Replacement of vertically root-fractured endodontically treated teeth with immediate implants in conjunction with a synthetic bone cement.
OBJECTIVE
The purpose of this prospective study was to evaluate the clinical outcome of implants immediately placed into fresh extraction sockets for the replacement of endodontically treated teeth with signs of vertical root fracture.


METHODS
Sixteen partially edentulous patients, with 1 tooth scheduled for extraction and showing clinical signs and symptoms and/or radiological evidence of vertical root fracture, were included in the study. Sixteen transmucosal implants were installed immediately after extraction and careful debridement. The gap between the implant surface and the socket walls was filled using synthetic bone grafting cement. Prosthetic phase occurred 3 to 4 months after surgery. Implant success and survival and radiographic bone loss were evaluated after 1 year of function. Patient satisfaction for mastication function, phonetics, and aesthetics was also assessed by means of a questionnaire.


RESULTS
No implant failure occurred. The overall implant success and survival was 100% at 1 year. The mean follow-up was 13.5 months. All prostheses were successful. Periimplant bone loss after 1 year averaged 0.48 ± 0.20 mm. All patients reported full satisfaction for mastication function, phonetics, and aesthetics.


CONCLUSIONS
The use of a synthetic bone grafting cement in combination with immediate implant placement procedure can be considered a safe, effective, and predictable treatment option for the rehabilitation of fresh postextraction sockets.
Department of Health Technologies, Università degli Studi di Milano, Milan, Italy.
Silvio
S
Taschieri
Gabriele
G
Rosano
Tommaso
T
Weinstein
Massimo
M
Del Fabbro
D000328:Adult; D000368:Aged; D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging; D001843:Bone Cements; D002130:Calcium Phosphates; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019250:Dental Implants, Single-Tooth; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D011859:Radiography; D011795:Surveys and Questionnaires; D013997:Time Factors; D014081:Tooth Extraction; D014082:Tooth Fractures / Q000601:surgery*; D014092:Tooth Root / Q000293:injuries; D020390:Tooth Socket / Q000601:surgery*; D019553:Tooth, Nonvital / Q000601:surgery*; D016896:Treatment Outcome
D001843:Bone Cements; D002130:Calcium Phosphates; C020243:calcium phosphate