Dental Implant Stability, In Recent Years, There Has Been a Rise in the Use of Immediate Loading Protocols
Conditions
Keywords
Immediate loading, Hyaluronic acid, Atorvastatin, ; Bone density; Posterior maxilla.
Brief summary
Background: In recent years, there has been a rise in the use of immediate loading protocols; however, the complex anatomy of the posterior maxilla presents challenges. Currently, there is a lack of comparative studies assessing the effects of hyaluronic acid and atorvastatin gel on enhancing bone density in this region in conjunction with immediate loading. This study aimed to compare the effect of topical application of atorvastatin gel versus hyaluronic acid around immediately loaded dental implant that replacing missed maxillary posterior teeth. Patients and methods: twenty one patients were chosen from the Outpatient Clinic in the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Mansoura University seeking implant placement. Patients were divided randomly and equally into three groups: group I (control group): 7 patients received implants without coating by any materials. Group II \[Hyaluronic acid (HA) group\]: 7 patients received implants coated with HA gel .Group III \[atorvastatin (ATV) group\]: 7 patients received implants coated with ATV gel. Clinical evaluation of implant stability was performed at the time of implant insertion and after 3 and 6 months postoperative. Also, peri-implant pocket depth (PPD) and modified sulcus bleeding index (mSBI) were evaluated. Radiographical evaluation of bone density (BD) was performed immediately and after 6 months postoperatively of implant loading using CBCT. All clinical and radiographic data were subjected to statistical analysis.
Interventions
PROCEDUREimplant surgery
surgery
Sponsors
Amira attia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
\- Inclusion criteria: * patients with one or more missing maxillary posterior teeth * age ranging from 18 to 45 years * patient's cooperation * motivation and good oral hygiene * adequate occlusion (proper interarch space).
Exclusion criteria
* individuals with systemic or local diseases that are contraindicative of surgery or implant placement * pregnant individuals * individuals with any bone diseases that may impede bone healing * smokers * individuals who exhibit parafunctional habits like bruxism and clenching.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| clinical evaluation | 6 months | Clinical evaluation of implant stability was performed at the time of implant insertion and after 3 and 6 months postoperative. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| radiographic evaluation | 6 months | Radiographical evaluation of bone density (BD) was performed immediately and after 6 months postoperatively of implant loading using CBCT |
| clinical evaluation | 6 months | modified sulcus bleeding index (mSBI) were evaluated at 3 months and 6 months after loading |
Countries
Egypt
Outcome results
None listed