Effect of Utilizing Piezosurgery in Immediate Implant Placement on Primary Stability, Secondary Stability and Surgery Time: A Case Report

ABSTRACT Immediate Implant Placement (IIP) reduces surgeries and overall treatment time but is a complex procedure with high surgical risks. Achieving primary stability is crucial, depending on factors like bone density and implant bed preparation. This study evaluates piezoelectric surgery for IIP, focusing on stability and surgical time. A 52-year-old woman underwent IIP with four implants using piezoelectric tips. Implant stability was measured using resonance frequency analysis (RFA) at multiple time points: surgery (T0), 14 days (T1), 21 days (T2), 30 days (T3), 60 days (T4) and one year (T5). Surgical time was recorded and postoperative care included antibiotics and follow-up visits. No implant failures or severe complications occurred, resulting in a 100% implant survival rate. An early rise in the ISQ values (T1) was noted, demonstarting a change from a decreasing towards an increasing stability pattern as early as 14 days. ISQ values increased over time, indicating improved stability, with substantial stability by 60 days and further consolidation at one year. The mean peak insertion torque was 50 Ncm and average preparation time was 4 minutes. Piezo surgery, despite requiring more operating time, offers benefits such as precise osteotomies, minimal trauma and enhanced primary and secondary stability, leading to successful IIP outcomes. Further studies are needed to compare its performance with conventional drilling techniques in IIP protocols. Keywords: Immediate Implant Placement (IIP), Implant Stability, Implant Stability Quotient (ISQ),Piezosurgery, Case Report.