Thesis (Ph.D.) - Cairo University - Faculty of Oral and Dental Medicine - Department of Periodontology

Aim: The aim of the present study was to evaluate the health of immediately placed dental implants in aggressive periodontitis patients versus those placed in periodontally healthy individuals in the maxillary esthetic zone.Methods: Following atraumatic tooth extraction, 70 implants were placed in two study groups: Thirty-five implants replaced hopeless teeth in aggressive periodontitis patients (test group) and thirty-five implants replaced periodontally healthy unrestrorable teeth (control group). Results: After 12 months, there were no dropouts in both groups. The criteria of the health scale showed 97.17% success in the test group versus 100% in the control group. Due to peri-implant mucosistis, only 2.85% implants in the test group showed satisfactory survival rate. It was also found that 20% of the inserted implants in both groups were covered with bone during the second stage surgery. Lack of pain, mobility, exudate and suppuration with no incidence of peri-implant diseases were clearly detected in both groups indicating the success rate.There was no statistical significant difference between the results in both groups. Conclusions: Based on the data represented in the current controlled prospective study, it could be concluded that immediate implant insertion in aggressive periodontitis patients is a successful, efficient and predictable treatment protocol with high satisfaction of the treated patients.The placed implants in both groups (test and control) showed nearly equivalent results

Issued also as CD