Clinical trial NCT06671678: Dental Implant Osteointegrated With The Residual Root
Official title: Long-Term Prognosis Of An Implant Osteointegrated With The Root Remnant On-Site: A Case Report
Study type: OBSERVATIONAL
Overall status: ACTIVE_NOT_RECRUITING
Conditions: Dental Implant Failed
Osteointegration
Dental Crowns
Keywords: Root remnant
Dental implant failed
osteointegration
Dentine-implant interface
Lead sponsor: Ege University
Sponsor class: OTHER
First posted: 2024-11-04
Enrollment: 1
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Observational model: CASE_ONLY
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patient with dental implants placed in contact with residual roots

Brief summary: This case report presents the long-term prognosis of an implant resulting in late failure with an osteointegrated root remnant on the fixture 11 years after implant placement. A 68-year-old female patient experienced issues with a maxillary right 4-unit implant-supported bridge placed 11 years ago. During removal, an osteointegrated root remnant was discovered on the middle supporting implant, which had been inadvertently placed over it. Clinicians should be cautious with retained root remnants, as they may impact osteointegration. However, both the implant and root fragment were osteointegrated without adverse effects.

Detailed description: There is a growing demand for implant dentistry as the first rehabilitation choice for treating patients with missing teeth. Clinicians can encounter asymptomatic retained root fragments in edentulous spaces. This case report presents the long-term prognosis of an implant resulting in late failure with an osteointegrated root remnant on the fixture 11 years after implant placement. A 68-year-old female patient presented to the clinic with complaints of function related to a maxillary right 4-unit implant-supported bridge 11 years after the first insertion of the implants. After removal of the restoration, a root remnant was observed as osteointegrated on the fixture of the middle supporting implant. The implant was placed encroaching upon the mesial part of the residual root fragment left unintentionally, which was discovered accidentally during bridge removal. Clinicians should show ultimate attention when utilizing the retained root remnants in implant sites considering the potential risk of hindering osteointegration. However, osteointegration of the encroached implant and root fragment is plausible, with no observed adverse effects. A risk-benefit evaluation should be assessed individually.

Eligibility criteria: Inclusion Criteria:

* Patient with dental implants placed in contact with residual roots

Exclusion Criteria:

* Lack of retained root remnants
* Lack of dental implants

Primary outcomes:
measure: Dental Implant Osteointegrated With The Residual Root
timeFrame: From enrollment to the end of treatment at 11 years
Secondary outcomes:
Other outcomes:
Locations:
city: İzmir
country: Turkey
facility: Ege University Faculty of Dentistry Department of Prosthodontics
Study officials:
affiliation: Ege University Faculty of Dentistry Department of Prosthodontics
name: Esra Uyguç
role: PRINCIPAL_INVESTIGATOR
References: