitation of fresh postextraction infected sockets. | | Language | eng | | Pub Type(s) | Clinical Trial
Journal Article
Multicenter Study
| | PubMed ID | 19837321 |
|
|
| |
Advertise on this site.
| | |
|
