Immediate Implant Placement with and Without Sticky Bone in Freshly Extracted Socket of Single Rooted Tooth with Periapical Pathosis - A Clinico - Comparative Study

Abstract

The success of dental implants largely depends on the quality of bone into which they are placed. Immediate implant placement is increasingly favored for single-rooted teeth with peri-apical pathosis, as it reduces treatment time and maintains esthetics. However, challenges in implant stability and bone resorption often arise. This clinico-comparative study aims to evaluate the efficacy of using sticky bone versus not using sticky bone in the immediate placement of implants in freshly extracted sockets with peri-apical pathosis. The study enrolled 30 patients, who were randomly divided into two groups. Group 1 received implants with sticky bone, while Group 2 received implants without sticky bone. The primary outcome measures were implant stability, osseointegration, and bone volume. Radiographic analysis was used to assess bone levels and resorption around the implant site, while clinical assessment included implant mobility and patient-reported outcomes. Results showed that sticky bone significantly enhanced initial implant stability and reduced bone resorption. Additionally, there was improved osseointegration in the sticky bone group, which was supported by higher success rates. The findings suggest that the use of sticky bone may be a beneficial adjunct to immediate implant placement in cases of peri-apical pathosis, contributing to improved clinical outcomes.
Keywords: Immediate implant placement, sticky bone, single rooted tooth, peri-apical pathosis, clinico-comparative study, dental implants, socket preservation, osseointegration.