Influence of Z Shaped Incisions on Healing and Interproximal Bone Loss in Comparison With Conventional Sulcular Incisions (H Shaped) in Implant Surgery Under Magnification: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Inter proximal bone level
研究概览
简要总结
The present study is a human, prospective, parallel, randomised controlled clinical trial conducted to check the interproximal bone loss of Z shaped incision over conventional sulcular H shaped incision.The trial is in accordance with the Consolidated Standards of Reporting Trials (CONSORT) criteria, 2010.
详细描述
Twenty healthy individuals satisfying the inclusion and exclusion criteria were recruited for the study. A detailed, thorough medical and dental history was obtained and each patient was subjected to comprehensive clinical and radiological examination. All patients were informed about the nature of the study, the surgical procedure involved, potential benefits and risks associated with the surgical procedure and written informed consent were obtained from all patients. In the test group patients Z shaped incision was done to place implants and H shaped sulcular incision was placed in control group.
The clinical and radiographic parameters were recorded at baseline,24 hours,7days, three months and six months postoperatively.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 接受健康志愿者
- 是
入选标准
- •Patients with single or multiple edentulous spaces in the maxillary and mandibular arches having Siebert's Class 1 and 2 ridge defects.
- •Patients willing to participate in the study.
- •Patients above 18 years of age.
- •Patients exhibiting keratinized tissue width more than or equal to 2 mm.
- •Systemically healthy patients.
- •Patients who demonstrate full mouth plaque control and bleeding scores<25% and showing good compliance.
排除标准
- •Patients who do not give consent.
- •Untreated periodontal disease, caries.
- •Insufficient oral hygiene.
- •Previous radiation therapy.
- •Patients with known systemic diseases and conditions
- •Pregnant and lactating women.
研究组 & 干预措施
Test group
Two horizontal incisions placed 1-2 mm away from the papilla of the teeth adjacent to the edentulous space following the mesial and distal contour of the teeth. These two horizontal incisions are then connected by an oblique incision from the disto-buccal to mesio lingual point angles.
干预措施: Z shaped incision (Procedure)
Control group
Sulcular incisions placed in the proximal sides of the adjacent tooth facing the edentulous space in a bucco lingual direction extending between the proximal line angles Mid crestal incision performed in the attached mucosa of the edentulous area connecting the sulcular incisions of the adjacent teeth from the distal to mesial tooth
干预措施: H shaped incision (Procedure)
结局指标
主要结局
Inter proximal bone level
时间窗: 6 months
Mesial and distal peri-implant radiographic bone level will be recorded in millimetres on the digital radiographs with grid at baseline and follow up
Healing
时间窗: 7 days
Early wound healing index is assessed. values 1-5 is present. Increase in score depicts worse healing.
次要结局
- Visual Analouge Score(7 days)
- Clinical attachment level(3 months)