Effectiveness of Immediate Implants in Patients with Periodontal Lesions

Objective: The aim of this study was to evaluate the effectiveness of immediate implants replacing the teeth with periodontal lesions. Materials and Methods: This prospective study included 53 patients with periodontitis who underwent immediate implant placement from 2023 to 2025. The patients were randomly assigned into two groups: Group A 19 patients (12 males and 7 females, 42 to 58 years), periodontal treatment protocol - scaling and root planning (SRP)+Armenicum" paste, extraction of periodontally affected hopeless teeth and immediate implant placement. Group B 34 patients (16 males and 18 females, 37 to 65 years) extraction of periodontally affected hopeless teeth and immediate implant placement. A total of 287 Bio3 implants (GmbH, Germany) were administered after the removal of hopeless teeth with periodontal disease. All patients had assessed and indexed: bleeding on probing (BOP); probing pocket depth (PPD) and marginal bone loss (MBL) of the placed implants, at 6 months after 12 and 36 months. Patients were followed up at 12- month intervals. Results: Serious complications were recorded neither during operation or in the postoperative period. Postoperative monitoring of the patients showed no statistically significant differences were recorded average indices in Group A and Group B. The results of the implant-supported restoration satisfied the patients, meeting their functional and aesthetic requirements. The success rate of implants after 3 years in patients Group-A was 97.4% and in Group-B 96.9 %. Conclusions: Immediate implants in patients with periodontitis is a predictable treatment method, and encouraging results can be achieved if the treatment protocols are followed.