Evaluation of Immediately Placed Ultra Wide Diameter Implant Placed in Mandibular Molars (A Single Arm Clinical Trial)

Introduction: In immediate implant placement, Grafting materials should be used if there is a gap of more than 2mm between socket walls and the implant body. Ultra-wide diameter implants (UWD) ''7 - 9 mm diameter " were introduced to allow more engagement to molar socket walls and to reduce the necessity for using bone grafts in immediate molar placement. Objectives: Evaluation of both radiographical and clinical outcomes of osteointegration and peri-implant bone density outcomes when using UWD implant placed immediately in molar extraction socket. Materials and Methods: 12 ultrawide dental implants were placed immediately in freshly atraumatically extracted molar sockets of 12 patients without raising flaps or using bone grafts. Cement retained crown was loaded 6 months postoperatively. All patients underwent clinical and radiographical evaluations for 9 months. Results: Implant stability and peri-implant bone density showed a statistically significant increase through follow-up time periods. Conclusion: This study demonstrated that using ultrawide dental implants immediately in freshly extracted mandibular molar sockets is a predictable modality to improve implant stability and bone density with less marginal bone resorption.