Clinical and Radiographic Outcomes of Computer Guided Immediate Implant Placement Utilizing Artificial Intelligence Assisted Socket Shield Approach: Randomized Clinical Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Kafrelsheikh University
- Enrollment
- 22
- Locations
- 1
- Primary Endpoint
- Stability Quotient of dental implant
Study Overview
Brief Summary
Aim of the current randomized clinical trial is to evaluate and compare the effectiveness of computer-guided immediate implant placement performed simultaneously with artificial intelligence assisted socket shield technique versus conventional approach.
Detailed Description
Guided implant surgery was used in dental implant surgery to achieve accuracy and an overall predictability. Successful guided implant workflow depends on 3-dimensional image acquisition and precise model fabrication.
Artificial intelligence application in implant dentistry has ushered in a new era of precision and efficiency demonstrating improved implant survival rates and patient satisfaction and enhance the integration of technologies with digital workflows.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 19 Years to 40 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •above the age of 18years
- •presence of non-restorable maxillary anterior tooth
- •had intact socket walls following tooth extraction
- •the gingival biotype was thick.
Exclusion Criteria
- •history of systemic condition
- •history of using bisphosphonates or other drugs that might impact bone turnover
- •a history of smoking during the previous five years,
- •a history of any acute infections at the surgical site,
- •teeth having root resorptions
Arms & Interventions
control group
conventional socket shield with conventional simultaneous implant placement
Intervention: free-hand socket shield (Procedure)
study group
computer guided implant placement combined with artificial intelligence-assisted socket shield.
Intervention: AI/guided socket shield (Procedure)
Outcomes
Primary Outcomes
Stability Quotient of dental implant
Time Frame: 24-month.
Osstell TM was used to record the primary stability.ISQ, or Implant Stability Quotient, is a scale from 1 to 100 and is a measure of the stability of an implant. The ISQ scale has a non-linear correlation to micro mobility. With more than 1400 scientific references, investigators now know that high stability means \>70 ISQ, between 60-69 is medium stability and \< 60 ISQ is considered as low stability
pink esthetic score
Time Frame: 24-month.
The pink esthetic score (PES) evaluates the esthetic outcome of soft tissue around implant-supported single crowns in the anterior zone by awarding seven points for the mesial and distal papilla, soft-tissue level, soft-tissue contour, soft-tissue color, soft-tissue texture, and alveolar process deficiency.Using a 0-1-2 scoring system, 0 being the lowest, 2 being the highest value, the maximum achievable PES was 14
Midfacial Mucosal Alterations
Time Frame: 24-month.
digital intraoral scans were recorded. To quantify the vertical changes in the soft tissues around implants buccally, the collected scans were digitally superimposed via matching Gom inspect software
facial marginal bone level
Time Frame: 24-month
Utilizing CBCT sagittal sections, the BMBL was evaluated by computerized analysis. Navigation was done on the multiplanar display until the implant's precise same-view location was established on the reformatted cross-sectional section and panoramic view.
Secondary Outcomes
No secondary outcomes reported
Investigators
Walid Elamrousy
Assistant Professor of periodontology
Kafrelsheikh University