Clinical and Radiographic Evaluation of Immediate Non-functional loaded Implants in Osteoporotic Patients

Document Type : Original Article

Authors

1 OMFS, Faculty of oral and dental medicine, Future University, Cairo, Egypt

2 OMFS, Faculty of oral and dental medicine, Beni-suef University, Beni-suef, Egypt

Abstract

Purpose: To compare success rate as well as difference of marginal bone loss around immediately placed non-functionally loaded implants in osteoporotic patients versus non-osteoporotic patients. Material & Methods: The present study was conducted on 12 patients, six of them were osteoporotic and the other six were normal healthy patients. Both groups underwent immediate post extraction implantation, with a total of 16 implants. Each patient was a candidate for single tooth replacement in the mandibular arch at the premolar area. CBCT was performed at the intervals of immediately after implant installation and 6 months postoperatively. This is to determine radiographic bone loss from initial surgery. Periotest was used to determine the implant mobility at the intervals of immediately after implant installation and 6 months postoperatively. Results: The marginal bone level (flushed implant-bone crest to implant apex) baseline records at time of implant placement was used for all cases as a reference. And then, measurements were taken again after six months to detect the change in the marginal bone level for both groups. After 6 months, the mean marginal bone loss of the osteoporotic group was slightly higher than the normal group but yet not of significant difference. There was no statistically significant bone loss difference between the two groups at the buccal and lingual surfaces either in coronal or sagittal sections.
Conclusion: The results of this study suggest that dental implants inserted immediately following extraction in osteoporotic patients do present success rates nearly equivalent to those implants placed in normal patients.

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