a Novel Socket Evaluation System and Its Impact on Bone Formed Labial to Bone Immediate Anterior Implants. A 1-year Clinical Trial.
Overview
- Phase
- Not Applicable
- Intervention
- Immediate implants with bone grafts
- Conditions
- Immediate Implant Placement
- Sponsor
- Misr International University
- Enrollment
- 25
- Locations
- 1
- Primary Endpoint
- Bone labial to the implant
- Status
- Not yet recruiting
- Last Updated
- 3 months ago
Overview
Brief Summary
The anterior maxilla is a particularly challenging area for immediate implant placement due to its thin buccal bone walls. These walls are more susceptible to resorption after tooth extraction, which can lead to significant bone loss and inadequate support for an implant. However, Different socket dimension may affect the amount of bone formed labial to the implant, regardless of the garfting procedure.
Detailed Description
Bone formation labial to the immediate implant is not related to the initial thick- ness of the labial plate of bone, rather than the initial labio-palatal socket dimension. this study aims to evaluate the bone formed labial to the implant following a Novel Socket Evaluation System.
Investigators
Ahmed Abo El Futtouh
Exectutive and Clinical director of Implantology Master program, MIU
Misr International University
Eligibility Criteria
Inclusion Criteria
- •Immedaite implants in anterior maxilla
- •thick gingival phenotype
- •intact but thin labial plate of bone (≤1mm)
- •sufficient apical bone to attain implant primary stability (a minimum of 35 Ncm insertion torque)
Exclusion Criteria
- •pregnant women
- •patients with systemic disease
- •patients with parafunctional habits such as bruxism or clenching,
- •infected socket
- •periapical pathosis
- •history of radiotherapy or chemotherapy within the past 2 years.
Arms & Interventions
Bone grafts
Immediate implant placed with bone grafts in the labial gap
Intervention: Immediate implants with bone grafts
No bone grafts
Immediate implant placed without bone grafts or any grafting substitutes in the labial gap
Intervention: Immediate implant placed without bone grafts or any grafting substitutes in the labial gap
Outcomes
Primary Outcomes
Bone labial to the implant
Time Frame: one year
measured at three levels 0, 2, and 5 mm below the labial bone crest after one year. Using fusion software.
Secondary Outcomes
- Bone area at the Interproximal component(preoperative)