The Evaluation of Facial Bone Changes After Early Implant Placement Protocols "Clinically and Radiographically".
NCT ID: NCT06165913
Last Updated: 2023-12-12
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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ACTIVE_NOT_RECRUITING
NA
22 participants
INTERVENTIONAL
2023-05-30
2024-12-31
Brief Summary
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Restoration of the missing tooth is achieved in many ways, including removable dental appliances, fixed dental prostheses and dental implants.
Implant placement is classified into different protocols according to the time of placement in relation to the time of extraction. These different protocols are immediate implant placement (type 1) on the day of extraction; early implant placement (type 2) after 4-8 weeks with soft tissue healing; early implant placement (type 3) after 12-16 weeks with partial bone healing; and delayed dental implant placement (type 4) after complete bone healing at least 6 months after tooth extraction the Aim of the work: to evaluate facial bone changes after early implant placement protocols clinically and radiographically.
Detailed Description
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Early Implant placement (type 2) after 4-8 weeks post extraction that allows soft tissue healing, resolution of local pathology, shorter treatment time, increase soft tissue volume makes it easier to manipulate the surgical flaps and enables flap advancement for primary closure.
Early implant placement (type 3) after 12-16 weeks with partial bone healing allow more implant stability than in type 1 and type 2 implant placement. The soft tissues are usually completely recovered, enabling tension free closure of the flap and improves esthetic outcomes. However, bone remodeling is more advanced. Perimplant defects may still be present, but with partial bone healing they are reduced in dimension.
Aim of the Work:
The evaluation of facial bone changes after early implant placement protocols clinically and radiographically.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Group (1): Early implant placement(type II) group.
Patients will be scheduled for tooth extraction then performing implant placement between 4-8 weeks later after soft tissue healing.
Early implant placement(type II)
in group 1, Tooth extraction will be performed with care to preserve alveolar bone walls. After 4-8 weeks from tooth extraction, dental implant will be placed
Group (2): Early implant placement (type III) group.
Patients will be scheduled for tooth extraction and performing implant placement between 12-16 weeks with partial bone healing.
Early implant placement (type III)
in group 2, Tooth extraction will be performed with care to preserve alveolar bone walls. After 12-16 weeks from tooth extraction, dental implant will be placed.
Interventions
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Early implant placement(type II)
in group 1, Tooth extraction will be performed with care to preserve alveolar bone walls. After 4-8 weeks from tooth extraction, dental implant will be placed
Early implant placement (type III)
in group 2, Tooth extraction will be performed with care to preserve alveolar bone walls. After 12-16 weeks from tooth extraction, dental implant will be placed.
Eligibility Criteria
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Inclusion Criteria
2. Patients with hopeless tooth in the maxillary anterior premolar region with socket type I indicated for extraction due to failure endodontic treatment, vertical root fracture, …etc.
3. Patients in good health with no medical contra-indication that would prevent routine oral surgery.
4. Patients with a positive attitude towards oral hygiene
Exclusion Criteria
2. Presence of risk factors as diabetes or smoking.
3. Pregnant or lactating women.
4. Absence of buccal bone after tooth extraction.
5. Insufficient vertical inter-arch space to accommodate the prostheses.
20 Years
ALL
No
Sponsors
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Tanta University
OTHER
Responsible Party
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Ahmed Ali Abdelkader Radwan
principle investigator
Principal Investigators
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Rehab F Ghouraba, PHD
Role: STUDY_DIRECTOR
Tanta University
Locations
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Tanta University faculty of dentistry
Tanta, , Egypt
Countries
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Other Identifiers
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1993
Identifier Type: -
Identifier Source: org_study_id