Evaluation of clinical efficacy of immediate implant placement into debrided infected sockets using demineralized freeze-dried bone allograft and platelet rich fibrin membrane: a clinical trial

Deepali Sharma; Ankita Gupta; Puja Jha; Swapnil Sachan; Varun Kumar; Kamaljeet Manhas; Pulkit Vaid

doi:10.18203/2349-3259.ijct20220059

Authors

Deepali Sharma BDS, MDS Oral and Maxillofacial Surgery, Sandalwood Smiles Dentistry, Brampton, Ontario, Canada
Ankita Gupta Department of Public Health Dentistry, Indira Gandhi Government Dental College, Jammu, J&K-UT, India http://orcid.org/0000-0002-3948-3682
Puja Jha Department of Periodontology and Implantology, Tooth Healers Dental Clinic, Kathmandu, Nepal
Swapnil Sachan Department of Oral and Maxillofacial Surgery, SP Dental and Maxillofacial Trauma Centre, Jammu, J&K-UT, India
Varun Kumar Department of Oral and Maxillofacial Surgery, SP Dental and Maxillofacial Trauma Centre, Jammu, J&K-UT, India
Kamaljeet Manhas Department of Periodontology, Divya Jyoti Dental College, Modinagar, Uttar Pradesh, India.
Pulkit Vaid Department of Pediatrics and Preventive Dentistry, Desh Bhagat Dental College, Punjab, India

DOI:

https://doi.org/10.18203/2349-3259.ijct20220059

Keywords:

Immediate implant, Periapical pathology, Bone allograft, PRF membrane

Abstract

Background: The aim of the study was to evaluate the clinical efficacy of demineralised freeze dried bone allograft (DFDBA) and platelet rich fibrin (PRF) membrane in immediate implant placement into debrided infected mandibular molar sockets.

Methods: A clinical trial was conducted on 15 adult patients requiring tooth extraction and replacement with endosseous implants. Atraumatic tooth extraction was followed by thorough debridement of the socket prior to implant placement. Demineralized freeze dried bone allograft and PRF membranes were used for guided bone regeneration. Pain, signs of infection, vertical bone height measurements (IS-BIC) and stability of implants (torque values) were assessed using paired t test, analysis of variance (ANOVA) and Chi-square test.

Results: Statistically significant reduction in pain from immediate post-operative (post-op) day to 1^st post-op day, 7^th post-op day to 4 months post-op (p=0.006) was seen. Infection was present preoperatively and absent post-op 1^st day, 7^th day and 4 month in all the subjects. The mean IS-BIC was 2.30±2.27 mm post-op and 0.75±0.74 mm at 4 months. Average height gain on mesial and distal side was 1.55 mm (p=0.009).

Conclusions: With proper pre-op and post-op care, immediate implant placement along with DFDBA and PRF membrane in teeth exhibiting periapical pathology, is a cost effective, time saving and reliable treatment option.

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Author Biography

Ankita Gupta, Department of Public Health Dentistry, Indira Gandhi Government Dental College, Jammu, J&K-UT, India

Department of Public Health Dentistry

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