Radiographic Evaluation of The Labial Bone Dimensional Changes After Immediate Implant

Summary

For the dimension of the peri-implant buccal gap, a controversy is present whether complete bone formation labial to the implant. Therefore, leaving the blood clot in the large socket around implants without augmentation is questionable to result in complete bone fill and would not affect the buccal contour collapse. The aim of this clinical trial was to evaluate the labial bone dimensional changes after immediate implant placement in the esthetic zone with \& without bone grafting inside the socket by using CBCT superimposition (Fusion) scans.

Conditions

• Immediate Implants
• Esthetic Zone
• Labial Bone Dimensional Changes
• Without Labial Bone Grafting
• With Labial Grafting
• Thin Labial Plate of Bone Pre-extraction

Interventions

PROCEDURE

immediate implant placement without bone grafting

After atraumatic extraction of the non-restorable tooth using periotome and luxators, osteotomy site preparation will be done \& patients will receive an immediate post-extraction implant without any grafting material in the socket between the residual labial bone and implant surface. After implant insertion, the labial bone dimensions of the buccal peri-implant defect will be measured using Automated Voxel Superimposition Method of CBCT scans. All the patients in this study had two scans; primary (preoperative) scan and secondary (Postoperative) scan, with standardization of the exposure parameters. All datafrom CBCT examinations were acquired in a DICOM format which were imported to OnDemand3D ®App software (Cybermed, Seoul, Korea). superimposition of DICOM sets of each patient using Fusion module of Ondemand 3D App software was done.

PROCEDURE

immediate implant placement with socket bone grafting

After atraumatic extraction of the non-restorable tooth using periotome and luxators, osteotomy site preparation will be done and patients will receive an immediate post-extraction implant with placing bovine bone graft (Bio-oss) in the socket between the residual labial bone and implant surface. After implant insertion, the labial bone dimensions of the buccal peri-implant defect will be measured using Automated Voxel Superimposition Method of CBCT scans. All the patients in this study had two scans; primary (preoperative) scan and secondary (Postoperative) scan, with standardization of the exposure parameters. All datafrom CBCT examinations were acquired in a DICOM format which were imported to OnDemand3D ®App software (Cybermed, Seoul, Korea). In order to ensure standardization and reproducibility of the CBCT cross sectional images used in this study, superimposition of DICOM sets of each patient using Fusion module of Ondemand 3D App software was done.

Sponsors & Collaborators

• Cairo University

  lead OTHER

Principal Investigators

• Noha A Ghallab, PhD · Professor of Oral Medicine & Periodontology

• Ahmed I Abou- El-Fettouh, MSc · Misr International University

• Abdelrahman Zohny, BDs · Misr International University

• Nael M Adel, BDs · Misr International University

• Khaled Abdelghaffar, PhD · Professor of Periodontology, Ain Shams University

• Mariam S Abdelmalak, BDs · Misr International University

• Nesma M Shemais, PhD · Lecturer of Oral Medicine & Periodontology, Cairo University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

21 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2020-11-01

Primary Completion

2022-04-01

Completion

2022-04-29

Countries

• Egypt

Study Locations