Early Versus Conventional Loading for Fully Guided Immediate Implant Placement
- Conditions
- Dental Implant
- Interventions
- Device: Implant loading
- Registration Number
- NCT06281535
- Lead Sponsor
- Ain Shams University
- Brief Summary
Conventional loading protocol following implant placement 3 -6 months is considered the gold standard. However, early loading following 2 months after implant placement decreases the time and had a good survival rate.
- Detailed Description
The conventional loading protocol presented involves healing period of 3 -6 months. A healing period without stress was recommended in the order to present better survival rate. This loading protocol was developed in the time when micro- and macro design of implant surface was machine produced. Early loading of dental implants within 2 months following placement on healed posterior mandible showed 100% survival rate for five years follow up, with uneventful crestal bone loss. The lack of difference between conventional loading 6 months following implant placement and early loading could be explained by the fact that even if the crowns were not put in direct occlusion, patients used them functionally when chewing. The most relevant factor which may explain the positive results obtained in this trial is the high insertion torque at implant placement.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 24
- Patients age range from 20-60 years.
- Molar tooth to be extracted due to periodontal diseases, peri- apical diseases, Endo-perio diseases, or tooth fracture.
- Primary implant stability is above 30 Ncm.
- History or presence of severe uncontrolled systemic disease.
- Heavy smokers (>10 cigarettes per day) or alcohol/drug abusers.
- Poor oral hygiene.
- Acute periapical infection.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Early loading group Implant loading The surgical treatment protocol entails atraumatic tooth extraction, fixture insertion and placement of the final restoration 2 months following implant placement. Conventional loading group Implant loading The surgical treatment protocol entails atraumatic tooth extraction, fixture insertion and placement of the final restoration 3 months following implant placement.
- Primary Outcome Measures
Name Time Method Implant stability 2 and 3 months following implant placement Degree of implant stability will be measured by Osstell device as a scale from 1 to 100
- Secondary Outcome Measures
Name Time Method