Immediate Implant Placement Into Infected Sockets?

What are the long-term outcomes of immediate loading of dental implants immediately placed into infected sites? A recent study 1 aimed to tackle this very question.

The study concluded:

Immediate loading of implants inserted into fresh and infected extraction sockets is not a risk factor for implant survival. However, stability of peri-implant soft and hard tissues indicates the need to take measures that minimize loss.

Thoughts on this? Anyone have specific cases they have done where an implant was placed in an infected site?

Read the Full Abstract Here

1. Journal of Periodontology October 2016, Vol. 87, No. 10, Pages 1135-1140 Long-Term Outcomes of Immediate Implant Placement Into Infected Sockets in Association With Immediate Loading: A Retrospective Cohort Study
.Eduardo Anitua, et al.

6 thoughts on “Immediate Implant Placement Into Infected Sockets?

  1. mike says:

    ACTUALLY I HAD A CASE IN THE #21 SITE( NOT A SOCKET) GREAT PRIMARY STABILITY 50NCM TORQUE THAT FAILED FROM A LESION PRESENT IN THE #22 EXTRACTION SITE THAT I ASSUME I DID NOT ADEQUATELY REMOVE.

  2. Rand says:

    There are degrees of infection. Immediate placement into infected sockets will work in all but the most infected sites if attention to detail is taken. You may wish to review these articles:
    Immediate placement of dental implants into debrided infected dentoalveolar sockets. https://www.ncbi.nlm.nih.gov/pubmed/17307582#

    Placement of endosseous implant in infected alveolar socket with large fenestration defect: A comparative case report J Indian Soc Periodontol. 2010 Oct-Dec; 14(4): 270–274.
    doi: 10.4103/0972-124X.76937

    Immediate implants placed in fresh sockets associated
    to periapical infectious processes. A systematic review Med Oral Patol Oral Cir Bucal. 2013 Sep 1;18 (5):e780-5.

  3. Peter Fairbairn says:

    It depends on luck …. and host factors , do I feel lucky ………as Dirty Harry would say .
    In the UK we have extreme medico-legal …….. luck cannot be a factor
    So great site preparation is essential as all my Implants a Guaranteed to work or re-done for free ……
    Peter

    • Frederick J . Kapinos says:

      Peter,

      Can you summarize situation in UK re. medico-legal? Are you legally required to redo case for free? Is situation worsening with malpractice premiums? What is driving that?

      thanks,

      Fred J. Kapinos, D.D.S. USA

      • Peter Fairbairn says:

        No that is a personal obligation ….
        Sadly here we are leaders in the world ….. statistically passed Israel , in medico-legal issues as well as regulatory issues ………… so any failure has a more significant implication ..
        Anyway site preparation is a key to success so I take more time here and less time at a place of worship …
        Sadly we have long passed the US in this aspect
        Regards
        Peter

  4. John T says:

    This is one of those pointless discussions that never reach a conclusion.

    If by infection you mean a single rooted tooth with an apical granuloma, of course you can get away with an immediate implant and immediate loading – so long as the socket is adequately debrided and the implant has good primary stability. If by infection you mean a multirooted tooth with an acute abscesss in someone with a mouth like the bottom of a baby’s pram no one in their right mind would place an immediate implant let alone load it.

    It’s all a matter of clinical judgement.

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