Immediate implant placement has become a very popular and demanded technique among desntists. But the question is…Is it safe and predictable placing an implant inside an infected socket previously “cleaned”?
The technique used to debride and clean thoroughly the infected socket will play a very important role in this situations since flapless techniques to access the apical portion will limit not only our view but also the effective way to complete the cleaning. In fact, Retrograde periimplantitis appears when residual cysts have been left during the cleaning as well as reactivation of them might happen when drilling previous implant placement.
Betadine, Clorhexidine, HOCl and many other desinfectants will also play an important role in this technique, so choose the appropriate one to make sure that the site is fully desinfected before placing the implant.
In addition which biomaterial will you use inside the socket? Different biomaterials have a very different biological response for turn over into vital bone. By using a quick turn over biomaterial you can speed up the bone remodeling process to guarantee the preservation of the original bone architecture.
