Dental Implant, Diabetes
Conditions
Brief summary
The objective of this study is to assess clinically the peri implant tissues, the radiological marginal bone loss and the stability around implants placed at the crestal versus the subcrestal level in type 2 controlled diabetic patients using cone beam computed tomography
Interventions
Mid crestal incision will be performed and full-thickness envelope flap will be elevated to expose the alveolar ridge (no releasing incisions will be made). Implant site will be prepared according to the manufacturer's instructions under sterile copious irrigation Implants will be placed at crestal level
Implants will be placed 1mm subcrestally
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 2 controlled diabetic patients * Patients with at least one missing tooth in lower jaw. * Patients with sufficient alveolar ridge height and width (no need for bone augmentation). * Patients with sufficient inter-occlusal distance that will allow future restoration. * Patients with healthy periodontium.
Exclusion criteria
* Smokers. * Para functional habits. * Bad oral hygiene measured according to O'Leary plaque index. * Pregnant women. * Other local or systemic diseases that may compromise the surgical procedure, healing or osteointegration.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in Implant stability | at baseline and 3 months | Implant stability will be measured again by Osstell at 3 different directions (buccal, mesial and distal) at the time of implant loading (after 3 months from implant placement). |
| change in margianl bone level | at baseline, 3rd and 6th months | CBCT will be done Marginal bone loss in all aspects (mesial, distal buccal and lingual) The difference in distance from bone crest to apical end of the implant will be assessed at each follow up period then the mean will be calculated for mesial and distal and also for buccal and lingual. |
Countries
Egypt