Affiliation:
1. Department of Periodontics, CKS Theja Institute of Dental Sciences and Research, Tirupathi, Andhra Pradesh, India
2. Km Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Gujarat, India
Abstract
Introduction: Immediate implant placement in fresh extraction sockets is considered reliable and effective; however, the healing and osseointegration associated with specific graft materials, such as sticky bone and demineralized bone matrix with calcium sulfate hemihydrate (DBM-CSH), require further investigation. This study aims to assess these grafts in conjunction with immediate implants. Materials and Methods: Eighteen patients (6 male and 12 female) requiring at least one tooth extraction were randomly divided into two groups. Group I received sticky bone grafts, while group II was treated with DBM-CSH. Clinical and radiographic evaluations were conducted at baseline, 3 months, and 6 months postimplantation, with outcomes subjected to statistical analysis. Results: The study confirmed that immediate implant placement using atraumatic techniques effectively preserves both hard and soft tissues at the extraction site. Over 6 months, both groups exhibited significant soft tissue improvement, with the sticky bone group showing greater crestal bone level augmentation compared to the DBM-CSH group. Conclusion: Immediate implant placement using sticky bone or DBM-CSH grafts offers esthetic benefits and poses no risk of infection or disease transmission. The addition of DBM to autologous fibrin glue (sticky bone) might enhance immediate implant success.