RecruitingNot ApplicableNCT06760442

Crestal Bone Changes Following Equi-crestal Versus Subcrestal Implant Placement

Radiographic Evaluation of Crestal Bone Changes Following Equi-crestal Versus Subcrestal Implant Placement in Mandibular Posterior Augmented Ridge. A Randomized Controlled Clinical Trial.


Sponsor

Misr International University

Enrollment

28 participants

Start Date

Jan 1, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Statement of problem: The stability of peri-implant bone is a crucial factor for the long-term success of dental implants, where crestal bone plays a significant role in both the primary as well as the long- term implant stability. A bone loss of 1.5 mm during the first year of loading has been acceptable according to the early standards. However, more bone stability can be expected with the development in implant designs and surfaces over the past decades. Aim of the study: the aim of this study is to radiographically assess the crestal bone changes following delayed implant placement in mandibular previously augmented posterior sites, comparing cases with equicrestal implant placement with subcrestal implant placement


Eligibility

Min Age: 21 YearsMax Age: 60 Years

Inclusion Criteria6

  • Patients older than 21 years.
  • Patients having augmented (by 50/50 particulate xenograft and autogenous bone) edentulous posterior site with vertical bone height of \> 10 mm in the mandible with a width of ridge ≥ 7 mm
  • Adequate Inter-arch space for implant placement
  • Favorable occlusion (no traumatic occlusion).
  • Good oral hygiene.•Accepts 18 months follow-up period (cooperative patient)
  • The patient provides informed consent.

Exclusion Criteria6

  • Patients with inadequate bone volume and/ or quality
  • Patients with remaining roots or with signs of acute infection related to the area of interest.
  • Patients having systemic conditions that interfere with normal wound healing
  • Patients with habits that may jeopardize the implant longevity and affect the results of the study such as parafunctional habits .
  • Smoker patients.
  • Pregnant women.

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Interventions

PROCEDURESubcrestal implant placement

Delayed implant placement 2 mm subcrestally in missing mandibular posterior site.

PROCEDURECrestal implant placement

Delayed implant placement equicrestally in missing mandibular posterior site.


Locations(1)

Misr International University

Cairo, Egypt

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NCT06760442