Immediate Loading of a Fully Tapered Implant with Deep Apical Threads Placed in Healed Alveolar Ridges vs. Immediate Extraction Sockets.

Hadaya, Danny; Pi-Anfruns, Joan; Bellon, Benjamin; Pippenger, Benjamin E; Aghaloo, Tara L (2022). Immediate Loading of a Fully Tapered Implant with Deep Apical Threads Placed in Healed Alveolar Ridges vs. Immediate Extraction Sockets. Clinical oral implants research, 33(5), pp. 501-510. Wiley-Blackwell 10.1111/clr.13910

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OBJECTIVES

Immediate implant placement and loading is a practice that continues to gain traction in implant dentistry because it reduces treatment time and improves satisfaction. Novel implant designs that facilitate increased primary stability, while not compromising osseointegration and long-term survival are important to offer immediate solutions for missing teeth. Here, we hypothesize that fully tapered implants can obtain successful osseointegration with high survival rates after immediate loading in fresh extraction sockets and healed sites.

MATERIALS AND METHODS

13 swine with 73 implants were evaluated. Fully tapered or apically tapered implants were placed in extraction sockets and healed sites. Insertion torque and resonance frequency analysis were determined at placement and euthanasia. Animals were evaluated at: placement, and 1-week and 12-weeks after placement. Bone to Implant Contact (BIC), Bone Area / Total Area (BA/TA), and first BIC (fBIC) analyses was conducted.

RESULTS

The fully tapered implant achieved similar primary stability with lower insertion torque at placement (Fig. 2). Apically and fully tapered implants had comparable BIC (50.1% vs 59.4%) and ISQ (82.5 vs 80.3) values by 12 weeks in healed sites. In extraction sockets, BIC and ISQ for the apically tapered implant was 35.8% and 73.2 and 37.8% and 79.2 for the fully tapered implants, respectively (Fig. 2, 5).

CONCLUSIONS

In this short-term study, immediately loaded fully tapered implants obtained high survival with similar osseointegration ability as apically tapered implants when placed in healed sites and fresh extraction sockets. Fully tapered implants show promise for use in immediate loading and immediate placement.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Periodontics Research

UniBE Contributor:

Pippenger, Benjamin Evans

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0905-7161

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Pubmed Import

Date Deposited:

28 Feb 2022 12:54

Last Modified:

27 Feb 2023 00:25

Publisher DOI:

10.1111/clr.13910

PubMed ID:

35213758

BORIS DOI:

10.48350/166080

URI:

https://boris.unibe.ch/id/eprint/166080

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