Diode Laser Photocoagulation With Immediate Implant Placement

NCT07044895 | Not Yet Recruiting

• 1 other identifier: 2025-H-0167-D-M-0754
• Study Type: interventional
• Target: 8
• Locations: 1 country
• Sites: 1

Brief Summary

Placement of an immediate implant is becoming popular because of its potential in minimizing the treatment time and enhancing the patient comfort and esthetic outcomes. It is crucial to maintain adequate thickness of labial bone with the establishment of a stable and healthy gingival seal around the implant abutment to prevent the invasion of bacteria and peri-implant inflammation. Diode lasers have been developed as a promising tool in dentistry, providing a precise manipulation and photocoagulation effect that may have a positive influence on both bone remodeling and soft tissue healing. This study aims to evaluate the effectiveness of the utilization of diode laser photocoagulation with immediate implant placement and customized healing abutment in the maxillary esthetic zone.

Conditions

Tooth Extraction; Immediate Dental Implant; Photocoagulation; Maxillary Esthetic Zone

Outcome Measures

Primary Outcomes (3)

• Change in pain socres

  Pain will be evaluated, using visual analogue scale (VAS) as follows: (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe)

  at 7, 14, and 21 days

• Change in wound healing

  The wound healing will be assessed based on Landry Wound Healing Index. The Landry Index uses a numerical score based on the assessment of four given parameters (Erythema, Edema, Wound Margin Adaptation, and Presence of Exudate). Each parameter is given a score depending on its severity, and the total score determine an overall evaluation of wound healing

  at 7, 14, and 21 days

• Change in implant stability

  The base line primary Implant Stability Quotient (ISQ) will be measured during the operative stage, while the secondary stability quotient will be measured 6-months post-operative during the prosthetic phase preparation.

  baseline and 6 months

Secondary Outcomes (3)

• Change in Crestal Alveolar Process width

  baseline and 6 months

• Change in labial bone thickness

  baseline and 6 months

• Change in esthetic of soft tissue

  at 1 month

Study Arms (1)

Immediate implant with photocoagulation

EXPERIMENTAL

Other: Diode laser and Immediate implant

Interventions

Diode laser and Immediate implant OTHER

patients with non-restorable teeth in the maxillary esthetic zone will be included in this prospective single-arm study. The non-restorable tooth will be atraumatically extracted and immediate implant placement will be placed. The extraction socket will be sealed with diode laser photocoagulation and customized healing abutments fabrication.

Immediate implant with photocoagulation

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with non-restorable maxillary teeth in the aesthetic zone are indicated for extraction and subsequent immediate implant placement, including those with:
• A severely carious tooth that cannot be restored.
• Pulpal necrosis or irreversible pulpitis that is not amenable to endodontics.
• Periodontally involved teeth with grade 2 mobility or above.
• Teeth with root caries that can't be restored.
• Patients with an extraction socket Type I.
• A good standard of oral hygiene.

You may not qualify if:

• Patients with extraction socket Type II or III, with buccal plate defects.
• Absence of at least 2 mm of bone apical to the extraction socket
• tooth ankylosis.
• Patients with deciduous teeth.
• Heavy smokers.
• Systemic conditions
• History of oral or intravenous bisphosphonate therapy or any treatments with other medications that may interfere with bone metabolism within the past 12 months

Sponsors & Collaborators

• Hams Hamed Abdelrahman: lead

Study Sites (1)

Faculty of Dentistry clinics, Beirut Arab University

Beirut, Lebanon

Location

MeSH Terms

Interventions

Lasers, Semiconductor

Intervention Hierarchy (Ancestors)

Lasers; Optical Devices; Equipment and Supplies; Radiation Equipment and Supplies

Central Study Contacts

Amina R Ali, BDS

CONTACT

+961 70 908 487; dr_aminahweidi2016@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer of Dental Public Health and biostatistical consultanat

Study Record Dates

• First Submitted: June 22, 2025
• First Posted: July 1, 2025
• Study Start: June 30, 2025
• Primary Completion: February 25, 2026
• Study Completion: February 25, 2026
• Last Updated: July 1, 2025

Record last verified: 2025-06

Locations

LE (1)