Attitudes of Oral Surgeons and Periodontists Towards Immediate Dental Implant Placement

Overview

Journal J Oral Maxillofac Res

Date 2024 Aug 14

PMID 39139358

Authors

Zemyna Bineviciute

Gintaras Juodzbalys

Affiliations

Soon will be listed here.

Abstract

Objectives: This cross-sectional study aimed to evaluate the factors that determine the choice of oral surgeons and periodontists to perform immediate dental implant placement.

Material And Methods: An anonymous survey was carried out from January 6, 2024 to February 29, 2024. The questionnaire was distributed online to Lithuanian specialists - oral surgeons and periodontists, who perform implantation procedures. A total of 186 professionals were included in this survey. Chi-square test, its degrees of freedom was used for the analysis of variables.

Results: The main reason for refusing immediate implant placement is a periapical lesion greater than 5 mm, reported by 91.7% of oral surgeons and 96.9% of periodontists. Good aesthetics and preservation of anatomical structures are identified as an advantage by 99.2% of oral surgeons and 92.3% of periodontists. In the aesthetic zone, for periodontists, the main criterion for choosing a method is the quantitative and qualitative indicators of the soft tissue of the extraction socket 96.9%, and for oral surgeons - the morphology of the bone walls of the socket 87.6%. Only 43.1% of periodontists and 33.9% of oral surgeons are familiar with and use extraction socket morphology assessment classifications for immediate dental implant placement.

Conclusions: Taking into account study's results, it is recommended to adjust the teaching programs at Universities and to increase the knowledge of specialists performing dental implantation procedures, by carrying out continuous educational programs.

References

Santhanakrishnan M, Ramesh N, Kamaleeshwari R, Subramanian V . Variations in Soft and Hard Tissues following Immediate Implant Placement versus Delayed Implant Placement following Socket Preservation in the Maxillary Esthetic Region: A Randomized Controlled Clinical Trial. Biomed Res Int. 2021; 2021:5641185. PMC: 8505071. DOI: 10.1155/2021/5641185. View

Krawiec M, Olchowy C, Kubasiewicz-Ross P, Hadzik J, Dominiak M . Role of implant loading time in the prevention of marginal bone loss after implant-supported restorations: A targeted review. Dent Med Probl. 2022; 59(3):475-481. DOI: 10.17219/dmp/150111. View

Kabi S, Kar R, Samal D, Deepak K, Bhusan Kar I, Mishra N . Immediate dental implant placement with or without autogenous bone graft: A comparative study. Natl J Maxillofac Surg. 2020; 11(1):46-52. PMC: 7518474. DOI: 10.4103/njms.NJMS_59_19. View

Mustakim K, Eo M, Lee J, Myoung H, Seo M, Kim S . Guidance and rationale for the immediate implant placement in the maxillary molar. J Korean Assoc Oral Maxillofac Surg. 2023; 49(1):30-42. PMC: 9985995. DOI: 10.5125/jkaoms.2023.49.1.30. View

Ragucci G, Elnayef B, Criado-Camara E, Suarez-Lopez Del Amo F, Hernandez-Alfaro F . Immediate implant placement in molar extraction sockets: a systematic review and meta-analysis. Int J Implant Dent. 2020; 6(1):40. PMC: 7413966. DOI: 10.1186/s40729-020-00235-5. View

Kim J, Ben Amara H, Chung I, Koo K . Compromised extraction sockets: a new classification and prevalence involving both soft and hard tissue loss. J Periodontal Implant Sci. 2021; 51(2):100-113. PMC: 8090797. DOI: 10.5051/jpis.2005120256. View

Bleyan S, Gaspar J, Huwais S, Schwimer C, Mazor Z, Mendes J . Molar Septum Expansion with Osseodensification for Immediate Implant Placement, Retrospective Multicenter Study with Up-to-5-Year Follow-Up, Introducing a New Molar Socket Classification. J Funct Biomater. 2021; 12(4). PMC: 8708493. DOI: 10.3390/jfb12040066. View

