Sağırkaya, Elçin Ordu University - Faculty of Dentistry - Department of Prosthodontics, Turkey , Bekçioğlu, Burak Oldcitydent Oral and Dental Health Hospital - Section of Oral and Maxillofacial Surgery, Turkey , Çehreli, Murat Cavit CosmORAL Oral and Dental Health Polyclinics - Section of Prosthodontics, Turkey

One-year follow-up of immediately-placed implants with early radiographic signs of failure: report of two cases

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INTRODUCTION: Peri-implant radiolucency is frequently interpreted as an indicator of failure. However few reports suggest that clinically-asymptomatic implants could have a good prognosis. The aim of this report was to present the lack of correlation between clinical and radiographic findings of asymptomatic immediately-placed implants in two subjects during the healing period and at one-year follow-up. CASE REPORT: In one patient, the maxillary right first premolar and first molar teeth supporting a fixed prosthesis were extracted and two implants were immediately-placed into fresh extraction sockets. Four mandibular incisors of the second patient were extracted and two implants were immediately- placed into sockets of mandibular lateral incisors. At three-month recall appointment, implants in both patients were stable and without any signs of compromised healing, although radiographic examination revealed periimplant radiolucency resembling peri-implantitis and lack of osseointegration. As the implants were clinically stable, both patients received fixed prosthesis at 4months of postextraction healing. At one-year recall appointments, implants in both patients were functioning without any clinical complications related to peri-implant infection. Radiographic evaluation showed bone apposition to previous radiolucent sites suggesting osseointegration took part. CONCLUSION: Immediately-placed implants, exhibiting radiolucency resembling peri-implantitis at early stages of healing, but also clinical signs of uneventful healing may have favorable clinical outcome.

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Dental prosthesis, implant , supported , osseointegration , tooth extraction

Acta Odontologica Turcica

148