Impacted Tooth
Conditions
Keywords
Implantology, Prosthesis, Fixed Crown
Brief summary
This is a prospective study, in which there are involved four clinical cases of surgical extraction of impacted maxillary canines followed by immediate implant placement and immediate screw-retained temporary crown using a full-digital workflow that included performing a CBCT, an intraoral scan, AI-assisted segmentation, a virtual wax-up, and the design of a surgical guide and a 30° angled abutment. Then, the follow-up lasting two years is performed to verify the functional and esthetical outcomes. The patients included in this report are part of an ongoing clinical trial, and the complete data set will be published separately upon study completion. The aims is to present clinical outcomes and synthesize evidence comparing placing implant to avoid buccal augmentation using angles abutments versus performing guided bone regeneration (GBR) to allow ideal implant placement with straight abutments, and to evaluate the risk of abutment screw loosening.
Interventions
PROCEDUREImplantology
Following local anesthetic infiltration and a minimally invasive access, the atraumatic extraction of the impacted canine is performed, preserving the vestibular soft and bone tissues. The implant site is then prepared, and the implant is placed using the surgical guide, with the required insertion torque to achieve primary implant stability.
Sponsors
University of Bari Aldo Moro
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Refuse Orthodontic treatments * Patients had to be healthy according to System of the American Society of Anesthesiology (ASA) and aged 18 years or older * No general medical condition representing a contraindication to implant therapy * minimum 2 missing teeth in the maxilla or mandible from the canine to the second molar * No periodontal disease (periodontal probing depth \<4 mm) or treated periodontitis * Good oral hygiene (full mouth plaque index\<25%) * Adequate control of inflammation (full mouth bleeding on probing\<25%)
Exclusion criteria
* smoking of more than 15 cigarettes a day * untreated periodontal disease * pregnancy or breastfeeding at date of inclusion * acute infections * keratinized mucosal tissue less than 2 mm
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ISQ | At implant insertion and after 3 months | Implant stability quotient. ( 0 - 100) |
| Periimplant chart | 3 month after implant insertion, 1 year, 2 years | Probing the implant in 6 site. |
Countries
Italy
Contacts
PRINCIPAL_INVESTIGATORFrancesco Colacicco
University of Bari Aldo Moro
PRINCIPAL_INVESTIGATORGiuseppe D'Albis, Dr.
University of Bari Aldo Moro
STUDY_DIRECTORSaverio Capodiferro, Prof. Dr.
University of Bari Aldo Moro
STUDY_DIRECTORMassimo Corsalini, Prof. Dr.
University of Bari Aldo Moro
Outcome results
None listed