Assessment of implant stability during various stages of healing placed immediately following extraction in an overdenture situation

To assess the implant stability during different stages of healing in an immediate loaded implant soon after extraction. A 73-year-old female came with a chief complaint of bad smell and irritation in her lower front gum region. On examination, she was found to be completely edentulous in the maxill...

Full description

Bibliographic Details
Main Authors: Ashwin Thomas Koshy, T Aby Mathew, Nicholas Mathew, Angel Mary Joseph
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:The Journal of Indian Prosthodontic Society
Subjects:
Online Access:http://www.j-ips.org/article.asp?issn=0972-4052;year=2017;volume=17;issue=1;spage=74;epage=79;aulast=Koshy
_version_ 1811294183246266368
author Ashwin Thomas Koshy
T Aby Mathew
Nicholas Mathew
Angel Mary Joseph
author_facet Ashwin Thomas Koshy
T Aby Mathew
Nicholas Mathew
Angel Mary Joseph
author_sort Ashwin Thomas Koshy
collection DOAJ
description To assess the implant stability during different stages of healing in an immediate loaded implant soon after extraction. A 73-year-old female came with a chief complaint of bad smell and irritation in her lower front gum region. On examination, she was found to be completely edentulous in the maxillary arch and partially edentulous in the mandibular arch with only the canines present bilaterally. The posterior mandibular ridge was severely resorbed and hence could not be treated with a conventional mandibular complete denture. Considering the age of the patient and the preference of only a single surgical visit, we decided to plan for a conventional maxillary denture against an implant supported mandibular overdenture with two implants placed immediately after extraction of canines. The stability of these implants was assessed during the early phases of healing with the help of a resonance frequency analysis method (RFA) using Osstell ISQ™. During the healing phase, implant stability quotient (ISQ) values decrease by 4–5 values after installation with the lowest values at the 1st week postplacement. Following this, the ISQ values increased steadily for all implants up to 16 weeks. No significant differences were noted over time. At placement, the mean ISQ values at 33 and 43 regions were 74 and 75.2, respectively. The mean lowest ISQ values recorded at the 1st week were 58.8 and 65.4, respectively. At 16 weeks, the mean ISQ values were 70.5 and 67.9, respectively. The survival of such immediately placed implants, which are later used as overdenture supported implants, are highly predictable when the surgical and prosthetic part is done meticulously. However, there needs future studies oriented to understand better the healing pattern of immediately placed implants in extraction sockets, which would guide the clinician with the optimal loading time.
first_indexed 2024-04-13T05:12:43Z
format Article
id doaj.art-45a91009ed1c40d39da049b04f4a35a0
institution Directory Open Access Journal
issn 0972-4052
1998-4057
language English
last_indexed 2024-04-13T05:12:43Z
publishDate 2017-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series The Journal of Indian Prosthodontic Society
spelling doaj.art-45a91009ed1c40d39da049b04f4a35a02022-12-22T03:00:58ZengWolters Kluwer Medknow PublicationsThe Journal of Indian Prosthodontic Society0972-40521998-40572017-01-01171747910.4103/0972-4052.176530Assessment of implant stability during various stages of healing placed immediately following extraction in an overdenture situationAshwin Thomas KoshyT Aby MathewNicholas MathewAngel Mary JosephTo assess the implant stability during different stages of healing in an immediate loaded implant soon after extraction. A 73-year-old female came with a chief complaint of bad smell and irritation in her lower front gum region. On examination, she was found to be completely edentulous in the maxillary arch and partially edentulous in the mandibular arch with only the canines present bilaterally. The posterior mandibular ridge was severely resorbed and hence could not be treated with a conventional mandibular complete denture. Considering the age of the patient and the preference of only a single surgical visit, we decided to plan for a conventional maxillary denture against an implant supported mandibular overdenture with two implants placed immediately after extraction of canines. The stability of these implants was assessed during the early phases of healing with the help of a resonance frequency analysis method (RFA) using Osstell ISQ™. During the healing phase, implant stability quotient (ISQ) values decrease by 4–5 values after installation with the lowest values at the 1st week postplacement. Following this, the ISQ values increased steadily for all implants up to 16 weeks. No significant differences were noted over time. At placement, the mean ISQ values at 33 and 43 regions were 74 and 75.2, respectively. The mean lowest ISQ values recorded at the 1st week were 58.8 and 65.4, respectively. At 16 weeks, the mean ISQ values were 70.5 and 67.9, respectively. The survival of such immediately placed implants, which are later used as overdenture supported implants, are highly predictable when the surgical and prosthetic part is done meticulously. However, there needs future studies oriented to understand better the healing pattern of immediately placed implants in extraction sockets, which would guide the clinician with the optimal loading time.http://www.j-ips.org/article.asp?issn=0972-4052;year=2017;volume=17;issue=1;spage=74;epage=79;aulast=KoshyImmediately placed implantsimplant supported overdentureresonance frequency analysis (RFA)
spellingShingle Ashwin Thomas Koshy
T Aby Mathew
Nicholas Mathew
Angel Mary Joseph
Assessment of implant stability during various stages of healing placed immediately following extraction in an overdenture situation
The Journal of Indian Prosthodontic Society
Immediately placed implants
implant supported overdenture
resonance frequency analysis (RFA)
title Assessment of implant stability during various stages of healing placed immediately following extraction in an overdenture situation
title_full Assessment of implant stability during various stages of healing placed immediately following extraction in an overdenture situation
title_fullStr Assessment of implant stability during various stages of healing placed immediately following extraction in an overdenture situation
title_full_unstemmed Assessment of implant stability during various stages of healing placed immediately following extraction in an overdenture situation
title_short Assessment of implant stability during various stages of healing placed immediately following extraction in an overdenture situation
title_sort assessment of implant stability during various stages of healing placed immediately following extraction in an overdenture situation
topic Immediately placed implants
implant supported overdenture
resonance frequency analysis (RFA)
url http://www.j-ips.org/article.asp?issn=0972-4052;year=2017;volume=17;issue=1;spage=74;epage=79;aulast=Koshy
work_keys_str_mv AT ashwinthomaskoshy assessmentofimplantstabilityduringvariousstagesofhealingplacedimmediatelyfollowingextractioninanoverdenturesituation
AT tabymathew assessmentofimplantstabilityduringvariousstagesofhealingplacedimmediatelyfollowingextractioninanoverdenturesituation
AT nicholasmathew assessmentofimplantstabilityduringvariousstagesofhealingplacedimmediatelyfollowingextractioninanoverdenturesituation
AT angelmaryjoseph assessmentofimplantstabilityduringvariousstagesofhealingplacedimmediatelyfollowingextractioninanoverdenturesituation