In certain clinical conditions when endodontic treatment is either impractical or unlikely to improve the previous results, tooth extraction and replacement with a dental implant becomes a viable alternative. Although the presence of active infection has long been considered a major contraindication to the insertion of implants immediately following tooth extraction, several articles assessing this treatment modality reported excellent and promising results. The aim of this literature review is to evaluate and discuss the clinical outcome of implants placed immediately following extraction in endodontically infected sockets. A Medline and EMBASE search was performed to identify articles published from 1966 to 2010 using the keywords "dental implants", "immediate implant", "extraction socket", "infected teeth", "infected site", "infected socket". No restrictions were placed regarding the study design. Only clinical articles with at least 6 months of follow-up were included. The available relevant literature concerning this topic was limited, and based on relatively low level of evidence study designs with limited follow-up periods. However, the data analysis of the selected articles showed that an immediate implant insertion in endodontically infected sites following tooth extraction and careful debridement of the socket, could be a predictable viable technique. Additional large scaled, well-designed studies are required in order to further assess the clinical applications of this treatment alternative.

Immediate implant placement in endodontically infected sites : an alternative treatment for compromised teeth / S. Corbella, S. Taschieri, M. Del Fabbro, L. Francetti, E. Rosen, I. Tsesis. - In: REPWAT HAPEH WEHASINAYYIM TEL (ABIYB. 1993). - ISSN 0792-9935. - 28:4(2011 Oct), pp. 25-29. 36.

Immediate implant placement in endodontically infected sites : an alternative treatment for compromised teeth

S. Corbella
Primo
;
S. Taschieri
Secondo
;
M. Del Fabbro;L. Francetti;
2011

Abstract

In certain clinical conditions when endodontic treatment is either impractical or unlikely to improve the previous results, tooth extraction and replacement with a dental implant becomes a viable alternative. Although the presence of active infection has long been considered a major contraindication to the insertion of implants immediately following tooth extraction, several articles assessing this treatment modality reported excellent and promising results. The aim of this literature review is to evaluate and discuss the clinical outcome of implants placed immediately following extraction in endodontically infected sockets. A Medline and EMBASE search was performed to identify articles published from 1966 to 2010 using the keywords "dental implants", "immediate implant", "extraction socket", "infected teeth", "infected site", "infected socket". No restrictions were placed regarding the study design. Only clinical articles with at least 6 months of follow-up were included. The available relevant literature concerning this topic was limited, and based on relatively low level of evidence study designs with limited follow-up periods. However, the data analysis of the selected articles showed that an immediate implant insertion in endodontically infected sites following tooth extraction and careful debridement of the socket, could be a predictable viable technique. Additional large scaled, well-designed studies are required in order to further assess the clinical applications of this treatment alternative.
Dental Implants ; Dental Pulp Diseases ; Humans ; Dental Implantation ; Debridement ; Tooth Extraction ; Tooth Socket ; Time Factors
Settore MED/28 - Malattie Odontostomatologiche
ott-2011
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/194601
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