Immediate Implant Placement in Aggressive Periodontitis

NCT ID: NCT03218228

Last Updated: 2017-07-18

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-10

Study Completion Date

2018-12-08

Brief Summary

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The aim of the present study is to evaluate the health of immediately placed dental implants in aggressive periodontitis patients versus those placed in periodontally healthy individuals in the maxillary esthetic zone.

Detailed Description

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Aggressive periodontitis is an enigmatic periodontal disease that characterized by massive and undeterminable periods of tissue destruction. It gets along well to young individuals with successive periods of disease activity. Aggressive bone destruction with limited plaque and calculus deposits usually detected. According to microbial theory, Aggregatibacter actinomycetemcomitans (A.a) and P. gingivalis (P. G) were claimed for such a disease. Patients of aggressive periodontitis have disturbed esthetic and masticatory function problems.

After wards, microbial theory was modified to enroll the genetic background that can be the cause behind the developed body resistance. Although the importance of the genetic treatment to improve the body response, it was totally dismissed during the routine periodontal work attributable to high cost effectiveness of the needed genetic analysis especially in developing countries.

Further researches tried to explain the cause behind the impaired body response. Impaired functions of the immune cells and the massive amounts of catabolic cytokines such as IL-1, IL-6, Il-17, TNF- α and prostaglan¬din E2 (PGE2) are usually released during the active periods of the disease. On the other hand, matrix-metalloproteinases are destructive enzymes that released in an uncontrollable manner. Host modulators were suggested to control the released of the destructive agents.

Immediate implant placement provides an efficient modality that shortens the dental management period. The aim behind immediate implant placement is the proper implant positioning to counteract the advanced bone resorption following extraction.

Periodontitis is considered an important risk factor for peri-implantitis. The pre-existing periodontitis must be treated prior to implant placement in order to avoid the bacterial accumulation in the periodontal lesions regardless the type of periodontitis. Local and systemic supportive therapy is strongly recommended in order to reduce the microbial colonies and post-operative bone loss.

Higher rate of implant failure (peri-implantitis) has been reported in immediately placed implants when compared with the delayed conventional technique. The failure rate markedly increased with the immediate placement of implants in patients with history of periodontitis especially the aggressive form.

Conditions

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Periodontitis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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implants in healthy individuals

immediate placement of dental implants in individuals with healthy periodontium. the device is dental implants, radiographs, william's periodontal probe

Group Type PLACEBO_COMPARATOR

implants in periodontitis

Intervention Type PROCEDURE

it targets immediate implant placement in patients suffering from aggressive periodontitis

implants in periodontitis patients

immediate implantation in patients suffering from aggressive periodontitis. the device is the dental implants, radiographs, william's periodontal probe

Group Type EXPERIMENTAL

implants in periodontitis

Intervention Type PROCEDURE

it targets immediate implant placement in patients suffering from aggressive periodontitis

Interventions

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implants in periodontitis

it targets immediate implant placement in patients suffering from aggressive periodontitis

Intervention Type PROCEDURE

Other Intervention Names

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implants in aggressive periodontitis

Eligibility Criteria

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Inclusion Criteria

* • Subjects aged above 18 years old.

* Patients should be free from any systemic disease.
* patients with good oral hygiene
* completely or partially edenthulus patients

Exclusion Criteria

* Current and former smokers.

* Pregnant females.
* Patients with systemic diseases that may interfere with periodontal condition
* Uncooperative patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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nermin mohammed ahmed yussif

principal investigator-faculty of oral and dental medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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mona darhous, Prof

Role: STUDY_DIRECTOR

faculty of oral and dental medicine cairo university

Locations

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Octobar University of Modern Sciences and Arts

Giza, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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nermin M yussif, TA

Role: CONTACT

01118271929

ahmed reda, T

Role: CONTACT

01006608568

Facility Contacts

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nermin yussif, TA

Role: primary

01118271929

rasha attia, TA

Role: backup

01009032255

Other Identifiers

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immediate implant

Identifier Type: -

Identifier Source: org_study_id

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