Bioactive Microstructured Anti Microbial Precoated Surface Implant Versus Non-coated Surface Implant in Type 2 Diabetic Patients in the Mandible

Hams Hamed Abdelrahman10 enrolled

Overview

Dental implant's surface properties significantly influence both biological and mechanical integration. Surface bio-treatment could accelerate and enhance bone regeneration, ensuring successful implantation. therefore, this study compares bone densification, primary and secondary stability, wound healing, and pain intensity between pre-coated antimicrobial surfaces of dental implants versus non-coated surfaces in controlled type 2 diabetic patients.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Dental Implant Diabetes Mellitus, Type 2

Interventions

Eligibility

Sex: ALLMin age: 35 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adequate interproximal space. * Adequate interocclusal space. * Adequate anatomical location, accessibility, and visualization for easy surgical implant placement. * Both genders. * Controlled medical condition Exclusion Criteria: * Presence of parafunctional dependency as bruxism. * Adjacent pathosis near the implant site. * Patient under radiotherapy targeting the head and neck. * Heavy smokers.

Outcomes

Primary Outcomes

change in implant stability

implant stability will be assessed using Osstell device

Time frame: up to 4 months

change in pain intensity

pain was assessed using visual analogue scale that ranges from 0 (No pain) to 10 (untolerated pain)

Time frame: 1st,3rd, and 7th days

Wound Healing score

Landry healing index was used; 1. Very poor Tissue color: ≥50% of gingiva red, Response to palpation: Bleeding, Granulation tissue:Present, Incision margin: Not epithelialized, with loss ofepithelium beyond incision margin, Suppuration: Present 2. Poor Tissue color: ≥50% of gingiva red, Response to palpation: Bleeding, Granulation tissue: Present, Incision margin: Not epithelialized, with connective tissue exposed 3. Good Tissue colour: ≥25% and\<50% of gingiva red, Response to palpation: No bleeding, Granulation tissue: None, Incision margin: No connective tissue exposed 4. Very good Tissue colour: \<25% of gingiva red, Response to palpation: No bleeding, Granulation tissue: None, Incision margin: No connective tissue exposed 5. Excellent Tissue color: All tissues pink, Response to palpation: No bleeding, Granulation tissue: None, Incision margin: No connective tissue expose

Time frame: 1st,3rd, and 7th days,14th day

Secondary Outcomes

Post operative complications

Occurence of infection was assessed

Time frame: 6 months

Change in bone density

CBCT was used to measure bone density