Comparative Study of Immediate vs. Delayed Implant Placement Following Oral Surgical Extraction
Digital phenotyping, Artificial intelligence, Parental perception, Behavioural monitoring, Preventive and restorative dentistry
AuthorsAbstractDental implant placement following tooth extraction is a widely accepted treatment modality in contemporary prosthodontics. Among the available approaches, immediate and delayed implant placement protocols remain commonly employed, each presenting distinct biological and prosthodontic considerations. Despite extensive research, uncertainty persists regarding the influence of implant placement timing on short-term clinical, radiographic, and restorative outcomes, warranting additional controlled comparative investigations. A prospective comparative clinical study was conducted involving 40 patients requiring single-tooth extraction and implant-supported rehabilitation. Participants were equally allocated into two groups: immediate implant placement (n = 20) and delayed implant placement (n = 20). Clinical procedures were performed under standardized surgical and prosthodontic protocols. Outcome measures included implant survival and success rates, peri-implant marginal bone level changes, soft tissue health, prosthodontic and functional outcomes, and postoperative complications. Radiographic and clinical assessments were carried out at predefined follow-up intervals. Statistical analysis involved independent t-tests and chi-square tests, with significance set at p < 0.05. Both groups demonstrated high implant survival and success rates, with no statistically significant intergroup differences. Periimplant soft tissue conditions were predominantly healthy, with minimal inflammatory changes and limited mucosal recession. Prosthodontic outcomes showed high rates of definitive prosthesis delivery and satisfactory occlusal function. Postoperative complications were minor, self-limiting, and similarly distributed between groups. Immediate and delayed implant placement protocols yielded comparable short-term clinical, radiographic, and prosthodontic outcomes when applied under standardized conditions. Implant placement timing alone did not significantly influence treatment success. Careful case selection and prosthodontically driven planning remain critical determinants of predictable implant outcomes. Keywords: Immediate implant placement, Delayed implant placement, Marginal bone loss, Peri-implant tissue stability, Prosthodontic outcomes
INTRODUCTIONThe use of dental implant as a form of treatment has been established as a pillar of modern prosthodontic and restorative dentistry due to its ability to offer predictable functional and esthetics restoration to patients with missing teeth. The unstoppable efforts to enhance the design of implants, medical procedures, and restorative measures have provided a wider range of treatments and better long-term results. Among multiple clinical factors of the success of implants, the time frame between tooth extraction and the implant placement is a very important and the most controversial topic of treatment planning. Timely and delayed protocols of implant placement remain two known methods that have certain biological, clinical, and prosthodontic implications. The additional option is the immediate implant placement whereby the direct insertion of the implant into the extraction socket is performed during the same surgery session. ••••••••••••••••••••••••••••••• ejprd.org - Published by Riset Publishing Services LLC.
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