Dimensional Changes Following Immediate Implant Placement in Molar Extraction Sockets With or Without Bone Graft

Launched by MISR INTERNATIONAL UNIVERSITY · Jan 12, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at how immediate dental implants placed in the sockets of extracted lower molars (back teeth) affect the surrounding bone and soft tissue. Specifically, the study will compare two methods: one where the implant is placed with just a customized healing piece on top, and another where the implant is placed with both the healing piece and a bone graft (a material used to help support the bone). The goal is to understand if either method helps prevent the bone from collapsing and how the soft tissue heals over the course of a year.

To participate in this trial, you must be an adult aged 18 to 50, with a lower first molar that cannot be saved and needs to be extracted. You should have healthy gums and good oral hygiene, with specific conditions regarding the bone around the tooth. Unfortunately, individuals who smoke, are pregnant, or have certain health conditions that affect healing cannot take part. If you do join, you will receive either the implant with or without the bone graft, and the team will monitor your healing and the changes in your bone and gum tissue over 12 months.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adults from the age of 18 - 50 years of both genders.
• • Patients with non-restorable single bounded mandibular 1st molar tooth indicated for extraction.
• • Periodontally healthy patients with good oral hygiene.
• • Intact interradicular bone with 2-3 mm width, assessed by CBCT.
• • Thin buccal plate of bone (1 mm or less) among both of the mesial and distal root, assessed by CBCT.
• • Intact gingival tissue with at least 2 mm keratinized tissue.
• • Patients accepts to provide written informed consent.
• Exclusion Criteria:
• • Molar sites indicated for extraction with roots of close proximity to vital structures as inferior alveolar nerve.
• • Pregnant females.
• • Smokers as smoking is a contraindication for any plastic periodontal surgery (Khuller, 2009).
• • Handicapped and mentally retarded patients.
• • Patients undergoing chemotherapy and/or radiotherapy.
• • Presence of systemic disease that would affect wound healing.
• • Presence of active infection with soft tissue communication.