New IMPLANTARY SURGERY Protocol ASSISTED BY PASSIVE ROBOTIQUE: Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 15
- 试验地点
- 1
- 主要终点
- Pain assessment
研究概览
简要总结
The use of a passive robotic system allows the practitioner to widen the field of indications of flapless surgical access to the implant with an increased operative security and the possibility of an operative modification of the surgical protocol.
详细描述
In recent decades, the placement of dental implants has become a common procedure for the rehabilitation of partially or completely edentulous patients. The placement of implants requires good visibility of the bone support to avoid accidents such as bone fenestration. This is why, except in very favourable cases where the bone crest is wide, unconcavated and with an ideal periodontal support, it was until then necessary to proceed with a flap before placing the implant. This invasive surgical protocol necessary for implant placement with good visual access has negative parameters such as :
- detachment of the periosteum and therefore risk of bone resorption
- longer intervention time
- need for sutures
- post-operative pain. On the other hand, flapless techniques, which respect the periosteum and periodontium, offer simpler surgical outcomes, reduced risk of bleeding and infection, less bone resorption, and overall better healing. However, the absence of an access flap to the implant site requires special anatomical conditions to avoid any risk of bone fenestration during drilling, and this technique is directly related to the operator's experience. Increasing the number of cases treated by flap-free implant surgery with increased safety is now possible thanks to computer-assisted surgery and passive robotics.
The main objective is to compare the patient's post-operative pain outcomes between passive robotic implant surgery and conventional implant surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient at least 21 years old
- •Favorable diagnosis of implant placement regardless of technique (ambivalence clause)
- •Radiological situation with sufficient bone volume but requiring a muco-gingival flap or the help of passive robotics.
- •Affiliated or beneficiary of a social security
- •Signed informed consent
排除标准
- •Patient eligible for one or more implants and having a broad bone crest, with no marked concavity, and covered with a sufficient amount of keratinized attached gum.
- •Patient with limited oral opening
- •Patient with contraindications to implant placement (valve prostheses, unbalanced diabetes)
- •Photosensitive epileptic patient
- •Patient refusal to participate in the study
- •Pregnant or breastfeeding woman
- •Patients under guardianship or curatorship
研究组 & 干预措施
Passive robotic group
Implant surgery without flap assisted by passive robotics
干预措施: Implant surgery assisted by passive robotics (Procedure)
Control group
Implant surgery with flap
干预措施: Conventional implant surgery (Procedure)
结局指标
主要结局
Pain assessment
时间窗: 24 hours
Pain assessment according to a visual analogue scale ranging from 0 to 10
次要结局
未报告次要终点