Immediate Implant Placement With Immediate Provisionalization Into Extraction Sockets With Labial Plate Dehiscence Defects Within the Maxillary Esthetic Zone
试验速览
- 阶段
- 不适用
- 入组人数
- 15
- 主要终点
- bucco lingual and crestal bone loss
研究概览
简要总结
Immediate tooth replacement with implants into extraction sockets has become a common clinical procedure regarding implant survival, osseointegration and esthetics.
Basically, when there is a labial bone plate loss after extraction 2 stage GBR procedure would be carried out to allow adequate amount of bone formation to be reconstructed and receive the dental implant.
The challenge is when there is a partial or complete loss of labial plate of bone resulting from severe trauma or chronic inflammation or vertical fracture affecting the periodontal attachment
详细描述
Elian etal. classified extraction sockets into 3 types: type 1 sockets have labial plate of bone and soft tissue completely intact, type 2: where the soft tissue is intact while there is a dehiscence bony defect indicating partial or complete loss of labial bone plate, and type 3 where a midfacial recession occurred indicating loss of labial bone plate and soft tissue loss.
The clinical outcomes of type 2 sockets reconstructions: Noelken etal. Published survival of 16 implants immediately placed in sockets with
complete loss of labial bone plate and buccal gaps were filled with autogenous bone without using barrier membrane. IN this study immediate implant is to be placed in type 2 sockets filing the gap with a mix of autogenous bone harvested from tuberosity and xenograft in addition to a resorbable collagen membrane lining the socket and healing abutment .
Immediate implant placement concurrent with provisional restoration has been advocated to improve the esthetic restorative outcome for the patients. The success of this procedure depends on many variables including gingival health and morphology, bone dimensions and primary stability of the implants.
Immediate implant placement is most commonly indicated when tooth extraction is due to trauma,endodontic lesion, root fracture, root resorption, root perforation, unfavorable crown to root ratio(not due to periodontal loss and bony walls
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
- 25 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients indicated for immediate implant placement with presence of partial or complete loss (type 2 sockets) of labial bone plate.
- •Both sexes.
- •No intraoral soft and hard tissue patholog.
- •No systemic condition that contraindicate implant placement.
排除标准
- •General medical or psychiatric contraindications.
- •Pregnancy.
- •Patients with local or generalized healing limitations.
- •Diabetes.
- •Smoking type 3 extraction sockets.
- •Bruxism or other Para functional habits.
- •Compromised soft tissue conditions.
研究组 & 干预措施
immediate implant placement in anterior esthetic zone
extraction of badly broken anterior maxillary teeth with immediate implant placement
干预措施: immediate implant in defected anterior maxillary esthetic zone (Device)
结局指标
主要结局
bucco lingual and crestal bone loss
时间窗: 6 month
the amount of bone loss will be measured using cone beam computed tomography
次要结局
未报告次要终点
研究者
merna yehia ghoneim
principal investigator
Cairo University