Ultra-wide Diameter Implants in Mandibular Molars

Study Overview
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Brief Summary
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The goal of this [clinical trial] is to [To evaluate both the clinical and radiographical outcome on osteointegration and peri-implant bone density when using ultra wide diameter implant placed immediately in molar extraction socket]

Detailed Description
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the aim of this study is to evaluate the clinical and radiographical outcomes on osseointegration and peri-implant bone density when using 12 ultrawide diameter dental implants placed immediately in 12 patients after atraumatic extraction of non-restorable mandibular molars without raising a flap or using bone grafts.

Official Title
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Evaluation of Immediately Placed Ultra-wide Diameter Implant Placed in Mandibular Molars

Conditions
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Dental Implants

Intervention / Treatment
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* Procedure: Immediate implant placement of Ultrawide diameter dental implants


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult patients ranging from 20-40 years. Adequate bone beyond teeth apices without jeopardizing any anatomical structure. Non-restorable mandibular molar teeth. Available bone with adequate width and buccolingual dimensions. Peri-implant bone defect should be 2mm or lesser. Exclusion Criteria: Smokers. Medically compromised patients like uncontrolled diabetes and coagulation disorders. Tooth with periapical pathosis or bony defects.

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 |
| --- | --- |
| Other: non-restorable mandibular molar teeth<br>patients with non restorable mandibular molar teeth without any periapical pathosis to be extracted and implanted immediately using ultrawide diameter dental implants | Procedure: Immediate implant placement of Ultrawide diameter dental implants<br>* immediate placement of ultrawide diameter dental implants in a fresh extraction socket of mandibular molar teeth<br>* Other names: Ultrawide diameter dental implants;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the mean value of implant stability | The implant stability was measured by implant stability meter (Osstell™) immediately postoperative and at 6 months. | up to 6months | 
| the mean value of peri-implant bone density | Radiographic evaluation of the bone density around each implant was done using OnDemand3D™. | up to 9 months | 
| the mean value of Marginal bone loss | marginal bone levels were calculated from the reconstructed corrected sagittal views by drawing a line parallel to the implant serration extending from the crestal bone to the apical end of the implant. Average readings of the two sides at each interval were calculated and tabulated for statistical analysis. | up to 9months | 
| the mean of peri-implant probing depth | Probing depth was assessed according to Gallagher and Silver Probing pocket depth refers to the distance between the gingival margin and the bottom of the pocket | up to 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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UWD implants