Digitally Assisted Immediate Implant Placement and Loading in Geriatric Patients

What this Trial Is About

Researchers are evaluating the clinical performance of digitally assisted immediate implant placement and immediate loading in elderly patients aged 65 years and older who require tooth extraction. This study aims to assess biological outcomes such as implant survival and changes in marginal bone levels, alongside mechanical complications and the progression of primary implant stability. Patient-reported outcomes including pain, functional improvement, and esthetic satisfaction are also being measured using visual analog scales. The goal is to determine how well this treatment approach works in the geriatric population. The treatment involves a fully digital workflow that uses cone beam computed tomography (CBCT), intraoral scanning, and computer-aided design/computer-aided manufacturing (CAD/CAM) generated tooth-supported surgical guides to assist in precise implant placement. Surgical procedures use minimally invasive techniques, and immediate provisional restorations are placed within 48 hours, with adjustments made to control loading based on implant stability. Definitive prostheses are delivered after 3 to 6 months, and minor peri-implant gaps may be grafted as needed. Participants will be followed for 12 months with regular clinical and radiographic evaluations. Assessments include implant survival rate and marginal bone level changes at baseline, 6 months, and 12 months. Secondary outcomes include biological complications like peri-implant mucositis, mechanical issues such as screw loosening, and patient satisfaction measures. The study collects data on insertion torque and implant stability quotient (ISQ) to monitor primary stability, aiming to provide evidence on the safety and predictability of this digital approach in elderly patients.

Digitally Assisted Immediate Implants in Geriatric Patients