Periodontal disease. Periodontal disease, unspecified
Conditions
Interventions
Intervention 1: Intervention group: After tooth extraction and site preparation, the implant is placed immediately in the anterior maxilla. The gap between the implant and the buccal socket wall is fi
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Adults aged = 18 years Systemic condition suitable for oral surgery (ASA I or II) Healthy periodontium in adjacent teeth (no probing depth = 4 mm and no bleeding on probing) indication for immediate implant placement in the anterior region for endodontic or restorative reasons Ability and willingness to attend follow-up visits and provide informed consent
Exclusion criteria
Exclusion criteria: Poor oral hygiene (high Plaque Index or inability to maintain oral hygiene) Active smoking (>10 cigarettes/day or =10 pack-years) Pregnancy or breastfeeding Severe periodontal disease Uncontrolled diabetes (HbA1c > 7.0%) History of head and neck radiotherapy Current or past use of bisphosphonates, denosumab, or long-term systemic corticosteroids/immunosuppressants alcohol or substance abuse Systemic or metabolic bone diseases interfering with healing Inadequate bone anatomy to achieve primary implant stability inability or unwillingness to attend follow-up visits Active infection at the extraction site (clinical signs of infection or purulence)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Soft tissue thickness. Timepoint: Baseline (at implant placement)and 6 months after surgery. Method of measurement: Measured using a size 20 endodontic file with a silicone stop at 1 mm and 3 mm from the line connecting the marginal points of adjacent teeth.;Pink Esthetic Score. Timepoint: 6 months after surgery, after placement of the implant prosthesis. Method of measurement: Assessed visually and scored according to the standard Pink Esthetic Score index.;Implant survival. Timepoint: 6 months after surgery. Method of measurement: Evaluated clinically by recording implant mobility, infection, or loss.;Buccal bone thickness. Timepoint: Measuring buccal bone thickness at the beginning of the study (before the intervention) and 6 months after surgery. Method of measurement: Measured using cone-beam computed tomography. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr Adileh Shirmohamadi
Tabriz University of Medical Sciences
Outcome results
None listed