Dental implants have become more common treatment for replacing missing teeth and aim to improve chewing efficiency, physical health and esthetic. Researchers always tried to improve design, mechanical and chemical properties of implant. Major benefit of surface modification are to improve hydrophilicity, cell to implant adhesion and cell proliferation. These modification improve osseointegration and reduce treatment duration. In this study investigators are evaluating healing capacity of hydrophilic implant compared to conventional implant.
At least above 18 years of age.
Patients who needs replacement of two or more teeth in mandible.
Adequate bone volume to accommodate planned dental implants.
General contraindication to dental implant treatment. (Uncontrolled diabetes and severe cardiovascular or infectious diseases).
Intravenous and oral bisphosphonate therapy.
Presence of severe, moderate or mild untreated periodontal disease.
Unwillingness to return for the follow-up examination.
Parallel
Dental Implant Surgery - Hydrophilic group
Procedure/SurgeryA full thickness mucoperiosteal flap was elevated, under Local anaesthesia, osteotomy sites were prepared according to manufactures instructions, and parallel pin was used to confirm position and angulation of osteotomy site. One site received a hydrophilic implant and the other site received a conventional implant. Ostell ISQ was used to measure primary stability of the dental implant. The surgical wound closure was with mattress and single interrupted sutures, using 4-0 vicryl suture.
Dental Implant Surgery - Conventional group
Procedure/SurgeryA full thickness mucoperiosteal flap was elevated, under Local anaesthesia, osteotomy sites were prepared according to manufactures instructions, and parallel pin was used to confirm position and angulation of osteotomy site. One site received a hydrophilic implant and the other site received a conventional implant. Ostell ISQ was used to measure primary stability of the dental implant. The surgical wound closure was with mattress and single interrupted sutures, using 4-0 vicryl suture.
Implant Stability Using Resonance Frequency Analysis
Implant stability is measured
Marginal Bone Loss Using RVG and Grid.
Marginal Bone Loss Measured
Soft tissue healing
Soft tissue healing will be assessed using Landry Turnbull and Howley Healing Index. Where soft tissue healing will be scored from 1 to 5, where score "1" indicate worse score and score "5" indicate Best score
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