Effectiveness of implant therapy analyzed in a Swedish population: early and late implant loss.
J Derks, J Håkansson, J L Wennström...
https://pubmed.ncbi.nlm.nih.gov/25503901Actively Recruiting
Phase Not Applicable
Age: 20Years - 60Years
All Genders
Healthy Volunteers
ID06307691
Clinical and Radiographic Evaluation of Immediate Implant Placement Using Osseodensification Versus Traditional Drilling Protocol
Led by Cairo University · Updated on 2024-03-19
26
Participants Needed
1
Research Sites
52 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are comparing two methods for placing immediate dental implants in the front upper jaw area. The study evaluates the traditional drilling technique versus an osseodensification drilling method that compresses bone to improve implant stability, especially in cases of low bone volume. The goal is to assess how these two drilling protocols affect implant stability and bone health after placement. The study involves two groups: Group A receives implants placed using traditional drilling, which cuts the bone to create space for the implant. Group B uses the osseodensification technique with Densah burs that compress the bone around the implant site to enhance bone density. Both methods involve atraumatic flapless tooth extraction, followed by implant placement at a position slightly below the bone crest. Post-surgery, patients receive antibiotics, anti-inflammatory medications, and antiseptic mouth rinses to support healing. Participants undergo thorough preoperative assessments, including clinical and radiographic exams such as Cone Beam CT scans and periapical X-rays. Follow-up includes monitoring implant stability weekly up to 12 weeks and evaluating bone levels immediately after surgery and at 3 and 6 months. Definitive implant restorations are placed around 6 months after surgery. The study duration and visits are designed to track healing, implant integration, and bone changes over time.
CONDITIONS
Brief Title
Clinical and Radiographic Evaluation of Immediate Implant Placement Using Osseodensification Versus Traditional Drilling Protocol
Who Can Participate
Age: 20Years - 60Years
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- Patients needing extraction of a single, unrestorable tooth in the esthetic zone including maxillary anteriors and premolars
- Age between 20 and 60 years old
- Intact buccal bone plate after extraction
- Medically healthy patients
- Cooperative patients willing to follow up for the study duration
You will not qualify if you...
- Acute infection at the implant site
- Inability to maintain oral hygiene
- Pregnant or nursing women
- Smokers of more than 5 cigarettes per day
- Habit of teeth grinding (bruxism)
- Periodontal disease
- Systemic diseases affecting bone healing, such as diabetes
- Use of bone metabolism medicines like bisphosphonates
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person) for history, clinical and radiographic examination
Treatment
Duration - Single day for surgery and implant placement with postoperative care over several weeks
Participants undergo atraumatic tooth extraction followed by immediate implant placement using either conventional drilling or osseodensification drilling protocols. Postoperative care includes medications and self-care instructions.
1 surgical visit plus weekly visits for implant stability checks up to 12 weeks
Follow-up
Duration - Up to 6 months after surgery
Participants receive postoperative radiographs and definitive restoration placement approximately 6 months after surgery to assess healing and implant integration.
Radiographic visits at 1 week, 6 months, and 9 months; definitive restoration visit around 6 months
Trial Site Locations
Total: 1 location
1
Faculty of Dentistry Cairo University
Cairo, Egypt
Actively Recruiting
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Research Team
O
Omar M Ibrahim, Master
O
omnia K tawfik, Lecturer
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
A 15-year study of osseointegrated implants in the treatment of the edentulous jaw.
R Adell, U Lekholm, B Rockler...
https://pubmed.ncbi.nlm.nih.gov/6809663The ways and wherefores of immediate placement of implants into fresh extraction sites: a literature review.
D Schwartz-Arad, G Chaushu
https://pubmed.ncbi.nlm.nih.gov/9358358Immediate implant surgery: three-year retrospective evaluation of 50 consecutive cases.
D A Gelb
https://pubmed.ncbi.nlm.nih.gov/8270307Immediate rehabilitation of the edentulous jaws with full fixed prostheses supported by four implants: interim results of a single cohort prospective study.
Enrico Agliardi, Stefano Panigatti, Matteo Clericò...
https://pubmed.ncbi.nlm.nih.gov/20105197The clinical effectiveness of implants placed immediately into fresh extraction sites of molar teeth.
D Schwartz-Arad, Y Grossman, G Chaushu
https://pubmed.ncbi.nlm.nih.gov/10872969Does bone mineral density influence the primary stability of dental implants? A systematic review.
Mariana Marquezan, Amanda Osório, Eduardo Sant'Anna...
https://pubmed.ncbi.nlm.nih.gov/21635560Influence of Bone Quality, Drilling Protocol, Implant Diameter/Length on Primary Stability: An In Vitro Comparative Study on Insertion Torque and Resonance Frequency Analysis.
Davide Farronato, Mattia Manfredini, Michele Stocchero...
https://pubmed.ncbi.nlm.nih.gov/32582919Implant Insertion Torque: Its Role in Achieving Primary Stability of Restorable Dental Implants.
Gary Greenstein, John Cavallaro
https://pubmed.ncbi.nlm.nih.gov/28156122New Osseodensification Implant Site Preparation Method to Increase Bone Density in Low-Density Bone: In Vivo Evaluation in Sheep.
Paolo Trisi, Marco Berardini, Antonello Falco...
https://pubmed.ncbi.nlm.nih.gov/26584202