About this trial
This study compares two types of dental implants, short implants (6 millimeters or less in length) and standard implants (longer than 8 millimeters), to evaluate their effect on the health of the gum and bone tissue surrounding the implant. Approximately 40 patients receiving a total of 80 dental implants will be followed. Researchers will assess clinical signs of gum health around the implants, measure specific protein levels (biomarkers) in the fluid surrounding the implants associated with gum disease. The goal of this study is to determine whether implant length affects the risk of inflammation or infection around dental implants, which may help guide treatment decisions in the future.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Systemically healthy adults aged 18-70 years.
Presence of at least one short (≤6 mm) and/or standard (>8 mm) dental implant in function for at least 2 years.
Patients presenting to the Department of Periodontology, Faculty of Dentistry, Inonu University, for routine dental examination.
For the peri-implant health group: absence of clinical signs of inflammation (redness, edema, or suppuration), absence of bleeding on probing (BOP), probing pocket depth (PPD) ≤5 mm, full-mouth BOP <10%, no radiographic evidence of pathological peri-implant bone loss, and no clinical implant mobility.
Disqualifiers
Age younger than 18 years or older than 70 years.
Presence of any systemic disease.
Immune system disorders or use of immunosuppressive medications.
Requirement for antibiotic prophylaxis before dental procedures.
Trial population
Adult patients presenting to the Department of Periodontology, Faculty of Dentistry, Inonu University, for routine dental check-up, who have at least one short (≤6 mm) and/or standard (\>8 mm) dental implant in function for at least 2 years.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Change in Peri-Implant Crevicular Fluid RANKL Level
Receptor activator of nuclear factor kappa-B ligand (RANKL) levels in peri-implant crevicular fluid (PICF) will be measured using enzyme-linked immunosorbent assay (ELISA) and compared between short and standard implant groups.
Change in Peri-Implant Crevicular Fluid OPG Level
Osteoprotegerin (OPG) levels in peri-implant crevicular fluid (PICF) will be measured using enzyme-linked immunosorbent assay (ELISA) and compared between short and standard implant groups.
Change in Peri-Implant Crevicular Fluid Cathepsin K Level
Cathepsin K levels in peri-implant crevicular fluid (PICF) will be measured using enzyme-linked immunosorbent assay (ELISA) and compared between short and standard implant groups.
Secondary outcomes
Change in Peri-Implant Probing Depth
Peri-implant probing depth (PPD) will be measured in millimeters using a periodontal probe at six sites around each implant and compared between short and standard implant groups.
Change in Peri-Implant Bleeding on Probing
Bleeding on probing (BOP) will be assessed following gentle probing around each implant and recorded as the percentage of sites exhibiting bleeding.
Change in Peri-Implant Plaque Index
Peri-implant plaque accumulation will be evaluated using the Plaque Index (PI) and compared between short and standard implant groups.
Change in Gingival Index
Peri-implant soft tissue inflammation will be evaluated using the Gingival Index (mGI) and compared between short and standard implant groups.
Sponsors and contacts
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