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Evaluation of the Dimensional Alveolar Bone Changes in Immediate Post Extraction Implant Placement

Not Applicable
Completed
Conditions
Immediate Implant With Loading
Interventions
Procedure: immediate implant placement with or without loading
Registration Number
NCT06515509
Lead Sponsor
Cairo University
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?

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
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. 3. Patients aged from 20 to 45 years old. 4. Buccal bone thickness should be at least 1mm. (Morton et al., 2014) 5. Availability of bone apical and palatal to the socket to provide primary stability.(Morton et al., 2014) 6. Good oral hygiene.(Wiesner et al., 2010) 7. Accepts one year follow-up period (cooperative patients) Patient provides an informed consent.

    3. Adequate Inter-arch space for implant placement. 9. Favorable occlusion (no traumatic occlusion)

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Exclusion Criteria
    1. Patients with signs of acute infection related to the area of interest. 2. Patients with habits that may jeopardize the implant longevity and affect the results of the study such as parafunctional habits (Lobbezoo et al., 2006).
  1. Current and former smokers (Lambert, Morris and Ochi, 2000) 4. Pregnant females.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Immediate Implants without loadingimmediate implant placement with or without loading-
Immediate Implants with loadingimmediate implant placement with or without loading-
Primary Outcome Measures
NameTimeMethod
Height of alveolar bone crest6 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 Outcome Measures
NameTimeMethod
Implant stability6 months

Implant stability quotient (ISQ) values were measured with an Osstell® (Integration Diagnostics AB, Gothenburg, Sweden)

post-surgical patient satisfaction6 months

Post-Surgical Patient Satisfaction Questionnaire (PSPSQ) composed of 3 questions is filled by the patient and numerical score is obtained

Alveolar bone width6 months

(CBCT) images are used for evaluation of alveolar bone width around all implant sides all over. At 0. 3, 6 month postoperative by using superimposition and subtraction method

Trial Locations

Locations (1)

Cairo University

🇪🇬

Cairo, Egypt

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