Novel Implant for Immediate Load in Posterior Mandible
Conditions
Keywords
Micro fixation , Immediate Loading, Posterior Mandible, Stability
Brief summary
The research aims to evaluate the long-term effectiveness of satellite implants in the posterior mandible by assessing the levels of crestal bone after six months of first loading and secondary stability issues at fourth-month , primary stability at time of implant loading . In particular, the primary outcome of this study is to assessment stability of satellite implants, which will be evaluated by anycheck device.
Detailed description
satellite dental implants show potential for improving stability, and reducing crestal bone loss in the posterior mandible site, it offers effective solution for cases where primary stability is compromised due to poor bone quality or quantity. By providing additional support and anchorage, they enhance the overall stability of the implant, reducing the risk of failure and allowing for successful immediate loading. clinical evidence for their efficacy is still lacking. This prospective case series intends to fill this gap by evaluating crestal bone levels and stability factors in patients who are getting satellite implants for immediate loading in the posterior mandible. The results will improve clinical recommendations and practice for implant placements in the posterior mandible.
Interventions
PROCEDUREsatellite implant
Satellite implant is a additional holding component as a stabilizer to provide a polygonal support to distribute forces and moments on single-standing implants give the implant sufficient resistance to withstand masticatory forces or at least keep it in a stable position during an unloaded healing period to achieve stabilization and subsequent osseointegration of implants.
Sponsors
Cairo University
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
* Patients requiring implants for the posterior mandible. * Patients aged between 18-45 years old. * Implants must be at least 8mm in length. * A sufficient quantity and distribution of implants to enable cross-arch stability. * Implants must have good initial stability, with insertion torques ranging from 35 to 50 N/cm. * Sufficient bone for implant placement and plate fixation. * Patient able to give informed consent. * Sufficient inter-arch space.
Exclusion criteria
* Contraindications to implant surgery in general. * Bruxism. * Immunosuppression. * History of radiation to the head and neck region. * Uncontrolled diabetes. * Heavy smokers (more than ten cigarettes per day). * Poor oral hygiene. * Current or previous bisphosphonate therapy. * Substance abuse. * Mental illness. * Failure to complete 6-month follow-up. * Pregnancy or breastfeeding. * Insertion torque of less than 35 N/cm. * Removal of interim repair during the osseointegration stage. * Patients suffering from parafunctional behaviors.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of Stability Using Satellite Implant for Immediate Loading in Posterior Mandible | Immediately post-implantation | After the insertion of the satellite implant, primary stability will be assessed at the time of implant loading using the AnyCheck device (Neo Biotech, Seoul, Korea). Introduced in 2017, the AnyCheck device evaluates implant stability through a damping capacity assessment method. It functions by striking the healing abutment six times over a span of three seconds. The contact duration between the impacting rod and the healing abutment is measured and converted into Implant Stability Test (IST) values. These values are quantified on a scale from 1 to 99, where higher IST values indicate greater implant stability or lower mobility. This quantitative measure provides a precise, reproducible method to assess the outcome of implant stability immediately after placement. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of Stability Using Satellite Implant for Immediate Loading in Posterior Mandible | The secondary stability is assessed four months post-implantation for each patient. | Assessment Tool: Secondary stability will be assessed using the AnyCheck device (Neo Biotech, Seoul, Korea). Introduced in 2017, this device specifically measures the damping capacity to evaluate implant stability. Method: After the removal of the satellite implant four months post-procedure, the AnyCheck device will be employed to measure the secondary stability. The device operates by striking the healing abutment six times over a three-second period. The duration of contact between the impacting rod and the healing abutment is recorded. Measurement Scale: The recorded contact time is then converted into Implant Stability Test (IST) values, which are displayed on a scale from 1 to 99. Higher IST values indicate greater implant stability, reflecting lower mobility of the implant within the bone. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Assessment of Stability Using Satellite Implant for Immediate Loading in Posterior Mandible | Crestal bone loss will be assessed at baseline (immediately post-implantation) and six months after the implant procedure. This timeframe allows for the monitoring of early bone remodeling and loss around the satellite implant. | Measurement Tool: CBCT combined with calibrated dental software. Method: Crestal bone level will be precisely measured by assessing the interproximal height of bone. This is defined as the distance between the apical end of the first thread of the implant and the most coronal point of the interproximal crestal bone, both buccally and lingually. Measurements will be taken using digital periapical radiographs, which provide high-resolution images allowing for accurate assessment of bone levels. Data Analysis: The height of the crestal bone will be recorded in millimeters. For each implant, the mean of the buccal and lingual bone heights will be calculated to determine the average crestal bone loss. Measurement Scale: Measurements will be recorded in millimeters to provide a precise quantitative assessment of bone loss. |
Countries
Egypt
Contacts
Primary Contactaya tallah selim labib, master
Backup ContactDr.mohamed khashaba, professor
Outcome results
None listed