Stability and Crestal Bone Changes Around Implants Placed at Crestal Versus Subcrestal Level in Controlled Type Two Diabetic Patients

Hams Hamed Abdelrahman22 enrolled

Overview

The objective of this study is to assess clinically the peri implant tissues, the radiological marginal bone loss and the stability around implants placed at the crestal versus the subcrestal level in type 2 controlled diabetic patients using cone beam computed tomography

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Dental Implant Diabetes

Interventions

Implants placed at bone crestPROCEDURE

Mid crestal incision will be performed and full-thickness envelope flap will be elevated to expose the alveolar ridge (no releasing incisions will be made). Implant site will be prepared according to the manufacturer's instructions under sterile copious irrigation Implants will be placed at crestal level

Implants placed 1mm SubcrestallyPROCEDURE

Implants will be placed 1mm subcrestally

Eligibility

Sex: ALLMin age: 30 Years

Medical Language ↔ Plain English

Inclusion criteria * Type 2 controlled diabetic patients * Patients with at least one missing tooth in lower jaw. * Patients with sufficient alveolar ridge height and width (no need for bone augmentation). * Patients with sufficient inter-occlusal distance that will allow future restoration. * Patients with healthy periodontium. Exclusion criteria * Smokers. * Para functional habits. * Bad oral hygiene measured according to O'Leary plaque index. * Pregnant women. * Other local or systemic diseases that may compromise the surgical procedure, healing or osteointegration.

Locations (1)

Outpatient Clinic of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University

Alexandria, Egypt

Outcomes

Primary Outcomes

change in Implant stability

Implant stability will be measured again by Osstell at 3 different directions (buccal, mesial and distal) at the time of implant loading (after 3 months from implant placement).

Time frame: at baseline and 3 months

change in margianl bone level

CBCT will be done Marginal bone loss in all aspects (mesial, distal buccal and lingual) The difference in distance from bone crest to apical end of the implant will be assessed at each follow up period then the mean will be calculated for mesial and distal and also for buccal and lingual.

Time frame: at baseline, 3rd and 6th months

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.