The aim of this split mouth study is to compare which method is better in reducing bone loss and healing times following implants. Specifically, the two methods investigated will be immediate gradual loading and early loading protocol. Research Hypothesis Immediate gradual loading using gingival formers is superior to early loading protocols in improving bone quality and thus reducing the healing time.
These two methods (gradual loading and early loading) will both be used in implants patients with the aim to compare which protocol leads to a better outcome for the patient. A 'better outcome' is defined as the method, which leads to the least crestal bone loss, and the fastest healing time. Immediate gradually loaded side: will include transmucosal healing of dental implants using gingival formers which will be replaced every 2 weeks by consequent larger size gingival former.i.e. at surgery time the implants will receive 2 mm height gingival former which will be swapped by 3 mm, 4 mm, 5 mm and the last is 6 mm early loaded side: implants will be submerged from the surgery time till loading time (2 month).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
10
Implant placement will be 1 mm subcrestally, and it will receive transmucosal healing using gingival former. The gingival former will be replaced every 2 weeks by consequent larger size gingival former (at surgery time group A will receive 2 mm height gingival former which will be swapped by,3 mm, 4 mm and the last is 5 mm).
the implant placement will be 1 mm subcrestally, and it will receive unloaded healing.(submerged healing)
Faculty of oral & Dental Medicine. Cairo University
Cairo, Egypt
RECRUITINGsecondary stability of dental implant (ISQ Osstell Mentol)
ISQ Osstell Mentol
Time frame: 2 month
Bone loss using Periapical Radiographic (Long Cone Paralleling technique)
using Periapical Radiographic (Long Cone Paralleling technique)
Time frame: 2 month
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