Immediate Dental Implant Placed in the Presence of Chronic Inflammatory Periapical Lesions

N/ACompletedNCT05101941

Hams Hamed Abdelrahman12 enrolled

Overview

Compromised teeth with periapical pathologies are removed before dental implant placement and sockets are left to heal. Some clinicians began to immediately place dental implants in fresh extraction sockets associated with chronic inflammatory periapical lesions and these studies revealed high success rates

12 implants will be immediately placed in sockets associated with chronic periapical granuloma. Clinical (Wound healing, Pain, swelling, implant stability) and radiographic parameters (Peri-implant radiolucency) will be evaluated

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Immediate Dental Implant Tooth Exratction Periapical; Infection

Interventions

Immediate dental implantsPROCEDURE

Implants will be immediately placed in sockets associated with chronic periapical granuloma Extraction of non-restorable Teeth with periapical granuloma and socket debridement will be done then implants will be placed

Eligibility

Sex: ALLMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult patients ranging from 18 to 45 years with no gender predilection agreed to come for minimum follow-up visits for 6 months. * Adequate bone beyond teeth apices without jeopardizing any anatomical structure. * Single rooted mandibular teeth with chronic inflammatory periapical lesions represented as periapical radiolucency, pulp necrosis, sinus tract, failed RCT. Exclusion Criteria: * Smokers and alcoholics. * Medically compromised patients having uncontrolled diabetes or coagulation disorders. * Restorable teeth. * Periodontitis.

Locations (1)

Alexandria Faculty of Dentistry

Alexandria, Egypt

Outcomes

Primary Outcomes

Change in Implant stability

It will be measured by implant stability meter (Osstell™)

Time frame: immediately, at 3 months and 6 months

Change in peri implant radiolucency

Immediate post-operative and after 6 months CBCT will be requested in order to compare the dimension of the periapical lesion in millimeters using OnDemand system.

Time frame: immediately, and 6 months

Secondary Outcomes

Change in pain score

It will be recorded daily for the first week through a 10-point Visual Analogue Scale (VAS) from 0 to 10 (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe).

Time frame: within a week

Change in swelling status

It will be recorded daily for the first week through a 10-point scale with 4 parameters will be used. none (no swelling), light (intraoral, localized to the treated area), moderate (extraoral swelling localized to the treated area), and severe (extraoral swelling extending beyond the treated area)

Time frame: within a week

Change in Early Wound Healing Index

Using Early Wound Healing Index (EHI), it will be evaluated across weeks 2, 4 and 8. (EHI; 1: complete flap closure-no fibrin line; 2: complete flap closure-fine fibrin line; 3: complete flap closure-fibrin clot; 4: incomplete flap closure-partial necrosis; 5: incomplete flap closure-complete necrosis).

Time frame: at 2 weeks, 4 weeks, and 8 weeks

Data from ClinicalTrials.gov

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