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Accuracy of Tooth Guided Immediate Implant Placement at Molar Region

NCT ID: NCT04192461

Last Updated: 2019-12-10

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

COMPLETED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-15

Study Completion Date

2019-10-10

Brief Summary

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Introduction: The concept of immediate implant placement has become popular due to reduced trauma and reduced overall treatment time. Removal of molar teeth provides a challenging and intriguing dilemma due to multiple root morphology. In cases of extraction and immediate placement of implants in the molar region, removal of the inter-radicular septum should be avoided to attain initial implant stability at the time of placement, and prevent slipping of the implant into the extraction socket. Following this technique prevents the slippage of the implant and allows the implant to be guided into the inter-radicular septum.

Objectives: To assess the accuracy of implant placement using the remaining roots of multi-radicular mandibular molars, evaluate bone density around implants and implant stability in fresh extracted site.

Materials and Methods: A prospective study was done on 10 patients with badly destructed mandibular molars. The technique of implant insertion consisted of a progressive preparation of the implant site using the anatomy of the root of the multi-radicular mandibular molars to be extracted as a reference and as an aid to engage the inter-radicular septum.

Detailed Description

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Conditions

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Immediate Implant Placement Guided by the Roots of Multiradicular Teeth

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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tooth guided immediate implant placement group

Group Type EXPERIMENTAL

Tooth guided immediate implant placement

Intervention Type PROCEDURE

The technique of implant insertion consisted of a progressive preparation of the implant site using the anatomy of the root of the multi-radicular mandibular molars to be extracted as a reference and as an aid to engage the inter-radicular septum

Interventions

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Tooth guided immediate implant placement

The technique of implant insertion consisted of a progressive preparation of the implant site using the anatomy of the root of the multi-radicular mandibular molars to be extracted as a reference and as an aid to engage the inter-radicular septum

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Badly destructed mandibular molar teeth.
* Integrity of the roots.
* Bone coverage of 2/3 of the root.
* Sufficient bone volume.
* Adequate interocclusal distance \>7mm.
* Adequate amount of keratinized mucosa.
* Age ranging from 20-45 years.
* Medically fit patients.

Exclusion Criteria

* Unfavorable position of the tooth or remaining roots.
* Molars with Fused roots.
* Root ankylosis.
* Patients with systemic conditions known to affect the periodontal status and healing such as uncontrolled diabetes and osteoporosis.
* Patients receiving chemotherapy or radiotherapy.
* Heavy smokers.
Minimum Eligible Age

20 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Abdelrhman Tarek Sahry Abdelazim

OTHER

Sponsor Role lead

Responsible Party

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Abdelrhman Tarek Sahry Abdelazim

Doctor, member of oral and maxillofacial surgery RCSEd

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Samraa Elsheikh, PhD

Role: STUDY_DIRECTOR

Alexandria University

Locations

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Faculty of Dentistry Alexandria university

Alexandria, , Egypt

Site Status

Countries

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Egypt

References

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Mahesh L, Kurtzman GM, Schwartz D, Shukla S. Residual Roots as an Anatomical Guide for Implant Placement: Case Series With Two-Year Follow-up. J Oral Implantol. 2016 Jun;42(3):285-8. doi: 10.1563/aaid-joi-D-15-00101. Epub 2015 Sep 21.

Reference Type BACKGROUND
PMID: 26389698 (View on PubMed)

Rodriguez-Tizcareno MH, Bravo-Flores C. Anatomically guided implant site preparation technique at molar sites. Implant Dent. 2009 Oct;18(5):393-401. doi: 10.1097/ID.0b013e3181b4b205.

Reference Type BACKGROUND
PMID: 22129957 (View on PubMed)

Other Identifiers

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Tooth guided immediate implant

Identifier Type: -

Identifier Source: org_study_id