Study Results
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Basic Information
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COMPLETED
NA
20 participants
INTERVENTIONAL
2017-01-19
2018-07-19
Brief Summary
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Materials and methods:
20 implant in the aesthetic zone either in the incisor or in the canine area and excluding the lateral location and then immediate loading is achieved for the 20 implants (10 for direct and 10 for indirect method) Clinical Aspect :color change , healing and bone resorption Esthetic assessment and patient acceptance will be assessed using specific tools.
Lab aspect: surface roughness and Marginal fit will be measured to have clue vision.
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Detailed Description
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Materials and methods:
20 implant (Implant Direct ) in the aesthetic zone either in the incisor or in the canine area and excluding the lateral location and then immediate loading is achieved for the 20 implants (10 for direct and 10 for indirect method) Clinical Aspect :color change , healing and bone resorption Aesthetic assessment and patient acceptance will be assessed using specific tools Lab aspect: surface roughness and Marginal fit will be measured to have clue vision.
The participants were non-dental students from University colleges in and around Damascus. They were recruited by reviewing the case documents 20 patient with hapless incisal and canine for extraction and immediate implantation and immediate loading with either the two different provisional methods participants had to demonstrate a hopeless central incisor or canine with no perio-active infection. With two types of provisional technique we will have a two groups were calculated a priori in such a way that index can be identified with with alpha = .05 in a two-tailed test, a sample size of 2 X10 implants would result in a power of 94% (g power 3.1.3) based on a pilot study.
Cone-beam computed tomography (CBCT) images for each patient to measure the bone level change and aesthetic assessment by three general dentists will be achieved. Replica technique required the application of impression material build up of addition-silicone. Addition-silicone of very low viscosity (ExpressTM2 Ultra-Light Body Quick) was applied to all restorations interior, after which the crowns were set onto basic samples. Impression material was polymerized within the time which is recommended by the manufacturer, while the pressure force of 50 N was applied toward occlusal direction After the removal of all restorations from the basic samples, the layer of impression material remained on the restoration's inner surface due to its higher roughness compared to the abutment surface. With Rt 200 device the roughness will bw measured and then Scanning Electronic Microscope (SEM) images will give a close understanding of the surface. Easy shade will measure the color change.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Direct provisional technique
Patients here will be subjected to the direct provisional technique
Direct provisional technique
The method of implantation will be accomplished directly.
Indirect Provisional technique
Patients here will be subjected to the indirect provisional technique
Indirect Provisional technique
The method of implantation will be accomplished indirectly.
Interventions
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Direct provisional technique
The method of implantation will be accomplished directly.
Indirect Provisional technique
The method of implantation will be accomplished indirectly.
Eligibility Criteria
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Inclusion Criteria
2. either incisor or canine indicated for extraction.
3. symmetrical gingival level.
4. no active periodontal disease.
5. age between 20-40 years old
Exclusion Criteria
2. Active periodontal lesion .
3. loss of periodontal tissue .
4. missed incisor or missed canine in the area of implantation.
20 Years
40 Years
ALL
Yes
Sponsors
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St Joseph University, Beirut, Lebanon
OTHER
Syrian Atomic Energy Agency, Damascus, Syria
UNKNOWN
Damascus University
OTHER
Responsible Party
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Principal Investigators
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Anas Abdo, DDS MSc
Role: PRINCIPAL_INVESTIGATOR
PhD student in Fixed Prosthodontics, Department of Fixed Prosthodontics, University of Damascus Dental School
Osama Yousuf Solieman, DDS MSc PhD
Role: STUDY_DIRECTOR
Laboratoire Bioinge Ânierie et Nanosciences EA4203, Montpellier University, Montpellier, France
Christian Makary, DDS MSc PhD
Role: STUDY_DIRECTOR
Professor of Oral Implantology, Sante Jousef University, School of Dental Medicine, Beirut, Lebanon
Mirza Allaf, DDS MSc PhD
Role: STUDY_CHAIR
Professor of Fixed Prosthodontics, University of Damascus Dental School, Damascus, Syria
Locations
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Department of Oral Implantology -Sante Jousef University - School of Dental Medicine
Beirut, , Lebanon
Department of Fixed Prosthodontics, University of Damsacus
Damascus, , Syria
Nano Physical lab and biomaterial Lab - College of Applied Sciences
Damascus, , Syria
Countries
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References
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Friberg B. Bone augmentation for single tooth implants: A review of the literature. Eur J Oral Implantol. 2016;9 Suppl 1:S123-34.
Sanchez-Siles M, Munoz-Camara D, Salazar-Sanchez N, Camacho-Alonso F, Calvo-Guirado JL. Crestal bone loss around submerged and non-submerged implants during the osseointegration phase with different healing abutment designs: a randomized prospective clinical study. Clin Oral Implants Res. 2018 Jul;29(7):808-812. doi: 10.1111/clr.12981. Epub 2016 Sep 5.
Stoupel J, Lee CT, Glick J, Sanz-Miralles E, Chiuzan C, Papapanou PN. Immediate implant placement and provisionalization in the aesthetic zone using a flapless or a flap-involving approach: a randomized controlled trial. J Clin Periodontol. 2016 Dec;43(12):1171-1179. doi: 10.1111/jcpe.12610. Epub 2016 Oct 17.
Sethi A, Kaus T. Immediate Replacement of Single Teeth With Immediately Loaded Implants: Retrospective Analysis of a Clinical Case Series. Implant Dent. 2017 Feb;26(1):30-36. doi: 10.1097/ID.0000000000000512.
Zhang S, Wang S, Song Y. Immediate loading for implant restoration compared with early or conventional loading: A meta-analysis. J Craniomaxillofac Surg. 2017 Jun;45(6):793-803. doi: 10.1016/j.jcms.2016.05.002. Epub 2016 May 14.
Abdel-Azim T, Rogers K, Elathamna E, Zandinejad A, Metz M, Morton D. Comparison of the marginal fit of lithium disilicate crowns fabricated with CAD/CAM technology by using conventional impressions and two intraoral digital scanners. J Prosthet Dent. 2015 Oct;114(4):554-9. doi: 10.1016/j.prosdent.2015.04.001. Epub 2015 Jun 20.
Varol S, Kulak-Ozkan Y. In Vitro Comparison of Marginal and Internal Fit of Press-on-Metal Ceramic (PoM) Restorations with Zirconium-Supported and Conventional Metal Ceramic Fixed Partial Dentures Before and After Veneering. J Prosthodont. 2015 Jul;24(5):387-93. doi: 10.1111/jopr.12229. Epub 2014 Oct 1.
Renne W, Wolf B, Kessler R, McPherson K, Mennito AS. Evaluation of the Marginal Fit of CAD/CAM Crowns Fabricated Using Two Different Chairside CAD/CAM Systems on Preparations of Varying Quality. J Esthet Restor Dent. 2015 Jul-Aug;27(4):194-202. doi: 10.1111/jerd.12148. Epub 2015 Jul 14.
Louropoulou A, Slot DE, Van der Weijden F. Influence of mechanical instruments on the biocompatibility of titanium dental implants surfaces: a systematic review. Clin Oral Implants Res. 2015 Jul;26(7):841-50. doi: 10.1111/clr.12365. Epub 2014 Mar 19.
Other Identifiers
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UDDS-FixPro-01-2017
Identifier Type: -
Identifier Source: org_study_id
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