Biostimulation, Immediate Implant Placement, Laser
Conditions
Keywords
immediate implant, ISQ, LLLT, clinical stability
Brief summary
Tooth loss is accompanied by bone loss in all dimensions, so preservation of the bone is mandatory for placement of dental implant, as bone quantity and quality are predictive factors in achieving proper primary stability. Low level bio stimulation has stimulatory effect on bone cells so it can be used in immediate implants to increase bone formation around the implant. the Aim of this study is to evaluate the effect of low-level diode laser Biostimulation on immediate implants in maxillary premolars.
Detailed description
20 patients with unrestorable maxillary premolars were included in the study treated with immediate implants. Patients were divided into two groups (n=10). Group 1 Received immediate implant with low level diode laser application (study), and group 2 received immediate implant without laser application (control). Preoperative clinical and radiographic evaluation, immediate post operative and after 4 months radiographic evaluation to assess stability and bone density around the implant.
Interventions
PROCEDUREimmediate maxillary premolar implant placement with no subsequent laser Biostimulation
Sham laser application
PROCEDUREimmediate maxillary premolar implant placement with subsequent laser Biostimulation
low lever biostimulation was performed on two consecutive sessions each of 100 s. First session was carried out immediately on surgery time after implant placement, using a diode laser Photo-biomodulation tip in a continuous wave and non-contact mode
Sponsors
Alexandria University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Sequentially numbered, opaque, sealed envelopes (SNOSE) allocation concealment method will be utilized. Each participant included in the study will be given a serial number that will be used in the allocation. These numbers will be written in identical sheets of paper with the group to which each participant is allocated and placed inside opaque envelopes carrying the respective names of participants. A trial independent personnel will be assigned the role of keeping the envelopes and unfolding them only at the time of the operation, so that the participant is allocated to a group which is concealed from the operator Furthermore, outcome assessor was blinded from the group enrollment
Intervention model description
Patients with immediate implant placement in the of maxillary premolars with low laser Biostimulation
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patients with unrestorable maxillary premolars with sufficient bone quantity to receive the dental implant. 2. Age ranging from 25-45. 3. Patients with no local or systemic pathology that can interfere with normal wound healing. 4. Non- smokers. 5. Patients that are properly motivated to complete follow up visits. 6. Patients with adequate oral hygiene or willing to improve their oral hygiene to ensure uncompromised wound healing.
Exclusion criteria
1. Patients with uncontrolled medical condition that can affect surgical outcome or bone and wound healing. (ex: diabetes mellitus) 2. Patients with periapical pathology that may contraindicate immediate implant placement. 3. History of receiving irradiation in head and neck region
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Implant Stability Assessment using Radio frequency analysis | 4 month | Secondary implant stability analysis was performed 4-months after implant placement. Radio frequency analysis (RFA) was performed using Osstell device (Integration diagnostic Ltd. Company, Sävedalen, Sweden). Primary and secondary implant stability were analyzed and compared. The use of the Osstell and ISQ values were obtained by a blinded operator |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Radiographic assessment of the management of the crestal bone width and changes in labial bone thickness. | 4 months | A postoperative CBCT will be taken within 24 hours of implant placement followed by a 6-months scan, and values will be compared with the preoperative record. The assessment will be conducted using the tools on the On Demand 3D App. Software\*. The following criteria will be assessed: |
Countries
Egypt
Outcome results
None listed