Different Surgical Techniques in Dental Implant Surgery
Conditions
Keywords
Dental Implants, Low speed drill, Extra Short Implants, Primary Stability, Marginal Bone Loss, Osstel, Osseointegration
Brief summary
Our aim in this study is to compare the effects of low-speed drilling surgery technique without irrigation and conventional implant surgery technique with irrigation on extra short implants. The criteria to be taken into consideration when investigating the effect of these techniques on implants are as follows: evaluation of osseointegration at the end of three months, evaluation of marginal bone loss at the end of three months, initial insertion torque values (maximum insertion torque and final insertion torque), ISQ values obtained with a radiofrequency analyzer (Osstel) at the beginning and at the end of three months.
Interventions
PROCEDUREConventional dental implant surgery
It is performed to reconstruct lost teeth. These are surgical procedures performed to place dental implants in the jaw bones. To prepare the implant socket, drilling is performed with serum irrigation at a speed of 800 rpm.
It is performed to reconstruct lost teeth. These are surgical procedures performed to place dental implants in the jaw bones. To prepare the implant socket, drilling is performed at a speed of 50 rpm without serum irrigation.
Sponsors
Mode Medical Implant Manufacturer
Erzincan University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* There must be toothless space in the maxillary and mandibular posterior region (distal part of the canine in each quadrant). * The edentulous space should not require additional bone grafting. * Bleeding areas on probing should be less than 10% * There should be no pathological periodontal pockets * Patients who do not smoke or smoke less than 10 cigarettes * There should be no bruxism * At least 6 months must have passed since the last tooth extracted from the toothless space where the implant is planned. * There should be no diabetes.
Exclusion criteria
* Having psychological problems * Smoking more than 10 cigarettes * Alcohol and drug use * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the status of osseointegration | Three months after the implant is placed in the bone. At the end of three months | Fusion of the dental implant with the bone at the microscopic level. Osseointegration will be evaluated as successful or unsuccessful. Successful osseointegration is defined by no mobility in the implant, no radiolucency around the implant on radiography, and no pain in the implant. Otherwise, the osseointegration of the implant is considered unsuccessful. |
| Marginal bone lose | Three months after the implant is placed in the bone. At the end of three months | It defines the change in the marginal bone level in the neck area of the implant. It is determined by radiographic examination. The initial radiograph is compared with the radiograph at the end of three months. In measurements where the implant platform is the reference point, bone level changes are calculated in mm. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Insertion Torque value | Surgical stage where the implant is placed | It is the amount of compression of the implant when screwed into the bone. The value detected by the electronic device that screws the implant into the bone cavity during screwing. It is expressed in Newtons. |
| Implant Stability Quotient (ISQ Value) | 1- Surgical stage where the implant is placed; 2- Three months after the implant is placed in the bone. At the end of three months | The value obtained by the resonance frequency analysis (RFA) device used to measure the primary stability of dental implants. The RFA technique is based on continual excitation of the implant through dynamic vibration analysis. A transducer is connected to an implant, which is excited over a range of sound frequencies with subsequent measurement of the vibratory oscillation of the implant. It is a non-invasive technique. |
Outcome results
None listed