Evaluation of Ridge Dimensional Changes After Immediate Implantation and Efficacy of This Procedure

Study Overview
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Brief Summary
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Evaluation of dimensional changes in alveolar ridge following immediate implantation compared to delayed implantation evaluation of the effect of gap dimensions between socket walls and dental implant in implant stability

Detailed Description
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24 hopeless single root teeth will be selected. The horizontal and vertical measurements will be assessed in 12socket after immediate implantation and filling the gape with DFDBA. Horizontal dimensions (bucco-lingual) of alveolar ridge will be measured at 1,3 and 7 mm using caliper and CBCT , and vertical ridge dimensions at 8 points:(mid-buccal,mid-lingual,mesial,distal,disto-buccal-mesio-buccal,disto-lingual,mesio-lingual ) will be determined using a periodontal probe from the line connecting the two adjacent CEJs ,and dimensional changes will be measured after 3 months following implant insertion with the same device during the second stage surgery. The vertical and horizontal dimensions between the implant and alveolar crest and between the crest and base of the gap will be measured at 8 points:(mid-buccal,mid-lingual,mesial,distal,disto-buccal-mesio-buccal,disto-lingual,mesio-lingual ). The primary and secondary stability will be measured using Osstell at baseline and 3-month later. Twelve sockets will heal without grafting materials, soft and hard tissue measurements including horizontal and vertical ridge dimensions will be determined. All the measurement will be assessed using caliper and CBCT at the time of extraction and 3-month later at the time of implant insertion.

Official Title
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Evaluation of Implant Stability and Dimensional Changes in Alveolar Ridge Following Immediate Implantation

Conditions
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Atrophy of Edentulous Alveolar Ridge, Alveolar Ridge Augmentation

Intervention / Treatment
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* Procedure: immediate implantation
* Procedure: Delayed implantation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with hopeless single root tooth and willing for dental implants Having no systemic disease Exclusion Criteria: Fail to osseointegrate
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: immediate implantation<br>Immediately after tooth extraction, dental implant is inserted. | Procedure: immediate implantation<br>* Immediately after tooth extraction, a dental implant is inserted<br>* Other names: Implant in fresh socket;|
| Other: Delayed implantation<br>Four months after extraction, Dental implant is inserted. | Procedure: Delayed implantation<br>* Four months after extraction, a dental implant is inserted and measurements are recorded.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| dimensional changes | Horizontal dimensions (bucco-linguall) of alveolar ridge will be measured at 1,3 and 7 mm using caliper and CBCT , and vertical ridge dimensions at 8 points:(mid-buccal,mid-lingual,mesial,distal,disto-buccal-mesio-buccal,disto-lingual,mesio-lingual ) will be determined using a periodontal probe from the line connecting the two adjacent CEJs ,and dimensional changes will be measured after 3 months following implant insertion with the same device during the second stage surgery. | baseline to 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| implant stability | The primary and secondary stability will be measured using osstell at baseline and 3-month later. | baseline to 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Atrophy of Edentulous Alveolar Ridge, Dental Prosthesis, Implant-Supported, Dental Implants, Single-Tooth