Comparing the Secondary Stability of Dental Implants: Immediate Gradual Loading Versus Early Loading Protocol in Posterior Maxilla
NCT ID: NCT02309125
Last Updated: 2014-12-05
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
10 participants
INTERVENTIONAL
2014-12-31
2015-04-30
Brief Summary
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Research Hypothesis Immediate gradual loading using gingival formers is superior to early loading protocols in improving bone quality and thus reducing the healing time.
Detailed Description
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A 'better outcome' is defined as the method, which leads to the least crestal bone loss, and the fastest healing time.
Immediate gradually loaded side: will include transmucosal healing of dental implants using gingival formers which will be replaced every 2 weeks by consequent larger size gingival former.i.e. at surgery time the implants will receive 2 mm height gingival former which will be swapped by 3 mm, 4 mm, 5 mm and the last is 6 mm
early loaded side: implants will be submerged from the surgery time till loading time (2 month).
Conditions
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Keywords
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Study Design
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RANDOMIZED
SINGLE_GROUP
SUPPORTIVE_CARE
SINGLE
Study Groups
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implant A
will include implants with immediate progressive loading using gingival formers of different sizes
immediate progressive loading using gingival formers
Implant placement will be 1 mm subcrestally, and it will receive transmucosal healing using gingival former.
The gingival former will be replaced every 2 weeks by consequent larger size gingival former (at surgery time group A will receive 2 mm height gingival former which will be swapped by,3 mm, 4 mm and the last is 5 mm).
implant B
The implants will remain submerged from surgery time till loading time 2 month.(submerged healing)
submerged healing
the implant placement will be 1 mm subcrestally, and it will receive unloaded healing.(submerged healing)
Interventions
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immediate progressive loading using gingival formers
Implant placement will be 1 mm subcrestally, and it will receive transmucosal healing using gingival former.
The gingival former will be replaced every 2 weeks by consequent larger size gingival former (at surgery time group A will receive 2 mm height gingival former which will be swapped by,3 mm, 4 mm and the last is 5 mm).
submerged healing
the implant placement will be 1 mm subcrestally, and it will receive unloaded healing.(submerged healing)
Eligibility Criteria
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Inclusion Criteria
2. Free medical history.
3. Enough bone quantity.
4. Enough keratinized mucosa
Exclusion Criteria
2. Irradiated bone (radiotherapy).
3. Heavy smoking habit.
4. Patients undergoing long-term immunosuppressive therapy.
5. Atrophic ridges.
6. Presence of any local bony lesion.
7. Presence of mandibular parafunctional habits
25 Years
55 Years
ALL
Yes
Sponsors
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Cairo University
OTHER
Responsible Party
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Elhassan Mohamed Elsayed Mostafa Mossad
Master student
Principal Investigators
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elhassan mossad, oral surgeon
Role: PRINCIPAL_INVESTIGATOR
Cairo University
Locations
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Faculty of oral & Dental Medicine. Cairo University
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Elhassan Mossad, oral surgeon
Role: primary
Mohamed kashaba, lecturer (PHD)
Role: backup
References
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Appleton RS, Nummikoski PV, Pigno MA, Cronin RJ, Chung KH. A radiographic assessment of progressive loading on bone around single osseointegrated implants in the posterior maxilla. Clin Oral Implants Res. 2005 Apr;16(2):161-7. doi: 10.1111/j.1600-0501.2004.01089.x.
Attard NJ, Zarb GA. Immediate and early implant loading protocols: a literature review of clinical studies. J Prosthet Dent. 2005 Sep;94(3):242-58. doi: 10.1016/j.prosdent.2005.04.015.
Berglundh T, Abrahamsson I, Lindhe J. Bone reactions to longstanding functional load at implants: an experimental study in dogs. J Clin Periodontol. 2005 Sep;32(9):925-32. doi: 10.1111/j.1600-051X.2005.00747.x.
Buchter A, Wiechmann D, Koerdt S, Wiesmann HP, Piffko J, Meyer U. Load-related implant reaction of mini-implants used for orthodontic anchorage. Clin Oral Implants Res. 2005 Aug;16(4):473-9. doi: 10.1111/j.1600-0501.2005.01149.x.
Duyck J, Vandamme K, Geris L, Van Oosterwyck H, De Cooman M, Vandersloten J, Puers R, Naert I. The influence of micro-motion on the tissue differentiation around immediately loaded cylindrical turned titanium implants. Arch Oral Biol. 2006 Jan;51(1):1-9. doi: 10.1016/j.archoralbio.2005.04.003. Epub 2005 May 31.
Duyck J, Vrielinck L, Lambrichts I, Abe Y, Schepers S, Politis C, Naert I. Biologic response of immediately versus delayed loaded implants supporting ill-fitting prostheses: an animal study. Clin Implant Dent Relat Res. 2005;7(3):150-8. doi: 10.1111/j.1708-8208.2005.tb00059.x.
Ghoveizi R, Alikhasi M, Siadat MR, Siadat H, Sorouri M. A radiographic comparison of progressive and conventional loading on crestal bone loss and density in single dental implants: a randomized controlled trial study. J Dent (Tehran). 2013 Mar;10(2):155-63. Epub 2013 Mar 31.
Isidor F. Mobility assessment with the Periotest system in relation to histologic findings of oral implants. Int J Oral Maxillofac Implants. 1998 May-Jun;13(3):377-83.
Piattelli A, Corigliano M, Scarano A, Costigliola G, Paolantonio M. Immediate loading of titanium plasma-sprayed implants: an histologic analysis in monkeys. J Periodontol. 1998 Mar;69(3):321-7. doi: 10.1902/jop.1998.69.3.321.
Piattelli A, Scarano A, Piattelli M, Bertolai R, Panzoni E. Histologic aspects of the bone and soft tissues surrounding three titanium non-submerged plasma-sprayed implants retrieved at autopsy: a case report. J Periodontol. 1997 Jul;68(7):694-700. doi: 10.1902/jop.1997.68.7.694.
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Szmukler-Moncler S, Piattelli A, Favero GA, Dubruille JH. Considerations preliminary to the application of early and immediate loading protocols in dental implantology. Clin Oral Implants Res. 2000 Feb;11(1):12-25. doi: 10.1034/j.1600-0501.2000.011001012.x.
Frost HM. Perspectives: bone's mechanical usage windows. Bone Miner. 1992 Dec;19(3):257-71. doi: 10.1016/0169-6009(92)90875-e.
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Other Identifiers
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immediate_early_loading
Identifier Type: -
Identifier Source: org_study_id