ABSTRACT
OBJECTIVE: The objective of this study was to examine the clinical and radiographic results of implants placed in fresh extraction sockets for 2 years of function. STUDY DESIGN: Ten patients were presented a treatment protocol involving the extraction of their remaining mandibular teeth and immediate placement of 4 implants (2 in fresh extraction sockets; test group (TG, n = 20), 2 in mature bone; control group (CG, n = 20). Descriptive statistics for the differences between baseline and follow-up values were assessed by chi-square test. RESULTS: None of the implants lost osseointegration. The MPI Score 0 was 80.3% in SG, 82.7% in CG, and MPI Score 1 was 13.4% in SG and 14.9% in CG at the end of 1 year, and remained stable after 2 years. No significant difference in MPI, MBI, KMW, and PPD were observed between the baseline examination and controls. Chances in MBL in CG were slightly higher in SG. CONCLUSION: Placement of implants in fresh extraction sockets is a reliable treatment alternative.
Subject(s)
Dental Implantation, Endosseous/methods , Dental Implants , Tooth Extraction , Tooth Socket/surgery , Adult , Aged , Alveolar Bone Loss/classification , Alveolar Bone Loss/diagnostic imaging , Alveolar Process/diagnostic imaging , Dental Abutments , Dental Plaque Index , Dental Prosthesis, Implant-Supported , Denture, Complete, Immediate , Denture, Complete, Lower , Denture, Overlay , Female , Follow-Up Studies , Humans , Male , Mandible/diagnostic imaging , Mandible/surgery , Middle Aged , Osseointegration/physiology , Periodontal Index , Periodontal Pocket/classification , Prospective Studies , Radiography , Tooth Socket/diagnostic imaging , Treatment OutcomeABSTRACT
Injuries to the orofacial region may vary from localized injuries to extensive soft and hard tissue loss. In addition to physical and psychologic damages, functional and aesthetic aspects must be restored. This clinical report describes the rehabilitation of a patient with a mandibular defect caused by a gunshot wound. Rehabilitation of this patient, with the use of an overdenture prosthesis, was performed after mandibular surgical hard and soft tissue reconstruction. A maxillary total prosthesis and an implant-supported mandibular overdenture supported by 4 osseointegrated implants were fabricated. Despite limited mouth opening and anatomic deficiencies, the patient's aesthetic and functional demands were fulfilled.