Septal Bone Expansion Using Osseodensification Versus Piezoelectric Implant Site Preparation for Immediate Implant Placement in Mandibular Molars [Randomized Clinical Trial]
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Change in implant stability
研究概览
简要总结
: Implant placement in the inter radicular septum is usually considered the best option for an immediate molar implant, not only in terms of correct 3D positioning, but also regarding implant survival, Osseodensification was shown to enhance implant primary stability, due to the compaction auto-grafting and the associated spring-back effect. Piezoelectric implant site preparation (PISP) has been proposed as an alternative technique to improve surgical control, safety, and bone healing response Aim of the work: To evaluate and compare stability changes using insertion torque values (ITV) and Implant Stability Quotient values (ISQ) for immediately placed implants in molar septum using Osseodensification technique and Piezoelectric implant site preparation (PISP) technique.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
the statistician will be blinded to the treatment groups
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients with hopeless mandibular molar teeth in the posterior region in need of implant placement .
- •A fully intact facial bone wall at the extraction site.
- •Systemically healthy, received no head and neck radiation for cancer treatment.
- •Absence of periapical pathologies or suppuration at the time of installing the implants.
- •Septal bone after atraumatic extraction not less than 3 mm.
排除标准
- •Systemic conditions that would prevent successful healing or implant osseointegration; examples are uncontrolled Diabetes Mellitus, metabolic bone disorders, autoimmune diseases, or Bisphosphonate therapy.
- •Heavy smoker patients.
- •Presence of preapical bone loss related to extracted tooth.
- •Patient is not indicated for immediate implant placement
研究组 & 干预措施
piezoelectric group
干预措施: Piezotome (Other)
osseodensification
干预措施: Densah burs (Other)
结局指标
主要结局
Change in implant stability
时间窗: Baseline and 3 months
The implant stability quotient (ISQ) will be measured using the Osstell device- resonance frequency analysis test at 3 months post-surgery to all the installed fixtures.
次要结局
- Change in bone density(Baseline and 3 months)
研究者
Hams Hamed Abdelrahman
Lecturer of Dental Public Health and biostatistical consultanat
Alexandria University