List of Articles by Author

NOTES:

*This author has been accepted with these names:

Kansky, Andrej

*Articles are cited according to Uniform Requirements by International Committee of Medical Journal Editors - ICMJE and NLM Style Guide for Authors, Editors and Publishers

Kočar M, Sapundžijev D, Kansky A, Gorjanc M. Ishod imedijatne implantacije u akutno inflamirane alveole nasuprot klinički zdravim alveolama: šestmjesečno praćenje. Acta Stomatol Croat. 2008;42(1):101.

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Title in English:	Ishod imedijatne implantacije u akutno inflamirane alveole nasuprot klinički zdravim alveolama: šestmjesečno praćenje
Title in Croatian:	Ishod imedijatne implantacije u akutno inflamirane alveole nasuprot klinički zdravim alveolama: šestmjesečno praćenje
Type of Article:	congress abstract
MeSH:	DENTAL IMPLANTATION, ENDOSSEOUS DENTAL IMPLANTS, SINGLE-TOOTH ALVEOLAR ABSCESS PERIAPICAL ABSCESS
Abstract:	Immediate implantation should be a procedure with predictable outcome. But for any elective surgery in the mouth, acute inflammation is regarded as contraindication. Our goal was to establish whether acute inflammation can adversely affect implantation outcome. Nine implants were immediately placed and prosthetically restored in eight patients (6 female, 2 male). In the group of inflamed socket (ISO) four implants in four patients were implanted in maxilla where at least one clinical sign of inflammation was present: fistula with pus (three sockets) and evident mucosal swelling (one patient). Other five implants (3 in the maxilla and 2 in the mandible) in four patients were placed in sockets without inflammation (NISO). Reasons for extraction were: root fracture, root resorption after luxation injury and failure of treatment of chronical periapical periodontitis. Surgical procedure was pointed toward preservation of tissues, curettage and gaining of primary stability. The void between the socket and the implant was filled with deproteinized bovine bone granules. Temporary crowns were delivered without any occlusal contact (non-functional loading). Antibiotic was prescribed for 10 days. Clinical and radiographic controls were performed according to the protocol (1/6/12/24 weeks). Survival rate was 100% in both groups. Regarding other criteria, all the implants were successful. With eight implants apposition of bone was seen over the implant shoulder on x-rays after 24 weeks, with one from NISO only unilaterally. Fistulas were closed in two weeks. With one patient postoperative hematoma emerged and resorbed uneventfully. Although lover survival and success rates were expected with the ISO group, this was not the case; bony overgrowth is even suggesting the opposite. Accurate aseptic surgery, removal of inflamed tissues and appropriate antibiotic obviously overweighed the threat of non-integration due to infections. This pilot study should be continued to prove these early results.