Evaluation of Accuracy in Computer Guided Versus Free Hand Immediate Implant Placement in Fresh Extraction Sockets: a Randomized Controlled Clinical Trial
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Cairo University
- Enrollment
- 20
- Primary Endpoint
- Linear Deviation
Study Overview
Brief Summary
Patients with hopeless teeth in the esthetic area requiring immediate implant restoration will be recruited to the study. Patients will be divided into two groups; a group will receive immediate implants placed using CAD/CAM guides while the other group will receive immediate implants placed by free hand technique. Accuracy of inserted implants will be measured.
Detailed Description
Interventions The principal investigator (DA) will diagnose all patients and select them according to inclusion and exclusion criteria.
The principal investigator (DA) will prepare all patients. Patient preparation will take few steps that are important for optimum planning of implant insertion and restoration. Actual treatment steps will start after preparation is done including; surgical and prosthetic procedures.
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Case history
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Medical history:
The principal investigator (DA) will ask all patients about their present and previous systemic condition and any history of hospitalization or surgeries. Controlled diabetic patients will be asked to bring a recent blood glucose test. This includes both fasting/post prandial &glycosylated hemoglobin test (Hemoglobin A1c) to evaluate their current status. 2. Dental history:
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 20 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Patients with hopeless teeth or remaining roots
- •Bucco-lingual bone thickness of 7mm or more (Spray et al., 2000)
- •Bucco-lingual keratinized mucosa of 6mm or more (Spray et al., 2000)
- •Inter-arch space sufficient for prosthetic rehabilitation (7mm or more) (Misch, 2008)
- •Adults more than 18 years old
Exclusion Criteria
- •Uncontrolled diabetic patients (HbA1c value ≥ 8.1 percent) (Takeshita et al., 1998)(Javed & Romanos, 2009)(Garg, 2010)(Retzepi & Donos, 2010)(B R Chrcanovic et al., 2014)
- •Heavy smokers (More than 10 cigarettes per day) (Nitzan et al., 2005) (Strietzel et al., 2007) (Abt, 2009)(Bruno Ramos Chrcanovic et al., 2015)
- •Severe bruxers (Lobbezoo et al., 2006) (Manfredini et al., 2011)(Lin et al., 2012)(Zhou et al., 2015)
Arms & Interventions
Computer guided implant insertion group
According to the allocation, the experimental group will receive implants immediately placed in extraction sockets using CAD/CAM surgical guides.
Intervention: Computer guided implant insertion group (Device)
Free hand implant insertion group
According to the allocation, the control group will receive implants immediately placed in extraction sockets using traditional free hand technique.
Intervention: Free hand implant insertion group (Device)
Outcomes
Primary Outcomes
Linear Deviation
Time Frame: two months postoperative
The amount of linear deviation was measured through three parameters; global, lateral and depth deviation. These parameters will be measured at the apical and coronal center in a mesiodistal and buccolingual plane.
Secondary Outcomes
No secondary outcomes reported
Investigators
Doaa Mohammed Ayman
Assistant lecturer at Prosthodontic Department Faculty of Dentistry
Cairo University