Biological Width, Dental Implant, Osseointegration
Conditions
Brief summary
This prospective cohort study aimed to evaluate, clinically, radiographically, and digitally, the volumetric changes occurring during the early healing period after implant treatment in patients with tooth loss in the posterior regions of the jaws, focusing on the processes of osseointegration and biological width formation.
Interventions
PROCEDUREDental Implant Surgery
Dental implants will be placed in edentulous areas.
Sponsors
Kutahya Health Sciences University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Intervention model description
Dental implant placement in the posterior mandible
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Over the age of 18 * Systemically healthy * Need for implant treatment in unilaterally edentulous posterior mandible * Sufficient interocclusal space for implant and restoration placement * At least four months passed since tooth extraction * Alveolar bone height adequate for implant placement, with a minimum width of 6 mm, and without risking anatomical structures * Plaque and bleeding scores of less than 15% in the entire mouth * Presence of opposing teeth in occlusion * Written informed consent obtained, including permission for the use of data for research purposes
Exclusion criteria
* Poor oral hygiene * Uncontrolled periodontal disease * Pregnancy or lactation at any stage of the study * Uncontrolled diabetes * Patients with suppressed immune systems * History of radiotherapy to the head and neck region * Diseases or medications affecting bone metabolism * Smoking more than 10 cigarettes per day * Bone augmentation performed before or concurrently with the implant * Failure to achieve primary stability with the implant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Linear and volumetric changes in the tissue | Preoperative and postoperative 2nd, 4th, and 16th months | Linear and volumetric changes in the tissue resulting from the alignment of scan data obtained at four different time points. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Keratinized mucosa width (from the edentulous ridge) | Preoperative and postoperative 2nd month | Keratinized tissue measured from the mid-buccal of the edentulous area using a periodontal probe. |
| Keratinized mucosa width (from the gingival margin of the dental implant-supported prosthesis) | Postoperative 4th and 16th months | Keratinized tissue measured from the gingival margin of the dental implant-supported prosthesis to the mucogingival junction using a periodontal probe. |
| Mucosal thickness (from the edentulous ridge) | Preoperative and postoperative 2nd month | Mucosal thickness measured from the midpoint of the edentulous area using a periodontal probe. |
| Mucosal thickness (from the facial aspect of the edentulous ridge) | Preoperative and postoperative 2nd month | Mucosal thickness measured at the mid-buccal of the edentulous area, from the midpoint between the mucogingival junction and 2 mm apical to the gingival margin of the adjacent tooth, using a endodontic spreader. |
| Mucosal thickness (from 3 mm apical to the gingival margin of the implant-supported prosthesis) | Postoperative 4th and 16th months | Mucosal thickness measured 3 mm apical to the gingival margin of the implant-supported prosthesis using a endodontic spreader. |
| Peri-implant pocket depth | Postoperative 4th and 16th months | Peri-implant pocket depth measured at six points around the dental implant using a periodontal probe. |
| Modified plaque index | Postoperative 4th and 16th months | Modified plaque index measured at four points around the dental implant using a periodontal probe. |
| Modified bleeding index | Postoperative 4th and 16th months | Modified bleeding index measured at four points around the dental implant using a periodontal probe. |
| Marginal bone level | Preoperative and postoperative 2nd, 4th, and 16th months | Marginal bone level measured on periapical radiographs. |
Countries
Turkey (Türkiye)
Outcome results
None listed