Partial Edentulism, Tooth Loss
Conditions
Keywords
implant, Dental Implants, Computer-Guided Surgery, Pilot-Guided Surgery
Brief summary
This randomized clinical trial aims to compare the accuracy of single-drill (pilot-guided) computer-guided implant surgery versus full-sequence computer-guided dental implant placement. The study evaluates clinical and radiographic outcomes, focusing on apical, angular, coronal, and depth linear deviations using post-operative cone-beam computed tomography (CBCT) superimposition.
Interventions
Dental implant placement using full sequence computer guidance with all sequential drills and metal reducers
Dental implant placement using first-drill (pilot-guided) computer guidance, followed by freehand sequential drilling and placement
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>= 18 years, both sexes * Patients requiring dental implant placement in the posterior region (molar area) * Patients systemically healthy with no medical history contraindicating implant surgery * Sufficient inter-arch space for future prosthesis (minimum 7 mm)
Exclusion criteria
* Bone height \< 6 mm at the proposed implant site * Inadequate oral hygiene * Heavy smoking (\>10 cigarettes/day) * Alcohol or drug abuse * Pregnancy * Local or systemic infection * Uncontrolled metabolic disease (e.g., diabetes mellitus) * Severe hepatic or renal dysfunction * Chemotherapy or radiotherapy within the last 5 years * Immunosuppression therapy or autoimmune disorders * Complete edentulism * Pathological conditions such as periapical or periodontal abscesses * Untreated gingivitis or periodontitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Apical deviation | Immediately after surgery (Post-operative CBCT). | The linear deviation between the planned and actual implant apex position measured on post-operative CBCT superimposition. |
Countries
Egypt