Marginal Bone Level Around Dental Implants in Periodontitis Patients

Faculty of Dental Medicine for Girls40 enrolled

Overview

This study evaluates and compares marginal bone level changes around dental implants with two different surface characteristics in patients with a history of periodontitis. Participants will receive dental implants and will be followed up for one year to assess bone level changes around the implants.

Patients with treated periodontitis who require dental implants will be divided into two groups based on implant surface type. Marginal bone level will be assessed radiographically at baseline, then at 3 months,6 months, and 12 months after implant placement. The study aims to determine whether implant surface characteristics influence marginal bone loss in periodontitis-susceptible patients over a one-year follow-up period.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Periodontitis Dental Implants Marginal Bone Loss Periodontal Probing Depth Gingival Inflammation

Interventions

SLA Dental ImplantDEVICE

Sandblasted large-grit corundum and acid-etched (SLA) surface dental implant

Plasma Spraying Dental ImplantDEVICE

Plasma spraying surface treated dental implant

Eligibility

Sex: ALLMin age: 35 YearsMax age: 55 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Age ranged from 35 to 55 years old, with a history of periodontitis * Presence of at least one edentulous space * Presence of adequate bone volume to place implants and achieves primary implant stability without the need for bone reconstructive approaches * Absence of systemic diseases Exclusion Criteria: * Presence of para-functional habits * Chronic smokers or former smokers * Pregnancy and lactation * Any patient who is not willing to follow our treatment protocol

Locations (1)

Faculty of Dental Medicine for Girls, Al-Azhar University

Cairo, Cairo Governorate, Egypt

Outcomes

Primary Outcomes

Marginal Bone Level

Radiographic assessment of marginal bone level changes around dental implants measured in millimeters using Cone Beam Computed Tomography (CBCT)

Time frame: Baseline, 3 months, 6 months, and 12 months after implant placement

Secondary Outcomes

Probing Depth

probing depth measured in millimeters around implants

Time frame: Baseline, 3 months, 6 months, and 12 months

Gingival Index

The gingival condition around the implants were evaluated using the Löe and Silness Gingival Index. A plastic periodontal probe were used to gently assess the gingival tissues at four surfaces per implant (mesial, buccal, distal, and lingual). Each surface was scored from 0 to 3 as follows: 0 = Normal gingiva 1. = Mild inflammation (slight change in color, slight edema, no bleeding on probing) 2. = Moderate inflammation (redness, edema, bleeding on probing) 3. = Severe inflammation (marked redness and edema, ulceration, spontaneous bleeding)

Time frame: Baseline, 3 months, 6 months, and 12 months

Data from ClinicalTrials.gov

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