Nikitina L.I., Dzhuraeva Sh.F.

Comparative analysis of atraumatic tooth extraction methods in the aspect of immediate implantation based on a clinical study

Keywords: atraumatic tooth extraction, luxators, Easy X-trac System, immediate implantation, integrity of the bony walls, peri-implantitis

Traditional tooth extraction with forceps and elevators is often accompanied by injury to the bone walls of the alveolar socket, which worsens the conditions for immediate implantation. Introduction of atraumatic techniques (luxators, the Easy X-trac system) requires a clinical assessment of their effectiveness. The aim of the study was to compare the effectiveness of two atraumatic single–root teeth extraction methods (luxators and the Easy X-trac system) in comparison with the traditional method and to assess their impact on the results of immediate dental implantation. Materials and methods. A prospective comparative clinical trial was conducted with the participation of 58 patients (58 extracted single-root teeth). Three groups were formed: group 1 (luxators, n = 22), group 2 (Easy X-trac System, n = 18) and the control group (traditional extraction with forceps and elevators, n = 18). Immediate implantation was performed in groups 1 and 2. The study assessed the integrity of the alveolar bone walls, the incidence of alveolitis, the initial stability of the implants (≥ 30 N·cm), implant survival in 6 months, and the incidence of peri-implantitis. The statistical analysis was performed in SPSS 26.0 using Pearson’s c² test and Fisher’s exact test. The level of statistical significance is assumed to be p < 0.05. Results. Atraumatic methods provided significantly higher integrity of bone walls (luxators – 95.5%, Easy X-trac – 100%) compared with the control group (40.0%) (p < 0.01). The incidence of alveolitis in the atraumatic groups ranged from 0 to 4.5% versus 22.2% in the control group (p < 0.05). Primary implant stability was achieved in 95.5% (luxators) and 100% (Easy X-trac) patients (p > 0.05). The survival rate of implants after 6 months was 90.9% and 94.4%, respectively, the incidence of peri–implantitis was 4.5% and 5.6% (differences were not statistically significant, p > 0.05). In the control group, immediate implantation was not performed due to damage to the bone walls. Conclusions. Atraumatic tooth extraction methods (luxators and the Easy X-trac system) significantly outperform the traditional method in terms of bone wall integrity and frequency of alveolitis, which makes them the method of choice when planning immediate implantation. Easy X-trac System showed maximum integrity of bone walls (100%), however, differences with luxators in implantological outcomes did not reach statistical significance. Traditional extraction is not recommended when planning an immediate implantation.

About authors

Nikitina Louise I.

Candidate of Medical Sciences, Associate Professor, Head of the Department of Propeadeutics of Dental Diseases and New Technologies, Chuvash State University, Russia, Cheboksary (prop.stom.zab@mail.ru; ORCID: https://orcid.org/0000-0003-4893-0314)

Dzhuraeva Sharora F.

Doctor of Medical Sciences, Professor, Department of Propaedeutics of Dental Diseases and New Technologies, Chuvash State University, Russia, Cheboksary (dsharora@mail.ru; ORCID: https://orcid.org/0000-0002-0149-5653)

Article link

Nikitina L.I., Dzhuraeva Sh.F. Comparative analysis of atraumatic tooth extraction methods in the aspect of immediate implantation based on a clinical study [Electronic resource] // Acta medica Eurasica. – 2026. – №2. P. 35-43. – URL: https://acta-medica-eurasica.ru/en/single/2026/2/4/. DOI: 10.47026/2413-4864-2026-2-35-43.