Bone-Implant Contact Surface Influence on Dental Implant Stability in Fresh Extraction and Healed Sites
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Marmara University
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Change in Implant Stability Quotient (ISQ) values
Study Overview
Brief Summary
This study aims to evaluate the changes in the stability and bone-implant contact surface of implants of the same macro-design placed with particle grafting in the fresh extraction socket, without grafting, and placed in healed implant sites.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Having a non-repairable premolar or molar tooth, or an edentulous area where the corresponding teeth have been extracted at least six months ago,
- •At least 18 years old,
- •Maintaining good dental hygiene,
- •Having a favorable occlusion,
- •Having intact socket walls after extraction.
Exclusion Criteria
- •Any local or systemic disorders that had contraindications for dental implant insertion,
- •Pregnant and lactating women.
Arms & Interventions
Without graft
Intervention: Dental implant (Device)
Delayed healing site
Intervention: Dental implant (Device)
With graft
Intervention: Dental implant (Device)
Outcomes
Primary Outcomes
Change in Implant Stability Quotient (ISQ) values
Time Frame: 12 weeks
Implant Stability Quotient (ISQ) is a scale from 1 to 100, to quantify implant stability in bone (higher values mean higher stability). ISQ numerical values are generated by applying resonance frequency analysis (RFA) or sound waves through a specialized peg attached to the implant. Data were combined to reduce the number of intervals for analysis purposes. Data from intervals were combined as follows: T0: baseline T1: follow-up of eight weeks T2: follow-up of twelve weeks
Change in bone-implant contact surface
Time Frame: 12 weeks
The tooth slated for extraction will be segmented from the preoperative CBCT data, followed by a virtual tooth extraction process. For each patient, intraoral surface scanning with the scanbodies in place will be conducted using an intraoral scanner. This datas will be overlaid onto the postoperative intraoral scan image. The area where the implant surface made contact with the extracted tooth surface will be identified as the surface without implant bone contact (BINC), while the remaining area will be designated the bone implant contact (BIC) surface. By subtracting the sum of the BINC and BIC from the entire implant surface, the implant surface facing the gap space (IGS) and its corresponding area on the BINC side will obtain. To isolate the BIC surface for measurement, the sum of the BINC and BIC from the sum of the BINC and IGS will subtracted. This result will then be added to the total implant surface measurement, divided by two, allowing for the measurement of the BIC surface.
Primary insertion torque value
Time Frame: 1 day At the implant placement
The torque value was recorded as insertion torque value of this case at the moment when the implant positioned at the 1mm under the socket wall edge and correct hex position. It gives numerical values from 0 to 100 (higher values mean higher stability).
Secondary Outcomes
No secondary outcomes reported
Investigators
Ferit Bayram
Assist. Prof.
Marmara University