Evaluation of the Dimensional Alveolar Bone Changes in Immediate Post Extraction Implant Placement

NCT ID: NCT06515509

Last Updated: 2024-07-23

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

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-16

Study Completion Date

2024-07-16

Brief Summary

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The aim of this study was to evaluate the dimensional alveolar bone changes in immediate post extraction implant placement with loading compared to immediate post extraction implant placement without loading in the maxillary premolar area . The main question it aims to answer is : Can immediate post extraction implant placement in the maxillary premolar area with loading achieve better alveolar bone dimensions than without loading?

Detailed Description

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Conditions

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Immediate Implant With Loading

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Immediate Implants with loading

Group Type ACTIVE_COMPARATOR

immediate implant placement with or without loading

Intervention Type PROCEDURE

immediate implant placement with or without loading

Immediate Implants without loading

Group Type ACTIVE_COMPARATOR

immediate implant placement with or without loading

Intervention Type PROCEDURE

immediate implant placement with or without loading

Interventions

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immediate implant placement with or without loading

immediate implant placement with or without loading

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 1\. Patients who have at least one non restorable tooth in the maxillary premolar area that needs to be extracted.

2\. Patients with healthy systemic condition. 3. Patients aged from 20 to 45 years old. 4. Buccal bone thickness should be at least 1mm. (Morton et al., 2014) 5. Availability of bone apical and palatal to the socket to provide primary stability.(Morton et al., 2014) 6. Good oral hygiene.(Wiesner et al., 2010) 7. Accepts one year follow-up period (cooperative patients) Patient provides an informed consent.

8\. Adequate Inter-arch space for implant placement. 9. Favorable occlusion (no traumatic occlusion)

Exclusion Criteria

\- 1. Patients with signs of acute infection related to the area of interest. 2. Patients with habits that may jeopardize the implant longevity and affect the results of the study such as parafunctional habits (Lobbezoo et al., 2006).

3\. Current and former smokers (Lambert, Morris and Ochi, 2000) 4. Pregnant females.
Minimum Eligible Age

25 Years

Maximum Eligible Age

45 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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Osama Atef Elshahat Attia

Dr. Osama Atef

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cairo University

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Al-Ekrish AA, Ekram M. A comparative study of the accuracy and reliability of multidetector computed tomography and cone beam computed tomography in the assessment of dental implant site dimensions. Dentomaxillofac Radiol. 2011 Feb;40(2):67-75. doi: 10.1259/dmfr/27546065.

Reference Type BACKGROUND
PMID: 21239568 (View on PubMed)

Albrektsson T, Branemark PI, Hansson HA, Lindstrom J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand. 1981;52(2):155-70. doi: 10.3109/17453678108991776.

Reference Type BACKGROUND
PMID: 7246093 (View on PubMed)

AlQahtani SM. A novel method of assessment of BMD using CBCT for implant placement: A retrospective study. Medicine (Baltimore). 2023 Jul 7;102(27):e34203. doi: 10.1097/MD.0000000000034203.

Reference Type BACKGROUND
PMID: 37417616 (View on PubMed)

Araujo MG, Lindhe J. Ridge alterations following tooth extraction with and without flap elevation: an experimental study in the dog. Clin Oral Implants Res. 2009 Jun;20(6):545-9. doi: 10.1111/j.1600-0501.2008.01703.x.

Reference Type BACKGROUND
PMID: 19515033 (View on PubMed)

Atsumi M, Park SH, Wang HL. Methods used to assess implant stability: current status. Int J Oral Maxillofac Implants. 2007 Sep-Oct;22(5):743-54.

Reference Type BACKGROUND
PMID: 17974108 (View on PubMed)

Bhola M, Neely AL, Kolhatkar S. Immediate implant placement: clinical decisions, advantages, and disadvantages. J Prosthodont. 2008 Oct;17(7):576-81. doi: 10.1111/j.1532-849X.2008.00359.x. Epub 2008 Aug 26.

Reference Type BACKGROUND
PMID: 18761580 (View on PubMed)

Mantena SR, Sivagami G, Gottumukkala SN. Evaluation of crestal bone loss and stability of immediate functional loading versus immediate non-functional loading of single-mandibular posterior implants: A pilot randomized controlled clinical trial. Dent Res J (Isfahan). 2014 Sep;11(5):585-91.

Reference Type BACKGROUND
PMID: 25426151 (View on PubMed)

Other Identifiers

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15-7-23

Identifier Type: -

Identifier Source: org_study_id

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