Department of Oral and Maxillofacial Surgery, Istanbul University, Istanbul, Turkey.
Implant Dent. 2013 Aug;22(4):360-5. doi: 10.1097/ID.0b013e31828edd02.
Immediate implant placement not only reduces the number of surgeries necessary but also decreases the treatment time and treatment costs. The purpose of the study was to present the clinical results of 110 cases of immediate implant placement without using graft materials at the end of 5 years.
One hundred and ten implants in 72 patients were included in the study. Inclusion criteria for the patients were presence of at least 2 mm of bone beyond the root apex, the absence of acute signs of infection or inflammation in the treatment area, and the absence of systemic pathologies that would contraindicate bone healing around implants. In cases where bone grafting was necessary, the implant was excluded from the study.
Healing progressed uneventfully in 105 cases. Four implants were lost as a result of infection in the first 3 months and 1 implant was lost 1 year after the functional loading of the prosthesis. The soft tissue anatomy was clinically acceptable in all patients. The implants that were placed in the extraction sockets of infectious teeth had also acceptable survival rates and clinical success.
With proper patient selection, immediate implant placement without bone grafting has predictable survival rates and clinical success.
即刻种植不仅可以减少所需手术的次数，还可以缩短治疗时间和降低治疗成本。本研究的目的是在 5 年结束时展示 110 例不使用移植物材料即刻种植的临床结果。
本研究共纳入 72 例患者的 110 个种植体。患者的纳入标准为根尖以上至少有 2 毫米的骨量，治疗区域无急性感染或炎症迹象，无全身性疾病会影响种植体周围骨愈合。如果需要进行骨移植，则将该种植体排除在研究之外。
105 例病例愈合顺利。4 个种植体在第 3 个月因感染而脱落，1 个种植体在修复体功能加载 1 年后脱落。所有患者的软组织解剖均具有临床可接受性。放置在感染牙齿拔牙窝内的种植体也具有可接受的存活率和临床成功率。
在适当的患者选择下，不使用骨移植的即刻种植具有可预测的存活率和临床成功率。
