Comparison of Crestal Bone Change Following Immediate and Delayed Placement of Dental Implant

Main Article Content

Marwah Safaa Ali
Hawraa Noori Atallah
Maha Hatem Abdul Wahid
Suha Mohammad Sami

Keywords

Dental implant, immediate placement, delayed placement.

Abstract

Background: Resorption of Crestal bone after implant placement is considered one of the most importantnparameters for implant success. Immediate implant placed in the extraction socket for reducing treatment time.


Aim: this study was aiming to make comparison between the immediate and delayed placement of dental implant in the Crestal bone width in bucco- lingual direction clinically and radiographically by using the cone beam computed tomography.
Method: A total of fifteen patients with 38 dental implants were taken in the study and they were splitted into two groups: first group of immediate implants had 18 implant cases, on the other hand second group of delayed implant placement included 20 implant cases that placed six to eight weeks after extraction. The space between the buccal and lingual bones was measured clinically and radiographically in the same time of placement of implant and repeated after 6 months, at 2nd stage surgery during abutment placement.
Results: Thirty-eight implant in this study, fifteen cases were placed in mandible, and twenty-three cases in the maxilla. At the time of implant placement, the mean distance from buccal to the lingual bone for immediate implant cases was (9.27 mm ∓ SD 1.02) and (8.75 mm ∓ SD 0.77) for delayed implants. CBCT readings showed (8.98 mm ∓ SD 1.01) and (8.51 mm ∓ SD 0.74) respectively. At the second surgery, the mean distance from buccal to the lingual bone was (7.74 mm ∓ SD 0.96) for an immediateimplants, and (7.61 mm ∓ SD 0.76) for delayed ones. Cone-beam computed tomography (CBCT) readings were (7.39 mm ∓ SD 0.96) at implant placement day for immediate placement group, and (7.33 mm ∓ SD 0.75) in delayed placement group. An intra-group comparison in both groups was highly significant in both clinical and CBCT readings, while inter group comparison at day of implant placement, and at the day of abutment placement were not significant.
The Conclusion: the bone healing in immediate placement and delayed placement groups is good. So the immediate placement of dental implant should be selected, that preserve bone and gingival architecture with less cost and treatment time.

