Evaluation of Diode Laser Photocoagulation With Immediate Implant Placement in the Maxillary Esthetic Zone
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 8
- 试验地点
- 2
- 主要终点
- Change in wound healing
研究概览
简要总结
Placement of an immediate implant is becoming popular because of its potential in minimizing the treatment time and enhancing the patient comfort and esthetic outcomes. It is crucial to maintain adequate thickness of labial bone with the establishment of a stable and healthy gingival seal around the implant abutment to prevent the invasion of bacteria and peri-implant inflammation. Diode lasers have been developed as a promising tool in dentistry, providing a precise manipulation and photocoagulation effect that may have a positive influence on both bone remodeling and soft tissue healing. This study aims to evaluate the effectiveness of the utilization of diode laser photocoagulation with immediate implant placement and customized healing abutment in the maxillary esthetic zone.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with non-restorable maxillary teeth in the aesthetic zone are indicated for extraction and subsequent immediate implant placement, including those with:
- •A severely carious tooth that cannot be restored.
- •Pulpal necrosis or irreversible pulpitis that is not amenable to endodontics.
- •Periodontally involved teeth with grade 2 mobility or above.
- •Teeth with root caries that can't be restored.
- •Patients with an extraction socket Type I.
- •A good standard of oral hygiene.
排除标准
- •Patients with extraction socket Type II or III, with buccal plate defects.
- •Absence of at least 2 mm of bone apical to the extraction socket
- •tooth ankylosis.
- •Patients with deciduous teeth.
- •Heavy smokers.
- •Systemic conditions
- •History of oral or intravenous bisphosphonate therapy or any treatments with other medications that may interfere with bone metabolism within the past 12 months
研究组 & 干预措施
Immediate implant with photocoagulation
干预措施: Diode laser and Immediate implant (Other)
结局指标
主要结局
Change in wound healing
时间窗: at 7, 14, and 21 days
The wound healing will be assessed based on Landry Wound Healing Index. The Landry Index uses a numerical score based on the assessment of four given parameters (Erythema, Edema, Wound Margin Adaptation, and Presence of Exudate). Each parameter is given a score depending on its severity, and the total score determine an overall evaluation of wound healing
Change in pain socres
时间窗: at 7, 14, and 21 days
Pain will be evaluated, using visual analogue scale (VAS) as follows: (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe)
Change in implant stability
时间窗: baseline and 6 months
The base line primary Implant Stability Quotient (ISQ) will be measured during the operative stage, while the secondary stability quotient will be measured 6-months post-operative during the prosthetic phase preparation.
次要结局
- Change in Crestal Alveolar Process width(baseline and 6 months)
- Change in labial bone thickness(baseline and 6 months)
- Change in esthetic of soft tissue(at 1 month)
- Change in esthetic of soft tissue(at 1 month)
- Change in Crestal Alveolar Process width(baseline and 6 months)
- Change in labial bone thickness(baseline and 6 months)
研究者
Hams Hamed Abdelrahman
Lecturer of Dental Public Health and biostatistical consultanat
Alexandria University