Optimal Timing for Dental Implants in Elderly Adults: A 1-Year Clinical Study

Phase 4

Completed

• Conditions: Elderly patients aged 50 to 80 years undergoing implant restoration for at least one tooth; Elderly; Timing; Implant placement; Implant stability

• Registration Number: TCTR20240422014
• Lead Sponsor: Chulalongkorn University

Brief Summary

There were no discernible differences in clinical outcomes among immediate, early, and delayed implant placements in elderly patients. However, the early implant placement protocol with an IT range of 30-40 Ncm appeared to achieve superior outcomes. Early implant placement significantly enhanced implant stability in elderly patients. Implant placement protocols did not influence 1-year MBLCs in this population.

Detailed Description

Not available

Study Timeline

• Study Completion: 2022-08-31
• Study Start: 2024-04-22
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 49

Inclusion Criteria

1. Elderly patients aged 50 to 80 years requiring restoration for at least one tooth
2. Physical status of I or II according to the American Society of Anesthesiologists classification system
3. Absence of systemic diseases or conditions known to affect bone metabolism, as determined by cone-beam computed tomography evaluation of native bone adequacy for achieving primary stability
3. Nonsmokers
4. Maintenance of good oral hygiene or controlled periodontal conditions
5. Possession of a sufficient band of keratinized mucosa of at least 2 mm
6. Minimum insertion torque (IT) of at least 15 Ncm
7. Availability for follow-up according to the protocol for 12 months

Exclusion Criteria

1. Active infection at the implant site.
2. History of irradiation.
3. Pregnancy or breastfeeding.
4. Alcoholism or drug abuse.
5. Parafuncitonal habits such as bruxism or clenching.
6. Lack of posterior teeth.
7. Surgical operation times exceeding 1 hour.

Study & Design

• Study Type: Interventional
• Study Design: Not specified