Immediate Implant With Cusomized Healing Abutment

Study Overview
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Brief Summary
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evaluate clinically and radiographically the effect of customized healing abutment on peri-implant osteogenesis following immediate implant placement.

Detailed Description
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Now a day most people want to make immediate implant after extraction, which save them time and eliminates the need of second surgery. The problem is that the jummping gap between the implant and the bone that needs bone graft, this increase the cost on the patient. In this experiment we tend to evaluate this technique which may help us in growing autogenous bone and stop the need for bone grafting. The aim of this study is to evaluate clinically and radiographically the effect of customized healing abutment on peri-implant osteogenesis following immediate implant placement. A clinical trial was carried out on 8 patients (20-40 years old) with freshly extracted mandibular molars. Implants were placed immediately after extraction and a customized healing abutment will be fabricated. Patients were followed up clinically and radio graphically for 6 months.

Official Title
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Evaluation of Immediate Implant Placement Using Customized Healing Abutment (Clinical Study)

Conditions
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Peri-implant Osteogensis

Intervention / Treatment
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* Other: immediate implant with customized healing abutment


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: Age range: 20 - 40 years Good oral hygiene A freshly extracted socket in the mandibular molar area. The gap between the implant and the bone will be at least 3-4 mm. Exclusion criteria: Acute infection (periodontitis or mucosal infection) Patients on radiotherapy or chemotherapy. Alcohol or drug abuse. Patient with the systemic disorder (uncontrolled Diabetes mellitus, autoimmune diseases, bone diseases, etc.) Smokers. Parafunctional habits.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: immediate implant with customized healing abutment<br> | Other: immediate implant with customized healing abutment<br>* All patients will be operated under local anesthesia. Atraumatic extraction of the remaining root or tooth will be achieved. A careful curettage of the socket will be performed if any granulation tissue is present. Sequential drilling of the osteotomy site with copious irrigation will be done The Implant is secured in place using a torque wrench. Fabrication of the customized abutment with flowable composite by first placing a rubber dam between the abutment and the implant to prevent leakage of composite into the socket then start adding the composite in a manner to seal the socket. Finishing the composite outside the patient's mouth will be done to ensure the borders are smooth with no sharp ends. The abutment will be attached to the implant.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in bone density | Cone beam CT will be taken immediately and 6 months postoperatively On Demand 3d software** is used to assess: Crestal bone loss. Perapical Bone density. | at 3rd, 6th months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in pain | The patients will be examined using the Visual Analogue Scale (VAS). the scale is from 0-10 0 =no pain 10= most severe pain | 1st day, 1 week, 4 weeks, 6 weeks, 12 weeks and after 6 months |