Peri-implant Bone Behavior After Single Drilling Technique Versus Undersized Technique of Immediately Loaded Implant in Posterior Maxilla: A One-year Prospective Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Implant
- Sponsor
- Mansoura University
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Implant stability
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Two different drilling techniques in posterior maxilla immediate loading implant
Detailed Description
One of the surgical techniques used to enhance the primary stability of implant in low density bone was the undersized drilling technique, which has been introduced to locally optimize poor density of bone by using a final drill diameter considerably smaller compared with the implant diameter. On the other hand, a novel hollow drill with a single drilling systems was designed. Single drilling technique shortens surgical times, removes the smallest amount of bone during implant site preparation, reduces bone damage and micro fractures, and speeds up the healing process. Additionally, because of the hollow shape, bone core may be harvested and used as an autogenous bone grafting material.
Investigators
Mohamed Galal
Clinical demonstrator oral and maxillofacial surgery Mansoura university
Mansoura University
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Implant stability
Time Frame: 12 months
Implant stability will be assessed at the time of implant insertion and at 3, 6 and 12 months after surgery.
Modified Sulcus Bleeding Index (mBI)
Time Frame: 12 months
It will be measured at 3,6 and 12 months post-operatively. Clinical signs and symptoms of inflammation of peri-implant mucosa will be graded using criteria of modified sulcus bleeding index (mBI).
Peri-implant probing depth
Time Frame: 12 months
Depth of the peri-implant sulcus will be recorded initially at the time of loading, 3, 6 and 12 months following implant loading by a graduated periodontal probe with light force to avoid undue tissue damage and over-extension into the healthy tissue
Marginal Bone Loss
Time Frame: 12 months
For the calculation of marginal bone loss (MBL), the implant will be used as a reference by adjusting the cross-sectional and panoramic long axis in the center of the implant and bisecting it
Bone Density Recordings
Time Frame: 12 months
Relative bone density records will be collected from the bucco-palatal view of the cross-sectional plane using the greyscale bone measuring tool