Socket Sealing Abutment With Immediate Implant

Mansoura University32 enrolled

Overview

This study aimed to evaluate bone and soft tissue changes clinically and radio-graphically after using socket sealing abutment with or without bone graft material.

Immediate implant placement in molar extraction sockets poses challenges related to soft-tissue closure, jumping distance, and peri-implant tissue stability. Socket sealing abutments (SSA) have recently been introduced to enhance soft-tissue healing and maintain peri-implant architecture, with or without adjunctive bone grafting.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Immediate Dental Implant Socket Sealing Molar Teeth

Interventions

Immediate Molar Implant Placement with Grafting MaterialPROCEDURE

Participants will receive immediate molar implant placement after tooth extraction. A socket sealing abutment will be placed, and the extraction socket will be filled with an appropriate grafting material to promote bone preservation and enhance soft tissue healing. Standard post-operative care will be provided.

Immediate Molar Implant Placement without Grafting MaterialPROCEDURE

Participants will receive immediate molar implant placement after tooth extraction. A socket sealing abutment will be placed, without adding any grafting material. Standard post-operative care will be provided.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with non-restorable maxillary or mandibular molars indicated for extraction and replacement with implants * Age between 18-45 years * Sufficient inter-arch space to accommodate the future prosthesis * Good oral hygiene * Free from systemic diseases * Patients with jumping space \> 2 mm Exclusion Criteria: * Presence of any pathological lesion or root tips at the planned surgical site * Aggressive periodontal disease * Inadequate bone height or thickness for implant placement * Alcohol or drug abuse * Systemic diseases that contraindicate implant placement (e.g., osteoporosis, active cancer) * Pregnancy * Para-functional habits (e.g., bruxism, clenching) * Patients wearing orthodontic appliances

Locations (1)

Faculty of dentistry ,Mansoura university, Cairo

Al Mansurah, Egypt

Outcomes

Primary Outcomes

soft tissue changes

Optical scans of the patients' impressions were obtained immediately after surgery (baseline) and at 3- and 6-month follow-up intervals. For each patient, the baseline STL file was digitally superimposed onto the corresponding 3- and 6-month STL files using dedicated image analysis software to evaluate changes in the peri-implant soft tissues over time. A standardized two-dimensional bucco-lingual cross-sectional image was generated along the long axis of the implant. Buccal and lingual/palatal soft tissue dimensional changes were assessed by measuring the linear distance between baseline and follow-up(3,6month) soft tissue profiles at 1, 2, 3, and 4 mm apical to the GM. Mid-buccal gingival recession was evaluated by measuring the vertical change in the position of the gingival margin at 3,6month.

Time frame: Baseline,3 month,6month

Secondary Outcomes

Dental implant stability assessed by resonance frequency analysis (ISQ)

Implant stability will be measured using resonance frequency analysis with the Osstell device. ISQ values will be recorded immediately 3,6-month follow-up visit.

Time frame: basline 3,6 months

Data from ClinicalTrials.gov

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