Radiographic evaluation of immediate placement implant in fresh extraction socket with bone graft (HYPRO-OSS)

Mona Abd Elkader Abbas, Mohamed Said Hamed, Gihan El Desouky, Yasser Mohamed El Gerby
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Abstract

Introduction: Xenograft play role in osseointegration of immediate placement dental implant. The study’s objective is to assess the effectiveness of xenograft (Hypro-oss) in radiographically documenting the osseointegration of immediate dental implants. Patients and methods: This study, which involved 8 patients aged 18 to 48, was carried out. divided into two equal groups, 12 immediate dental implants; (Control Group): Immediate placement of a dental implant after atraumatic extraction of a single-rooted tooth or remaining root, (Study Group): Single-rooted teeth in the maxillary arch’s anterior region should be extracted without trauma, and any remaining roots should be immediately replaced with dental implants and sealed with Hypro-Oss bone graft material. Clinical examinations done for all patients prior to surgery include examination of oral and para oral tissues and evaluation the intermaxillary space and the type of occlusion. In order to measure the density of the formed bone between living bone and the implant surface, radio- graphic evaluations using CBCT were performed at intervals of 15, 90, 180, and 270 days after surgery. Result: None of the patients displayed any indications or symptoms of soft tissue pain, tenderness, redness, or inflammation around the implant site. The soft tissue and bone around the implant should heal normally. The follow-up period was continued by all patients. Radiographic evaluation showed significant higher bone density in study group than control group after 15, 90, 180 and 270 days. Conclusion: The bone density around the implant increased when the Hypro-Oss bone graft was used.
新鲜拔牙槽即刻植入植骨体的x线评价(HYPRO-OSS)
异种移植物在即刻种植体骨整合中的作用。本研究的目的是评估异种移植物(Hypro-oss)在即刻种植体骨整合的影像学记录中的有效性。患者与方法:本研究共纳入8例患者,年龄18 ~ 48岁。随机分为两组,即刻种植牙12颗;(对照组):无外伤拔除单根牙或残根后立即放置种植体(研究组):上颌弓前区单根牙应无外伤拔除,任何残根应立即用种植体替代,并用Hypro-Oss植骨材料封闭。所有患者术前的临床检查包括口腔和口旁组织的检查以及上颌间隙和咬合类型的评估。为了测量活骨和种植体表面之间形成骨的密度,在术后15天、90天、180天和270天使用CBCT进行放射成像评估。结果:所有患者均未表现出种植体周围软组织疼痛、压痛、红肿或炎症的任何指征或症状。种植体周围的软组织和骨骼应能正常愈合。所有患者均继续随访。术后15、90、180、270 d影像学评价显示研究组骨密度显著高于对照组。结论:采用Hypro-Oss骨移植后,种植体周围骨密度增加。
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