Immediate Placement of Implants in Infected Extraction Sockets

The aim of this study is to evaluate the efficacy of immediate implants in periapical infected extraction sockets. A prospective study was conducted on 24 patients and 30 implants were immediately placed into the extraction sockets after debridement and filling the defect with bone graft. All the implants were placed in maxillary single rooted teeth and mostly centrals (right and left) except one (1st premolar region). The parameters such as periapical radiolucency, marginal bone, peri-implant radiolucency, implant stability, gingival papilla score and buccal gingival height were analyzed over a follow up period of 3 months. All the 30 implants were osseointegrated successfully with good gingival aesthetics and improvement in marginal bone and a considerable decrease in the periapical radiolucency and peri-implant radiolucency after a period of 3 months. It can be concluded that immediate placement of implants in periapical infected sockets is a safe, effective and successful treatment option, provided certain procedures such as meticulous debridement of the socket proper placement of the implant and antibiotic administration are followed.