Abstract 599 | pdf Downloads 203

References

1. Jalaluddin M, Awasthi N, Arun M, Felix CBP, Mailankote S, Soans CR. Evaluation of the Impact of Immediate and Delayed Implant
Placement on Crestal Bone : A Comparative Study. World J Dent. 2021; 12(5): 376-80. https://doi.org/10.5005/jp-journals-10015-1857
2. Uppala S, Parihar AS, Modipalle V. Crestal bone loss around dental implants after implantation of Tricalcium phosphate and Platelet Rich Plasma: A comparative study. J Fam Med Prim Care. 2020; 9(1): 229-234. https://doi.org/10.4103/jfmpc.jfmpc_707_19
3. Maghsoudi P, Slot DE, van der Weijden F. Bone remodeling around dental implants after 1-1.5 years of functional loading: A retrospective
analysis of two-stage implants. Clin Exp Dent Res. 2022; 8(3): 680-9. https://doi.org/10.1002/cre2.574
4. Su YH, Peng B Yue, Wang PD, Feng SW. Evaluation of the implant stability and the marginal bone level changes during the first three
months of dental implant healing process: A prospective clinical study. J Mech Behav Biomed Mater. 2020; 110(March): 103899. https://doi.org/10.1016/j.jmbbm.2020.103899
5. Lee W. Immediate implant placement in fresh extraction sockets. J Korean Assoc Oral Maxillofac Surg. 2021; 47(1): 57-61.
https://doi.org/10.5125/jkaoms.2021.47.1.57
6. Gomez-Roman G, Kruppenbacher M, Weber H, Schulte W. Immediate postextraction implant placement with root-analog stepped implants:
surgical procedure and statistical outcome after 6 years. Int J Oral Maxillofac Implants. 2001;
16(4): 503-13.
7. Silva JV dos SJDM da. Which is the best choice after tooth extraction, immediate implant placement or delayed placement with alveolar ridge preservation? A systematic review and meta-analysis. J Cranio-Maxillofacial Surg. 2019;
47(11): 1793-802. https://doi.org/10.1016/j.jcms.2019.08.004
8. Atalay B. Immediate Implantation at Fresh Extraction Sockets. In: An Update of Dental Implantology and Biomaterial. 2018. https://doi.org/10.5772/intechopen.78969
9. Ragucci GM, Elnayef B, Criado-Cámara E, Del Amo FS-L, Hernández-Alfaro F. Immediate implant placement in molar extraction sockets: a
systematic review and meta-analysis. Int J Implant Dent. 2020; 6(1). https://doi.org/10.1186/s40729-020-00235-5
10. Kinaia BM, Shah M, Neely AL, Goodis HE. Crestal Bone Level Changes Around Immediately Placed Implants: A Systematic Review and MetaAnalyses With at Least 12 Months' Follow-Up After Functional Loading. J Periodontol. 2014;
85(11): 1537-48. https://doi.org/10.1902/jop.2014.130722
11. Amin V, Kumar S, Joshi S, Hirani T, Shishoo D. A clinical and radiographically comparison of buccolingual Crestal bone changes after
immediate and delayed implant placement. Med Pharm Reports. 2019; 92(4): 401-7. https://doi.org/10.15386/mpr-1213
12. Barbisan A, Dias CS, Bavia PF, Sapata VM, César-Neto JB, Silva CO. Soft tissues changes after immediate and delayed single implant
placement in esthetic area: A systematic review. J Oral Implantol. 2015; 41(5): 612-9. https://doi.org/10.1563/AAID-JOI-D-13-00095
13. Becker W. Immediate implant placement: diagnosis, treatment planning and treatment steps/or successful outcomes. J Calif Dent Assoc.
2005; 33(4): 303-10.
14. Gregory-George Zafiropoulos, Dr Habil; Adrian Kasaj OH. Immediate Implant Placement in Fresh Mandibular Molar Extraction Socket: 8-Year Results. A Case Report. J Oral Implantol. 2010; 36(2): 145-151. https://doi.org/10.1563/AAIDJOI-D-09-00030
15. Stephen T. Chen DB. Clinical and esthetic outcomes of implants placed in postextraction sites. Int J Oral Maxillofac Implants. 2009; 24: 186-217.
16. Lisa JA. Heitz-Mayfield GES. Peri-implant mucositis. J Clin Periodontol. 2018; 45: 237-45. https://doi.org/10.1111/jcpe.12953
17. Coli P, Sennerby L. Is peri-implant probing causing over-DIAGNOSIS and over-treatment of dental implants? J Clin Med. 2019; 8(8): 1-13.
https://doi.org/10.3390/jcm8081123
18. Hashim D, Cionca N, Combescure C, Mombelli A. The diagnosis of peri-implantitis: A systematic review on the predictive value of bleeding on probing. Clin Oral Implants Res. 2018; 29(January): 276-93. https://doi.org/10.1111/clr.13127
19. Albrektsson T, Albrektsson B. Osseointegration of bone implants: A review of an alternative mode of fixation. Acta Orthop. 1987; 58(5): 567-77. https://doi.org/10.3109/17453678709146401
20. Liu Y, Rath B, Tingart M, Eschweiler J. Role of implants surface modification in Osseointegration: A systematic review. J Biomed Mater Res - Part A. 2020; 108(3): 470-84. https://doi.org/10.1002/jbm.a.36829
21. Schwarz F, Herten M, Sager M, Bieling K, Sculean A, Becker J. Comparison of naturally occurring and ligature-induced peri-implantitis
bone defects in humans and dogs. Clin Oral Implants Res. 2007; 18(2): 161-70. https://doi.org/10.1111/j.1600-0501.2006.01320.x
22. Borcherding K, Schmidmaier G, Hofmann GO, Wildemann B. The rationale behind implant coatings to promote Osseointegration, bone
healing or regeneration. Injury. 2021; 52: S106-11. https://doi.org/10.1016/j.injury.2020.11.050
23. Wilson GT WH. Classification of and therapy for areas of insufficient bony housing prior lo dental implant placement. Journal of Periodontology and Restorative Dentistry. J Periodontol Restor Dent. 1993; 13: 451-9.
24. Menchini-Fabris GB, Toti P, Crespi G, Covani U, Furlotti L, Crespi R. Effect of different timings of implant insertion on the bone remodeling volume around patients' maxillary single implants: A 2-3years follow-up. Int J Environ Res Public Health. 2020; 17(18): 1-13. https://doi.org/10.3390/ijerph17186790
25. Kushaldeep AT, Upadhyaya V. Comparative evaluation of the influence of immediate versus delayed loading protocols of dental implants: A
radiographic and clinical study. J Indian Prosthodont Soc. 2018; 18(2). https://doi.org/10.4103/jips.jips_127_17
26. Schwartz-Arad D, Yaniv Y, Levin L KI. A radiographic evaluation of cervical bone loss associated with immediate and delayed implants placed for fixed restorations in edentulous jaws. J Periodontol. 2004; 75(5): 652-7. https://doi.org/10.1902/jop.2004.75.5.652
27. Pardal-Peláez B, Flores-Fraile J, Pardal-Refoyo JL, Montero J. Implant loss and Crestal bone loss in early loading versus delayed and immediate loading in edentulous mandibles. A systematic review and meta-analysis. J Clin Exp Dent. 2021; 13(4): e397-405. https://doi.org/10.4317/jced.57966
28. Schroop L, Wenzel A, Kotsiopoulos L KT. Bone healing and soft tissue contour changes following single tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restor Dent. 2003; 23: 313-23.
29. Bilhan H, Mumcu E AS. The role of timing of loading on later marginal bone loss around dental implants: a retrospective clinical study. J Oral Implant. 2010; 5(36): 363-376. https://doi.org/10.1563/AAID-JOI-D-09-00078
30. Ebenezer V, Balakrishnan K, Asir RVD, Sragunar B. Immediate placement of endosseous implants into the extraction sockets. J Pharm Bioallied Sci. 2015; 7(April): S234-7. https://doi.org/10.4103/0975-7406.155926
31. Geraets W, Zhang L, Liu Y, Wismeijer D. Annual bone loss and success rates of dental implants based on radiographic measurements. Dentomaxillofacial Radiol. 2014; 43(7): 3-5. https://doi.org/10.1259/dmfr.20140007