Immediate Implant Placement by Drilling Through Roots Compared to Immediate Implant Placement in Fresh Socket
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Implant Stability Quotient (ISQ)
研究概览
简要总结
This randomized clinical trial compared two techniques for immediate dental implant placement in molar extraction sites. In the intervention group, implant osteotomy preparation was performed through the interradicular bone before molar extraction, while in the control group the tooth was extracted first and the implant was placed immediately in the fresh extraction socket. The study evaluated implant stability, accuracy of implant positioning, surgical time, and postoperative pain
详细描述
Immediate implant placement in molar extraction sockets can be challenging because of the anatomy of multirooted teeth and the difficulty of achieving an optimal implant position within the interradicular septum. Preparing the implant osteotomy before tooth extraction may allow the retained roots to guide drilling and improve implant positioning.
Participants requiring molar extraction and immediate implant placement were randomly allocated to one of two groups. In Group A, the implant osteotomy was prepared through the interradicular bone before extraction of the molar roots, followed by root extraction and immediate implant placement. In Group B, the molar was extracted first, followed by conventional osteotomy preparation and immediate implant placement in the fresh extraction socket.
The primary outcome was implant stability measured using implant stability quotient (ISQ). Secondary outcomes included implant positioning and deviation from the furcation area, surgical time, and postoperative pain.
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
- Double (Participant, Outcomes Assessor)
盲法说明
Participants were blinded to the surgical technique used. The outcomes assessor was also blinded. The principal investigator performing the surgical procedures was not blinded
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 years or older.
- •Both sexes.
- •Cooperative patients likely to maintain good dental health.
- •Adequate bone height for placement of implants with a minimum implant length of 7 mm.
排除标准
- •* Patients who had undergone previous extraction of all remaining teeth.
- •Implant placement in both healed bone and extraction sites during the same procedure.
- •Presence of any local or systemic factors contraindicating oral surgery.
- •Poor oral hygiene.
- •Conditions that may complicate wound healing, including uncontrolled diabetes, smoking of 10 cigarettes per day, pregnancy, history of drug or alcohol abuse, and inability or unwillingness to return for follow-up.
研究组 & 干预措施
Interradicular Bone Drilling Before Molar Extraction
Immediate implant placement after preparing the implant osteotomy through the interradicular bone before molar extraction
干预措施: Interradicular Bone Drilling Before Molar Extraction (Procedure)
Immediate Implant Placement in Fresh Extraction Socket
Conventional immediate implant placement after molar extraction and osteotomy preparation in the fresh extraction socket.
干预措施: Immediate Implant Placement in fresh extraction socket (Procedure)
结局指标
主要结局
Implant Stability Quotient (ISQ)
时间窗: Immediately after implant placement.
Implant stability was measured using resonance frequency analysis with the Osstell device. Implant Stability Quotient (ISQ) values range from 1 to 100, with higher values indicating greater implant stability. Measurements were obtained immediately after implant placement and before tightening the cover screw.
次要结局
- Accuracy of Implant Placement and Deviation From the Furcation Area(Immediately postoperatively)
- Surgical Time(During the surgical procedure.)
- Postoperative Pain(Postoperative days 1, 3, and 7)
研究者
Omar Ahmed Shawki Hamza
Principal Investigator
Cairo University