Producción científica2020· Medicina Oral, Patología Oral y Cirugía Bucal
Immediate post-extraction implants placed in acute periapical infected sites with immediate prosthetic provisionalization: a 1-year prospective cohort study
Q2 · ArtículoImpact Factor · 2.165
AutoresD Muñoz-Cámara, O Gilbel-Del Águila, G Pardo-Zamora, F Camacho-Alonso
Por qué importa
Se ha evaluado la viabilidad de la colocación inmediata de implantes dentales con provisionalización protésica inmediata en alvéolos postextracción con patología periapical aguda. El estudio comparó los resultados clínicos y radiológicos a 1 año en 50 pacientes con patología infecciosa y un grupo control de 50 pacientes sin ella. Los parámetros evaluados incluyeron la salud periodontal, la recesión gingival, la profundidad de sondaje y la distancia del hombro del implante al primer punto de contacto hueso-implante (IS-BIC). Los hallazgos indican que no existieron diferencias significativas entre ambos grupos en los parámetros clínicos ni radiológicos, y no se observó peri-implantitis en los implantes colocados en sitios infectados. Esto sugiere que esta técnica puede ser una opción terapéutica exitosa a corto plazo, incluso en casos de infección periapical.
Background: Few studies have reported the outcomes of immediate placement at infected post-extraction sites. The aim of this study was to compare clinical and radiological outcomes of immediately placed implants with immediate prosthetic provisionalization in sockets with or without acute periapical pathology.
Material and methods: A total of 100 patients with immediately placed implants with immediate provisionalization and 1-year of follow up were included (50 patients with acute periapical pathology and a control group of 50 patients without acute periapical pathology). Clinical parameters (bleeding on probing, buccal keratinized mucosa width, clinical recession, and probing depth) and radiological parameters (distance from implant shoulder to first point of bone-to-implant contact [IS-BIC]) were assessed.
Results: Clinical parameters showed no significant differences between the study and control groups after 1-year follow up (p>0.05). IS-BIC presented the following values: 0.35 ± 0.51 mm (study group) and 0.15 ± 0.87 mm (control), without significant differences between the groups (p=0.160). None of the 50 radiographs of immediate implants placed in sockets with periapical pathology revealed retrograde peri-implantitis.
Conclusions: Immediate placement of implants with immediate prosthetic provisionalization at sites with acute periapical pathology can be a successful treatment modality for at least 1-year.
