Title Results of Immediate Implant Placement into Infected Extraction Sites
Clinical Question Does immediate implant placement in patients with infected extraction sites show similar success rates as immediate implant placement in patients with healthy extraction sites?
Clinical Bottom Line Immediate placement of implants can be successful in infected extraction sites following thorough debridement of infected sites. (See Comments on the CAT below)
Best Evidence  
PubMed ID Author / Year Patient Group Study type
(level of evidence)
20192616Waasdorp/2010 Human and Animal groupsSystematic Review
Key resultsImmediate placement of implants in infected extraction sites can be successful after thorough debridement of the infected sites.
Evidence Search #48Search dental implants, extraction, infection Limits: English, Systematic Reviews00:10:54(Pubmed terms)
Comments on
The Evidence
This review was based on 12 articles. In these articles most infections were not classified. However, most resembled those of a chronic periapical infection. Trials that were not included in this review were animal studies that did not have a pristine control group and human studies that had less than a one-year follow up.
Applicability The practicing dentist must identify and be competent with periodontal/periapical infection management prior to immediate dental implant placement in extraction sites.
Specialty (General Dentistry) (Oral Surgery) (Periodontics)
Keywords Dental implants, Extraction, Infection
ID# 596
Date of submission 03/25/2010
E-mail Johnstonb@livemail.uthscsa.edu
Author Blake Johnston
Co-author(s)
Co-author(s) e-mail
Faculty mentor Mark Littlestar, DDS
Faculty mentor e-mail littlestarm@uthscsa.edu
   
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
None available
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs)
by Ashley R. Tello (San Antonio, TX) on 04/12/2012
A PubMed search on this topic was completed on April 2012. A more recent publication was found (PubMed: 20370421). This study on 275 implants finds the same results as published in the CAT and adds further documentation.