Assessment of Stability Using Satellite Implant for Immediate Loading in Posterior Mandible

Not Applicable

Not yet recruiting

Brief Summary: The research aims to evaluate the long-term effectiveness of satellite implants in the posterior mandible by assessing the levels of crestal bone after six months of first loading and secondary stability issues at fourth-month , primary stability at time of implant loading . In particular, the primary outcome of this study is to assessment stability of satellite implants, which will be evaluated by anycheck device.

Detailed Description: satellite dental implants show potential for improving stability, and reducing crestal bone loss in the posterior mandible site, it offers effective solution for cases where primary stability is compromised due to poor bone quality or quantity. By providing additional support and anchorage, they enhance the overall stability of the implant, reducing the risk of failure and allowing for successful immediate loading. clinical evidence for their efficacy is still lacking. This prospective case series intends to fill this gap by evaluating crestal bone levels and stability factors in patients who are getting satellite implants for immediate loading in the posterior mandible. The results will improve clinical recommendations and practice for implant placements in the posterior mandible.

Recruitment & Eligibility

Inclusion Criteria

Patients requiring implants for the posterior mandible.
Patients aged between 18-45 years old.
Implants must be at least 8mm in length.
A sufficient quantity and distribution of implants to enable cross-arch stability.
Implants must have good initial stability, with insertion torques ranging from 35 to 50 N/cm.
Sufficient bone for implant placement and plate fixation.
Patient able to give informed consent.
Sufficient inter-arch space.

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Assessment stability of satellite implant	satellite implant	Satellite implant is connecting microplate is attached to the implant's supra structure placed on the adjacent alveolus. Miniature "satellite" implant screws are inserted at approximal cortical sites to give the implant additional stability

Primary Outcome Measures

Name	Time	Method
Assessment of Stability Using Satellite Implant for Immediate Loading in Posterior Mandible	Immediately post-implantation	After the insertion of the satellite implant, primary stability will be assessed at the time of implant loading using the "AnyCheck" device (Neo Biotech, Seoul, Korea). Introduced in 2017, the AnyCheck device evaluates implant stability through a damping capacity assessment method. It functions by striking the healing abutment six times over a span of three seconds. The contact duration between the impacting rod and the healing abutment is measured and converted into Implant Stability Test (IST) values. These values are quantified on a scale from 1 to 99, where higher IST values indicate greater implant stability or lower mobility. This quantitative measure provides a precise, reproducible method to assess the outcome of implant stability immediately after placement.

Secondary Outcome Measures

Name	Time	Method
Assessment of Stability Using Satellite Implant for Immediate Loading in Posterior Mandible	The secondary stability is assessed four months post-implantation for each patient.	Assessment Tool: Secondary stability will be assessed using the "AnyCheck" device (Neo Biotech, Seoul, Korea). Introduced in 2017, this device specifically measures the damping capacity to evaluate implant stability. Method: After the removal of the satellite implant four months post-procedure, the AnyCheck device will be employed to measure the secondary stability. The device operates by striking the healing abutment six times over a three-second period. The duration of contact between the impacting rod and the healing abutment is recorded. Measurement Scale: The recorded contact time is then converted into Implant Stability Test (IST) values, which are displayed on a scale from 1 to 99. Higher IST values indicate greater implant stability, reflecting lower mobility of the implant within the bone.