Evaluation of Intra-osseous Stability of Immediately Placed Implantsinto Infected Alveolar Socket

Purpose: To describe a protocol for the immediate placement of implant into infected alveolar socket. Materials & Method: A total number of 40 implants were placed immediately into extraction socket. The periapical conditions were different in all the cases (acute, endodontic and periodontal infection). Great care has been taken in debridement of the socket and extraction of tooth /teeth, guided bone regeneration along with the use of preoperative & postoperative anti-microbial agent. Results: All implants but three were osteo-integrated in six months to one year. Complications were related to the extraction process and bone regeneration process. Conclusion: Predisposing factors for failures are incomplete debridement of the socket, poor oral hygiene, incomplete closure of the wound, systemic factors like hormones. With this study we may conclude that an experienced maxillofacial surgeon may consider immediate implants as a viable treatment option for the patient having periapical infections.