Digitally Assisted Immediate Implants in Geriatric Patients
Digitally Assisted Immediate Implant Placement and Loading in Geriatric Patients
Menoufia University
40 participants
Jan 1, 2025
OBSERVATIONAL
Conditions
Summary
This prospective clinical study aims to evaluate the clinical performance of digitally assisted immediate implant placement and immediate loading in geriatric patients. The study will assess biological outcomes, including implant survival and marginal bone level changes, as well as mechanical complications and primary stability progression. Additionally, patient-reported outcomes such as pain, functional improvement, and esthetic satisfaction will be evaluated using visual analog scales. A fully digital workflow incorporating CBCT, intraoral scanning, and guided surgery will be utilized to enhance treatment accuracy and efficiency. Patients will be followed for 12 months to determine the predictability and effectiveness of this treatment approach in the elderly population.
Eligibility
Inclusion Criteria6
- Patients aged ≥65 years
- Indication for tooth extraction with immediate implant placement
- Sufficient residual bone volume to achieve primary implant stability
- Ability to achieve insertion torque ≥35 Ncm and/or implant stability quotient (ISQ) ≥60
- American Society of Anesthesiologists (ASA) physical status I-III
- Adequate oral hygiene and patient compliance
Exclusion Criteria6
- Uncontrolled systemic diseases (e.g., uncontrolled diabetes mellitus)
- History of head and neck radiotherapy
- Active untreated periodontal disease
- Heavy smoking (>10 cigarettes/day)
- Current or previous bisphosphonate therapy
- Parafunctional habits (e.g., severe bruxism)
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Interventions
Digitally assisted immediate implant placement and loading will be performed in geriatric patients requiring tooth extraction. A fully digital workflow including CBCT and intraoral scanning will guide prosthetically driven implant placement using a CAD/CAM-fabricated tooth-supported surgical guide. Primary stability will be assessed using insertion torque and ISQ. Immediate screw-retained provisional restorations will be delivered within 48 hours, with occlusion adjusted to control loading. Minor peri-implant gaps will be grafted as needed. Definitive prostheses will be delivered after 3-6 months, and patients will be followed clinically and radiographically for 12 months to assess biological, mechanical, and patient-centered outcomes.
Locations(1)
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NCT07534514