生物学と医学

概要

Criteria for immediate placement of oral implants

G Ajay Kumar

The introduction of osseointegrated implants in dentistry represents a turning point in dental clinical practice. Thanks to their multiple therapeutic possibilities and the high predictability of success, implant therapy is now regarded as an extremely reliable approach to replace missing teeth. The concept of immediate implant loading has become popular due to less trauma, reduced overall treatment time, decreased patient’s anxiety and discomfort, high patient acceptance and better function, and esthetics. Nonetheless, research and understanding in this area are confusing and sometimes contradictory. Hence, the purpose of this review to provide clinical benefits of immediate implants, and analyze criteria for immediate placement. Results from this review indicated that dental implants that are immediately placed into carefully selected extraction sockets have high survival rates comparable to implants placed in healed sites. However, a careful case selection, proper treatment plan, meticulous surgery, and proper design of prosthesis are essential for optimal outcomes when this approach is adopted.