Comparative assessment of changes in microflora in delayed and immediately placed implant: A clinical study

Mohammad Jalaluddin; Naman Awasthi; Santhosh Kumar V; Uttam S Shetty; Konsam Bidya Devi; Thomas Varghese

doi:10.53730/ijhs.v6nS1.5165

Authors

Mohammad Jalaluddin
drjalal1979@gmail.com
Professor, Department of Periodontics and Oral Implantology, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha, India
Naman Awasthi Assistant professor, Department of Dentistry, Government medical college, Shahdol, Madhya Pradesh, India
Santhosh Kumar V Assistant Professor, Department of Prosthodontics, Vinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamilnadu, India
Uttam S Shetty Reader, Department of Prosthodontics, Bharati Vidyapeeth Dental College and Hospital, Navi Mumbai, India
Konsam Bidya Devi Assistant Professor, Department of Periodontology, Dental College, JNIMS Porompat Imphal, Manipur, India
Thomas Varghese Specialist Prosthodontist, Implantologist and Clinical Lecturer, Department of Prosthodontics, College of Dentistry, Gulf medical University, Ajman, United Arab Emirates

Keywords:

delayed implant, immediately implant, microflora, peri‑implant

Abstract

Aim of the present study was to assess the changes in microflora in delayed and immediately placed implant. In this study, a total of 30 implant areas in 30 patients were analyzed. The study group consists 14 male and 16 female participants in the age range of 20-40 years. The patients were randomly divided into two groups (15 patients in each group). Group A: Immediate Implant Placement, Group B: Delayed Implant Placement. Implant placement done accordingly. The materials and media used for the study were sterilized. One day before, sample collection and implant placement, complete mouth scaling, and polishing were done. Sites to be sampled were isolated with sterile cotton rolls. Bacterial culture media used in the study include blood agar, Kanamycin blood agar, and Kanamycin‑vancomycin blood agar. The samples were collected in the following stages- preoperative stage, After 24 hrs postoperative, After 7 days postoperative, on the day of prosthesis placement, 1^st month follow‑up, 2^nd month follow‑up. These following samples were tested to calculate the growth of the following pathogenic microorganisms: Aggregatibacter actinomycetemcomitans, Streptococcus, Porphyromonas gingivalis, Prevotella intermedia.

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References

Jaspreet Kaur, Gurparkash Singh Chahal, Vishakha Grover, Dipika Bansal and Ashish Jain. Immediate implant placement in periodontally infected sites- A systematic review and meta-analysis. Journal of the International Academy of Periodontology 2021;23(2):115–137.

Muthukumar B, Gopichander N, Katare U. Clinical and radiographic evaluation of single unit implant-retained prosthesis with immediate and delayed loading. SRM J Dent Sci 2010;1:48-50.

Simunek A, Kopecka D, Brazda T. Development of implant stability during early healing of immediately loaded implants. Int J Maxillofac Implants 2012;27:619-27.

Cortelli SC, Cortelli JR, Romeiro RL, Costa FO, Aquino DR, Orzechowski PR, et al. Frequency of periodontal pathogens in equivalent peri‑implant and periodontal clinical statuses. Arch Oral Biol 2013;58:67‑74.

Brånemark PI, Adell R, Breine U, Hansson BO, Lindström J, Ohlsson A. Intra‑osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg1969;3:81‑100.

Hiremath KG, Patil VN, Ruttonji Z, Kusugal P, Sushma KM, Astagi P. A comparative evaluation of changes in microbial flora in delayed and immediate placed implants: An in vivo study. J Dent Implant 2020;10:16-21.

Quirynen M, Listgarten MA. Distribution of bacterial morphotypes around natural teeth and titanium implants ad modum Brånemark. Clin Oral Implants Res. 1990;1:8–12.

Mombelli A, van Oosten MA, Schurch E, Jr, Land NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol. 1987;2:145–51.

Canullo L, Penarrocha-Oltra D, Soldini C, Mazzocco F, Penarrocha M, Covani U. Microbiological assessment of the implant-abutment interface in different connections: Cross-sectional study after 5 years of functional loading. Clin Oral Implants Res. 2015;26:426–34.

Danser MM, van Winkelhoff AJ, van der Velden U. Periodontal bacteria colonizing oral mucous membranes in edentulous patients wearing dental implants. J Periodontol 1997;68:209‑16.