Health TrialsbyHealthPanel

Diode Laser Photocoagulation With Immediate Implant Placement

ConditionsTooth ExtractionImmediate Dental ImplantPhotocoagulationMaxillary Esthetic Zone
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-40
SponsorHams Hamed Abdelrahman

About this trial

Placement of an immediate implant is becoming popular because of its potential in minimizing the treatment time and enhancing the patient comfort and esthetic outcomes. It is crucial to maintain adequate thickness of labial bone with the establishment of a stable and healthy gingival seal around the implant abutment to prevent the invasion of bacteria and peri-implant inflammation. Diode lasers have been developed as a promising tool in dentistry, providing a precise manipulation and photocoagulation effect that may have a positive influence on both bone remodeling and soft tissue healing. This study aims to evaluate the effectiveness of the utilization of diode laser photocoagulation with immediate implant placement and customized healing abutment in the maxillary esthetic zone.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

A severely carious tooth that cannot be restored.

Pulpal necrosis or irreversible pulpitis that is not amenable to endodontics.

Periodontally involved teeth with grade 2 mobility or above.

Teeth with root caries that can't be restored.

Disqualifiers

Patients with extraction socket Type II or III, with buccal plate defects.

Absence of at least 2 mm of bone apical to the extraction socket

tooth ankylosis.

Patients with deciduous teeth.

Trial design

Design model

Single group

Treatments tested in this trial

  • Diode laser and Immediate implant

    Other intervention

    patients with non-restorable teeth in the maxillary esthetic zone will be included in this prospective single-arm study. The non-restorable tooth will be atraumatically extracted and immediate implant placement will be placed. The extraction socket will be sealed with diode laser photocoagulation and customized healing abutments fabrication.

Treatment groups

8 Participants
are divided into 1 treatment group
Group A: Immediate implant with photocoagulationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in pain socres

Pain will be evaluated, using visual analogue scale (VAS) as follows: (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe)

Time frame
at 7, 14, and 21 days
2

Change in wound healing

The wound healing will be assessed based on Landry Wound Healing Index. The Landry Index uses a numerical score based on the assessment of four given parameters (Erythema, Edema, Wound Margin Adaptation, and Presence of Exudate). Each parameter is given a score depending on its severity, and the total score determine an overall evaluation of wound healing

Time frame
at 7, 14, and 21 days
3

Change in implant stability

The base line primary Implant Stability Quotient (ISQ) will be measured during the operative stage, while the secondary stability quotient will be measured 6-months post-operative during the prosthetic phase preparation.

Time frame
baseline and 6 months

Secondary outcomes

1

Change in Crestal Alveolar Process width

The width of the crestal alveolar process will be assessed by determination of the dimensional changes of Bucco-palatal ridge in the 6 months' scan

Time frame
baseline and 6 months
2

Change in labial bone thickness

The overall persistence of the labial plate of bone after the atraumatic extraction and immediate implant placement will be evaluated by the assessment of the thickness labial plate of bone in the scan performed after 6 months and comparing it with the preoperative CBCT record. The distance will be measured from the root surface to the outer buccal bone surface in the preoperative CBCT record. Measurements will be performed on the cross-sectional cut of the CBCT at three levels; crestal labial thickness, middle labial thickness, and apical labial thickness.

Time frame
baseline and 6 months
3

Change in esthetic of soft tissue

The pink esthetic score (PES) introduced by Furhauser et al will be used for evaluation of the esthetic outcome of soft tissue surrounding single crowns supported by implant in the esthetic zone. The PES consists of seven factors each one is given a score of 2, 1, or 0, and a total score will be ranging between 0 and 14

Time frame
at 1 month

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Hams Hamed Abdelrahman

Lead sponsor

Alexandria University

Sponsor institution

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: