Evaluation of the Dimensional Alveolar Bone Changes in Immediate Post Extraction Implant Placement in the Maxillary Premolar Area With or Without Loading: A Randomized Controlled Clinical Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cairo University
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Height of alveolar bone crest
Study Overview
Brief Summary
The aim of this study was to evaluate the dimensional alveolar bone changes in immediate post extraction implant placement with loading compared to immediate post extraction implant placement without loading in the maxillary premolar area . The main question it aims to answer is : Can immediate post extraction implant placement in the maxillary premolar area with loading achieve better alveolar bone dimensions than without loading?
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 25 Years to 45 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •1. Patients who have at least one non restorable tooth in the maxillary premolar area that needs to be extracted.
- •2. Patients with healthy systemic condition.
- •Patients aged from 20 to 45 years old.
- •Buccal bone thickness should be at least 1mm. (Morton et al., 2014)
- •Availability of bone apical and palatal to the socket to provide primary stability.(Morton et al., 2014)
- •Good oral hygiene.(Wiesner et al., 2010)
- •Accepts one year follow-up period (cooperative patients) Patient provides an informed consent.
- •8. Adequate Inter-arch space for implant placement.
- •Favorable occlusion (no traumatic occlusion)
Exclusion Criteria
- •Patients with signs of acute infection related to the area of interest.
- •Patients with habits that may jeopardize the implant longevity and affect the results of the study such as parafunctional habits (Lobbezoo et al., 2006).
- •3. Current and former smokers (Lambert, Morris and Ochi, 2000)
- •Pregnant females.
Arms & Interventions
Immediate Implants without loading
Intervention: immediate implant placement with or without loading (Procedure)
Immediate Implants with loading
Intervention: immediate implant placement with or without loading (Procedure)
Outcomes
Primary Outcomes
Height of alveolar bone crest
Time Frame: 6 months
After the implants are placed, a series of digital radiographs are obtained at 0 , 3, and 6 months duration to study the changes in the amount of crestal bone level.
Secondary Outcomes
- Implant stability(6 months)
- post-surgical patient satisfaction(6 months)
- Alveolar bone width(6 months)
Investigators
Osama Atef Elshahat Attia
Dr. Osama Atef
Cairo University