Immediate Dental Implant, Periapical; Infection, Tooth Exratction
Conditions
Brief summary
Compromised teeth with periapical pathologies are removed before dental implant placement and sockets are left to heal. Some clinicians began to immediately place dental implants in fresh extraction sockets associated with chronic inflammatory periapical lesions and these studies revealed high success rates
Detailed description
12 implants will be immediately placed in sockets associated with chronic periapical granuloma. Clinical (Wound healing, Pain, swelling, implant stability) and radiographic parameters (Peri-implant radiolucency) will be evaluated
Interventions
PROCEDUREImmediate dental implants
Implants will be immediately placed in sockets associated with chronic periapical granuloma Extraction of non-restorable Teeth with periapical granuloma and socket debridement will be done then implants will be placed
Sponsors
Hams Hamed Abdelrahman
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Adult patients ranging from 18 to 45 years with no gender predilection agreed to come for minimum follow-up visits for 6 months. * Adequate bone beyond teeth apices without jeopardizing any anatomical structure. * Single rooted mandibular teeth with chronic inflammatory periapical lesions represented as periapical radiolucency, pulp necrosis, sinus tract, failed RCT.
Exclusion criteria
* Smokers and alcoholics. * Medically compromised patients having uncontrolled diabetes or coagulation disorders. * Restorable teeth. * Periodontitis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Implant stability | immediately, at 3 months and 6 months | It will be measured by implant stability meter (Osstell™) |
| Change in peri implant radiolucency | immediately, and 6 months | Immediate post-operative and after 6 months CBCT will be requested in order to compare the dimension of the periapical lesion in millimeters using OnDemand system. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain score | within a week | It will be recorded daily for the first week through a 10-point Visual Analogue Scale (VAS) from 0 to 10 (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe). |
| Change in swelling status | within a week | It will be recorded daily for the first week through a 10-point scale with 4 parameters will be used. none (no swelling), light (intraoral, localized to the treated area), moderate (extraoral swelling localized to the treated area), and severe (extraoral swelling extending beyond the treated area) |
| Change in Early Wound Healing Index | at 2 weeks, 4 weeks, and 8 weeks | Using Early Wound Healing Index (EHI), it will be evaluated across weeks 2, 4 and 8. (EHI; 1: complete flap closure-no fibrin line; 2: complete flap closure-fine fibrin line; 3: complete flap closure-fibrin clot; 4: incomplete flap closure-partial necrosis; 5: incomplete flap closure-complete necrosis). |
Countries
Egypt
Outcome results
None listed