EVALUATION OF IMMEDIATELY PLACED ULTRA WIDE DIAMETER IMPLANT PLACED IN MANDIBULAR MOLARS (A SINGLE ARM CLINICAL TRIAL)

Gad, Abdelrahman Karam; Hassan, Ragab Shabban; El Halawani, Gaafar Nabil

doi:10.21608/adjalexu.2023.228447.1409

	EVALUATION OF IMMEDIATELY PLACED ULTRA WIDE DIAMETER IMPLANT PLACED IN MANDIBULAR MOLARS (A SINGLE ARM CLINICAL TRIAL)
Alexandria Dental Journal
Articles in Press, Corrected Proof, Available Online from 05 May 2024 PDF (528.9 K)
Document Type: Original Article
DOI: 10.21608/adjalexu.2023.228447.1409
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Authors
Abdelrahman Karam Gad ¹; Ragab Shabban Hassan²; Gaafar Nabil El Halawani³
¹Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
²Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University, Alexandria, Egypt
³Assistant Professor of Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
Abstract
Introduction: In immediate implant placement, Grafting materials should be used if there is a gap of more than 2mm between socket walls and the implant body. Ultra-wide diameter implants (UWD) ''7 - 9 mm diameter " were introduced to allow more engagement to molar socket walls and to reduce the necessity for using bone grafts in immediate molar placement. Objectives: Evaluation of both radiographical and clinical outcomes of osteointegration and peri-implant bone density outcomes when using UWD implant placed immediately in molar extraction socket. Materials and Methods: 12 ultrawide dental implants were placed immediately in freshly atraumatically extracted molar sockets of 12 patients without raising flaps or using bone grafts. Cement retained crown was loaded 6 months postoperatively. All patients underwent clinical and radiographical evaluations for 9 months. Results: Implant stability and peri-implant bone density showed a statistically significant increase through follow-up time periods. Conclusion: This study demonstrated that using ultrawide dental implants immediately in freshly extracted mandibular molar sockets is a predictable modality to improve implant stability and bone density with less marginal bone resorption.
Keywords
Implants; Immediate implant placement; Ultra-wide diameter; Implant stability; Bone density


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