Shamir R, Daugela P, Juodzbalys G . Comparison of Classifications and Indexes for Extraction Socket and Implant Supported Restoration in the Aesthetic Zone: a Systematic Review. J Oral Maxillofac Res. 2022; 13(2):e1. PMC: 9358603. DOI: 10.5037/jomr.2022.13201. View

Lee C, Sanz-Miralles E, Zhu L, Glick J, Heath A, Stoupel J . Predicting bone and soft tissue alterations of immediate implant sites in the esthetic zone using clinical parameters. Clin Implant Dent Relat Res. 2020; 22(3):325-332. DOI: 10.1111/cid.12910. View

10.

Sabri H, Barootchi S, Heck T, Wang H . Single-rooted extraction socket classification: A systematic review and proposal of a new classification system based on morphologic and patient-related factors. J Esthet Restor Dent. 2022; 35(1):168-182. DOI: 10.1111/jerd.12967. View

11.

Seyssens L, Eghbali A, Cosyn J . A 10-year prospective study on single immediate implants. J Clin Periodontol. 2020; 47(10):1248-1258. DOI: 10.1111/jcpe.13352. View

12.

Hamilton A, Gonzaga L, Amorim K, Wittneben J, Martig L, Morton D . Selection criteria for immediate implant placement and immediate loading for single tooth replacement in the maxillary esthetic zone: A systematic review and meta-analysis. Clin Oral Implants Res. 2023; 34 Suppl 26:304-348. DOI: 10.1111/clr.14109. View

13.

Buser D, Chappuis V, Belser U, Chen S . Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late?. Periodontol 2000. 2016; 73(1):84-102. DOI: 10.1111/prd.12170. View

14.

Rijal A, Dhami B, Ghimire P, Humagain M, Lamichhane S . Early Implant Placement with Immediate Loading in the Mandibular Anterior Region: A Rapid Solution to Edentulism. Case Rep Dent. 2023; 2023:8487094. PMC: 10749726. DOI: 10.1155/2023/8487094. View

15.

Blanco J, Carral C, Argibay O, Linares A . Implant placement in fresh extraction sockets. Periodontol 2000. 2019; 79(1):151-167. DOI: 10.1111/prd.12253. View

16.

Ruales-Carrera E, Pauletto P, Apaza-Bedoya K, Volpato C, Ozcan M, Benfatti C . Peri-implant tissue management after immediate implant placement using a customized healing abutment. J Esthet Restor Dent. 2019; 31(6):533-541. DOI: 10.1111/jerd.12512. View

17.

Wipawin R, Amornsettachai P, Panyayong W, Rokaya D, Thiradilok S, Pujarern P . Clinical outcomes of 3-5 years follow-up of immediate implant placement in posterior teeth: a prospective study. BMC Oral Health. 2024; 24(1):312. PMC: 10921638. DOI: 10.1186/s12903-024-04058-3. View

18.

Fatani B, Almutairi E, Almalky H, Mubarki M, Al-Safadi A . A Comparison of Knowledge and Skills Related to Up-to-Date Implant Techniques Among Prosthodontists, Periodontists, and Oral Surgeons: A Cross-Sectional Study. Cureus. 2022; 14(10):e30370. PMC: 9667219. DOI: 10.7759/cureus.30370. View

19.

Tarnow D, Chu S . Human histologic verification of osseointegration of an immediate implant placed into a fresh extraction socket with excessive gap distance without primary flap closure, graft, or membrane: a case report. Int J Periodontics Restorative Dent. 2011; 31(5):515-21. View

20.

Smith R, Tarnow D . Classification of molar extraction sites for immediate dental implant placement: technical note. Int J Oral Maxillofac Implants. 2013; 28(3):911-6. DOI: 10.11607/jomi.2627. View