Dental Implants, Gingival Inflammation, Marginal Bone Loss, Periodontal Probing Depth, Periodontitis
Conditions
Keywords
SLA implant, Plasma spraying implant, Peri-implant bone, Periodontitis patients, Implant surface, Probing Depth, Gingival Index
Brief summary
This study evaluates and compares marginal bone level changes around dental implants with two different surface characteristics in patients with a history of periodontitis. Participants will receive dental implants and will be followed up for one year to assess bone level changes around the implants.
Detailed description
Patients with treated periodontitis who require dental implants will be divided into two groups based on implant surface type. Marginal bone level will be assessed radiographically at baseline, then at 3 months,6 months, and 12 months after implant placement. The study aims to determine whether implant surface characteristics influence marginal bone loss in periodontitis-susceptible patients over a one-year follow-up period.
Interventions
DEVICESLA Dental Implant
Sandblasted large-grit corundum and acid-etched (SLA) surface dental implant
DEVICEPlasma Spraying Dental Implant
Plasma spraying surface treated dental implant
Sponsors
Faculty of Dental Medicine for Girls
Study design
Allocation
NON_RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants will be divided into four groups based on implant surface type and periodontal status: Group I: 15 periodontitis patients receiving sandblasted large-grit corundum and acid-etched (SLA) surface implants. Group II: 15 periodontitis patients receiving plasma spraying surface treated implants. Group III: 5 periodontally healthy patients receiving sandblasted large-grit corundum and acid-etched (SLA) surface implants. Group IV: 5 periodontally healthy patients receiving plasma spraying surface treated implants. All groups will be followed up for 12 months to assess marginal bone level changes radiographically.
Eligibility
Sex/Gender
ALL
Age
35 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* Age ranged from 35 to 55 years old, with a history of periodontitis * Presence of at least one edentulous space * Presence of adequate bone volume to place implants and achieves primary implant stability without the need for bone reconstructive approaches * Absence of systemic diseases
Exclusion criteria
* Presence of para-functional habits * Chronic smokers or former smokers * Pregnancy and lactation * Any patient who is not willing to follow our treatment protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Marginal Bone Level | Baseline, 3 months, 6 months, and 12 months after implant placement | Radiographic assessment of marginal bone level changes around dental implants measured in millimeters using Cone Beam Computed Tomography (CBCT) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Probing Depth | Baseline, 3 months, 6 months, and 12 months | probing depth measured in millimeters around implants |
| Gingival Index | Baseline, 3 months, 6 months, and 12 months | The gingival condition around the implants were evaluated using the Löe and Silness Gingival Index. A plastic periodontal probe were used to gently assess the gingival tissues at four surfaces per implant (mesial, buccal, distal, and lingual). Each surface was scored from 0 to 3 as follows: 0 = Normal gingiva 1. = Mild inflammation (slight change in color, slight edema, no bleeding on probing) 2. = Moderate inflammation (redness, edema, bleeding on probing) 3. = Severe inflammation (marked redness and edema, ulceration, spontaneous bleeding) |
Countries
Egypt
Contacts
PRINCIPAL_INVESTIGATOROsama Sayed EL-Shall, Professor
Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
STUDY_DIRECTORLobna Mohamed Abd-ELaziz, Associate Professor
Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
Outcome results
None listed