Computer Guided Versus Free Hand Immediate Implant Placement
Patient Satisfaction and Early Implant Failure of Computer-guided Versus Free- Hand Immediate Implant Placement in Fresh Extraction Sockets in Esthetic Zone, a Randomized Clinical Trial.
1 other identifier
interventional
20
1 country
1
Brief Summary
Patients with remaining root or fractured teeth indicated for extraction in the esthetic zone will be recruited to the study. After extraction of the tooth implant will be placed immediately, implants will be placed either by free hand or computer guided technique. patient satisfaction will be evaluated as primary outcome and early implant failure was evaluated as secondary outcome.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Feb 2019
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 24, 2017
CompletedFirst Posted
Study publicly available on registry
July 26, 2017
CompletedStudy Start
First participant enrolled
February 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
January 21, 2020
CompletedJuly 22, 2020
July 1, 2020
10 months
July 24, 2017
July 20, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Patient satisfaction
Patient satisfaction will be assessed through a questionnaire and each question of the questionnaire will be scored by the patients on 10 cm visual analogue scales (VAS)
0-6 months
Secondary Outcomes (1)
Early implant failure
0-6 months
Study Arms (2)
Computer guided immediate implant placement
EXPERIMENTALFor the test group, the computer aided surgical guide will be used for implant drilling and placement.
Free hand immediate implant placement
ACTIVE COMPARATORFor the control group, free hand implant drilling and placement will be performed guided by the extraction socket walls.
Interventions
Implant will be placed immediately using computer aided surgical guide
Eligibility Criteria
You may qualify if:
- Patients with teeth or remaining roots in the esthetic zone and indicated for extraction and replacement with immediate implant.
- Sufficient labial bone to avoid labial plate fracture during extraction (at least 1.5-2 mm). This will be confirmed by cone beam computer tomography (CBCT) scan.
- Sufficient mesio distal length between the neighbouring natural teeth (at least 7 mm), this will be confirmed on the study cast.
- Presence of adjacent teeth to the tooth or remaining root to be extracted.
You may not qualify if:
- Heavy smokers (more than 2 packs / day). Patients with parafunctional habits (e.g. clenching or bruxism, etc.) Presence of acute infection in the tooth or the remaining root that will be extracted.
- Severe overeruption of the opposing teeth to avoid premature contact with the temporary crown during the healing period.
- Patients with poor oral hygiene Pregnant women Any systemic condition that may interfere with implant placement and its osseointegration (as uncontrolled diabetes, chemotherapy, radiotherapy. Osteonecrosis…)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
Study Sites (1)
Safaa hussein
Cairo, 0000, Egypt
Related Publications (3)
Schropp L, Isidor F, Kostopoulos L, Wenzel A. Patient experience of, and satisfaction with, delayed-immediate vs. delayed single-tooth implant placement. Clin Oral Implants Res. 2004 Aug;15(4):498-503. doi: 10.1111/j.1600-0501.2004.01033.x.
PMID: 15248886BACKGROUNDMisch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, Steigmann M, Rebaudi A, Palti A, Pikos MA, Schwartz-Arad D, Choukroun J, Gutierrez-Perez JL, Marenzi G, Valavanis DK. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008 Mar;17(1):5-15. doi: 10.1097/ID.0b013e3181676059.
PMID: 18332753BACKGROUNDSabir M, Alam MN. Survival of Implants in Immediate Extraction Sockets of Anterior Teeth: Early Clinical Results. J Clin Diagn Res. 2015 Jun;9(6):ZC58-61. doi: 10.7860/JCDR/2015/13631.6123. Epub 2015 Jun 1.
PMID: 26266220RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- Due to the nature of the trial only the outcome assessor will be masked from the intervention or control group
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assisstant Lecturer- Prosthodontic Department- Faculty of Dentistry- Principle Investigator
Study Record Dates
First Submitted
July 24, 2017
First Posted
July 26, 2017
Study Start
February 1, 2019
Primary Completion
December 1, 2019
Study Completion
January 21, 2020
Last Updated
July 22, 2020
Record last verified: 2020-07
Data Sharing
- IPD Sharing
- Will not share