Immediate Implant Placement Into Infected Sockets?

ACTUALLY I HAD A CASE IN THE #21 SITE( NOT A SOCKET) GREAT PRIMARY STABILITY 50NCM TORQUE THAT FAILED FROM A LESION PRESENT IN THE #22 EXTRACTION SITE THAT I ASSUME I DID NOT ADEQUATELY REMOVE.

There are degrees of infection. Immediate placement into infected sockets will work in all but the most infected sites if attention to detail is taken. You may wish to review these articles: Immediate placement of dental implants into debrided infected dentoalveolar sockets. https://www.ncbi.nlm.nih.gov/pubmed/17307582# Placement of endosseous implant in infected alveolar socket with large fenestration defect: A comparative case report J Indian Soc Periodontol. 2010 Oct-Dec; 14(4): 270–274. doi: 10.4103/0972-124X.76937 Immediate implants placed in fresh sockets associated to periapical infectious processes. A systematic review Med Oral Patol Oral Cir Bucal. 2013 Sep 1;18 (5):e780-5.

It depends on luck .... and host factors , do I feel lucky .........as Dirty Harry would say . In the UK we have extreme medico-legal ........ luck cannot be a factor So great site preparation is essential as all my Implants a Guaranteed to work or re-done for free ...... Peter

This is one of those pointless discussions that never reach a conclusion. If by infection you mean a single rooted tooth with an apical granuloma, of course you can get away with an immediate implant and immediate loading - so long as the socket is adequately debrided and the implant has good primary stability. If by infection you mean a multirooted tooth with an acute abscesss in someone with a mouth like the bottom of a baby's pram no one in their right mind would place an immediate implant let alone load it. It's all a matter of clinical judgement.