Immediate Functional Versus Non Functional Implant Loading in the Mandible

Not Applicable

Completed

• Conditions: Dental Implants; Edentulous Alveolar Ridge
• Interventions: Other: immediate functional implant loading; Other: immediate non functional implant loading

• Registration Number: NCT04521530
• Lead Sponsor: Hams Hamed Abdelrahman

Brief Summary

comparing immediate functionally loaded implants and immediate non functionally loaded implants in the posterior mandibular region on bases of bone density and bone loss evaluated by cone-beam computed tomography (CBCT).

Detailed Description

Patients are more demanding after the revolution in immediate implant dentistry which reduces implant procedure nowadays according to literature and research. In response to patients' demands not only implants are immediately placed but also immediately loaded within 72 hours reducing the time for prosthetic loading and also improving bone formation according to some studies. The debate in modern implant dentistry is whether to immediately load the implants in functional occlusion or non-functional occlusion and which will improve the osseointegration and reduce crestal bone loss.

Implants of the BioInfinity system were placed in 16 subjects divided into two groups.

Group (A): 8 patients with missing posterior mandibular teeth whom will be rehabilitated with immediate functionally loaded implants.

Group (B): 8 patients with missing posterior mandibular teeth in whom immediate non-functionally loaded implants were used.

The two groups were evaluated at baseline, immediately after implant placement and 4 months postoperative to evaluate crestal bone level and quantitative radiographic bone density using CBCT.

Study Timeline

• Study Start: 2019-12-01
• Primary Completion: 2020-06-01
• Study Completion: 2020-06-29
• Status Verified: 2020-08
• Study First Submitted: 2020-08-18
• Study First Submitted QC: 2020-08-19
• Last Update Submitted: 2020-08-19
• Study First Posted: 2020-08-20
• Last Update Posted: 2020-08-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 16

Inclusion Criteria

• Adult patients aged (20-40) years old.
• Missing Posterior tooth or teeth indicated for implant placement.
• Residual alveolar ridge at least 10 mm high and at least 4 mm wide.

Exclusion Criteria

• Systemic diseases that will contraindicate the surgery.
• Poor Oral Hygiene.
• The patient refuses to undergo the surgery.
• Parafunctional habits.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
immediate functional loading with temporary crowns	immediate functional implant loading	patients were rehabilitated with immediate functionally loaded implants.
immediate non functional loading with temporary crowns	immediate non functional implant loading	patients were rehabilitated with immediate non-functionally loaded implants.

Primary Outcome Measures

Name	Time	Method
Pain score	immediately Postoperatively	Visual analogue scale consist of a scale of 10 0 means no pain 10 menas pain is as bad as it could possibly be
Change in crestal bone loss	immediately Postoperatively and after 4 months	CBCT was done immediately after implant placement and 4 months postoperatively to assess crestal bone loss

Trial Locations

Locations (1)

Faculty of Dentistry, Alexandria University; 🇪🇬 Alexandria, Egypt