Implantation after tooth loss
Conditions
Interventions
Group 1: Titanium group (n = 25), a two-piece titanium implant is inserted (CAMLOG® Progressive Line [PL], ALTATEC GmbH, Wimsheim, Germany).
Group 2: Zirconia group (n = 25), a two-part zirconia impla
Sponsors
Zentrum für Zahnmedizin Prof. Dr. Schnutenhaus MVZ GmbH
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Gaps in the upper jaw in the area of the premolars, canines and anterior teeth - Free-end situations in the upper jaw with premolars, canines or anterior teeth to be replaced - The extraction of the teeth in question took place at least three months ago. - Only early implantations (3-6 months post extraction) or late implantations (> 6 months post extraction) are performed. - The patient demonstrates good oral hygiene and sufficient compliance. - A pre-implant hygiene treatment was successfully completed. - A written declaration of consent from the patient is available.
Exclusion criteria
Exclusion criteria: - Persons under the age of 18 or persons lacking legal capacity - Patients with untreated, acute periodontitis (pocket depth > 4 mm) - Heavy smokers (more than 10 cigarettes per day) - Patients taking bisphosphonates - Pregnant women - Alcohol or drug addicts - Patients with infectious diseases such as hepatitis, HIV or AIDS - Patients with diabetes mellitus that is difficult to control - Immediate implantations - Primarily recognizable need for augmentation - Single tooth gaps with a mesio-distal width > 6.8 mm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Implant loss within an observation period of five years after insertion, differentiated according to the two implant materials. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Occurrence of biological and technical complications (material-dependent) - Bone remodeling (radiologically determined using standardized x-rays) - Pink Esthetic Score (PES) - Patient satisfaction (Patient-Reported Outcome Measures, PROMs) - Pain perception in the first week after implant placement (visual analog scale, VAS) - Differences in clinical parameters: o Bleeding on probing (BOP) o Probing depths / attachment level (ATL) o Papilla index according to Jemt o Modified plaque index according to Mombelli - Concentration of the inflammatory marker a-MMP-8 in the peri-implant sulcus fluid - Primary and secondary implant stability (measured using resonance frequency analysis and determination of ISQ values at the time of insertion and before prosthetic restoration) - Accuracy of implant position with navigated insertion - Clinical results of zirconia hybrid abutment crowns in terms of survival rate and technical complications. | — |
Countries
Germany, Switzerland
Contacts
Public ContactSigmar Schnutenhaus
Zentrum für Zahnmedizin Prof. Dr. Schnutenhaus MVZ GmbH
Outcome results
None listed