Abstract
Background: Dental implants are regularly used to restore tooth loss. Immediate implant placement (IIP) has now become an increasingly common strategy to reduce treatment time. Dental implant malposition occurs when an implant is placed at an inappropriate dimension through the bone. This can lead to a variety of aesthetic and functional complications. Therefore, this study aimed to compare immediate implant placement (IIP) and early implant placement (EIP) regarding the occurrence of malposition.Methods: This cross-sectional study analyzed existing clinical records and accompanying periapical (PA) radiographs of 67 immediate implant placements (IIP) and 152 early implant placements (EIP). All implants had originally been placed by senior periodontics residents. Postoperative PA radiographs obtained at the time of surgery were reviewed to assess implant malpositioning. Dental implant Malposition was defined as mesiodistal angulation ≥15° or inadequate proximity (<1.5 mm to adjacent teeth or <3 mm to adjacent implants). The associations between variables and malpositioning were assessed using both univariate and multivariable logistic regression.Results: A total of 219 implants were included from 85 individuals, comprising 31 males (36.47%) and 54 females (63.53%), with a mean age of 49.88 ± 14.06 (range: 20 to 80). Multivariable logistic regression analysis indicated that both timing of implant placement and position of Implant (maxilla vs. mandible) significantly influenced the risk of malpositioning. IIP was associated with a lower probability of malpositioning than EIP (adjusted OR = 0.38; 95% CI: 0.16–0.90; P = 0.03; Nagelkerke R² = 0.10).Conclusion: Within the limitations of this cross-sectional study and according to the multivariable regression, both the timing and position of implant placement are predictors of malpositioning. IIP demonstrated a lower risk of malpositioning compared with EIP, while maxillary placement remained a significant risk factor.