I did my first extraction and immediate dental implant placement case on tooth
#15. It was a broken down, non-restorable tooth with no apparent periapical
How do you determine if you have adequate primary stability after you have placed the dental implant? I am concerned that I may not have engaged enough apical bone to have a good primary stability.
The implant did engage the mesial and distal walls of the socket but not as tightly as I would have liked. The remaining gaps between the dental implant fixture and socket wall were packed with Bio-Oss. Any thoughts would be greatly appreciated.
OsseoNews.com Editor's Note:
"The findings of the present study indicate that primary implant stability is a prerequisite for successful osseointegration, and that implant instability results in fibrous encapsulation, thus confirming previously made clinical observations..."
Lioubavnia-Hack N, et al. Significance of primary stability for osseointegration of dental implants. Clin Oral Implants Res. 2006;17:244-250.