Immediate Dental Implant, Molar Teeth, Socket Sealing
Conditions
Keywords
Immediate implant, Socket sealing, Soft tissue, Implant stability, Cone beam computed tomography
Brief summary
This study aimed to evaluate bone and soft tissue changes clinically and radio-graphically after using socket sealing abutment with or without bone graft material.
Detailed description
Immediate implant placement in molar extraction sockets poses challenges related to soft-tissue closure, jumping distance, and peri-implant tissue stability. Socket sealing abutments (SSA) have recently been introduced to enhance soft-tissue healing and maintain peri-implant architecture, with or without adjunctive bone grafting.
Interventions
PROCEDUREImmediate Molar Implant Placement with Grafting Material
Participants will receive immediate molar implant placement after tooth extraction. A socket sealing abutment will be placed, and the extraction socket will be filled with an appropriate grafting material to promote bone preservation and enhance soft tissue healing. Standard post-operative care will be provided.
PROCEDUREImmediate Molar Implant Placement without Grafting Material
Participants will receive immediate molar implant placement after tooth extraction. A socket sealing abutment will be placed, without adding any grafting material. Standard post-operative care will be provided.
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients with non-restorable maxillary or mandibular molars indicated for extraction and replacement with implants * Age between 18-45 years * Sufficient inter-arch space to accommodate the future prosthesis * Good oral hygiene * Free from systemic diseases * Patients with jumping space \> 2 mm
Exclusion criteria
* Presence of any pathological lesion or root tips at the planned surgical site * Aggressive periodontal disease * Inadequate bone height or thickness for implant placement * Alcohol or drug abuse * Systemic diseases that contraindicate implant placement (e.g., osteoporosis, active cancer) * Pregnancy * Para-functional habits (e.g., bruxism, clenching) * Patients wearing orthodontic appliances
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| soft tissue changes | Baseline,3 month,6month | Optical scans of the patients' impressions were obtained immediately after surgery (baseline) and at 3- and 6-month follow-up intervals. For each patient, the baseline STL file was digitally superimposed onto the corresponding 3- and 6-month STL files using dedicated image analysis software to evaluate changes in the peri-implant soft tissues over time. A standardized two-dimensional bucco-lingual cross-sectional image was generated along the long axis of the implant. Buccal and lingual/palatal soft tissue dimensional changes were assessed by measuring the linear distance between baseline and follow-up(3,6month) soft tissue profiles at 1, 2, 3, and 4 mm apical to the GM. Mid-buccal gingival recession was evaluated by measuring the vertical change in the position of the gingival margin at 3,6month. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dental implant stability assessed by resonance frequency analysis (ISQ) | basline 3,6 months | Implant stability will be measured using resonance frequency analysis with the Osstell device. ISQ values will be recorded immediately 3,6-month follow-up visit. |
Countries
Egypt
Outcome results
None listed