EFFECT OF LOW-LEVEL LASER THERAPY ON STABILITY OF DENTAL IMPLANTS PLACED IN A FRESH EXTRACTED SOCKET

Study Overview
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Brief Summary
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Aim of the study was to evaluate the effect of low-level laser therapy (LLLT) (660nm laser diode 0.5W) on implant stability and crestal bone loss in implants inserted in freshly extracted sockets augmented by Collaplug in the jumping gap.

Official Title
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EFFECT OF LOW-LEVEL LASER THERAPY ON STABILITY OF DENTAL IMPLANTS PLACED IN A FRESH EXTRACTED SOCKET

Conditions
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Dental Implant Stability

Intervention / Treatment
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* Other: Collaplug with low level laser
* Other: Collaplug


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1. Any non-restorable hopeless tooth: badly decayed tooth that cannot be restored. Tooth with failed endodontic treatment and tooth with longitudinal fracture. Type I post-extraction sockets with all bony walls intact. No signs of active periodontal disease in the selected tooth. Exclusion Criteria: The presence of any systemic disease that could complicate bone or soft tissue healing after immediate implant placement. The presence of acute periapical infection. The presence of any local factor that may interfere with extraction as tooth ankyloses. Subjects who had undergone therapeutical radiation. Patients who had been subjected to or who were under bisphosphonate therapy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 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
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Collaplug application with low level laser application.<br> | Other: Collaplug with low level laser<br>* Immediate implant placement with applying a collaplug material in the jumping gap followed by low level laser application using Siro laser (660 nm, avg. power density: 0.5-WATT) circular spot diameter and area: 0.71 cm/0.4cm2) applied in six points in contact mode with peri-implant soft tissue (1.23 minutes in each point of application; dose per point 11 J) before bone perforation and after suturing.<br>|
| Active Comparator: Collaplug application<br> | Other: Collaplug<br>* Implant of suitable diameter and height was placed in the fresh extracted socket immediately after extraction and the jumping gap was augmented by the collaplug followed by healing abutment placement.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Implant stability | Implant stability was measured by OSSTELL at 4 different levels (buccal, lingual, mesial, and distal). Implant Stability Quotient, is a scale from 1 to 100 and is a measure of the stability of an implant. Higher levels indicate greater stability. | up to 3 months | 
| Crestal bone loss | Crestal bone loss was assessed using cone beam computed tomography (CBCT) by measuring the distance from the bone crest to the implant apex from mesial, distal, lingual and buccal aspects intraoperatively. Crestal bone loss up to 1.5 mm is considered a normal early finding through the first year after implant placement. | up to 3 months |