Peri-implant Papillary Height Comparison in Microsurgically and Macrosurgically Placed Dental Implants

Krishnadevaraya College of Dental Sciences & Hospital

Status: Completed

Conditions: Dental Implants

Treatments: Procedure: dental implant placement using magnifying loupes and microsurgical instruments; Procedure: macrosurgical dental implant placement

Study type: Interventional

Funder types: Other

Identifiers

NCT04189328

02_D012_82168

Details and patient eligibility

About

This study compares the peri-implant soft tissue and crestal bone loss around single implants when placed macrosurgically and microsurgically.

Full description

Black triangles in dentition especially in the anterior teeth would pose an esthetic concern. Interdental papilla height is crucial for eliminating this black triangle.

32 participants, 16 in two groups were assigned randomly. Microsurgical approach using microsurgical instruments and magnifying loupes were used for one group participants and similar procedure without magnifying loupes and microsurgical instruments was done in the other group.

comparsion of the microsurgical outcome is done by measuring peri implant papilla gain and radiographic crestal bone loss will be done between the groups.

Enrollment: 20 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients desiring implant placement for replacement of missing tooth and willing to participate in the study

  • Non smokers
  • Patients who do not report any relevant medically comprimising conditions or had not received any radiation therapy in head and neck region for cancer therapy.
  • Subjects with satisfactory residual ridges who demonstrated adequate bucco-lingual and mesio-distal space for implant placement, that facilitates primary stability.
  • Patients who demonstrate Plaque Index <10% and good compliance.
  • Full mouth bleeding scores ≤25% before the implant placement.
  • Sites with sufficient band of keratinised mucosa.

Exclusion criteria

• • Pregnant and lactating females

  • Patients on anticancer therapy and immunosuppressant drugs.
  • Implants to be placed in sites with previous periodontal disease
  • Bleeding disorder or on anticoagulant therapy
  • Systemic diseases that would negatively influence wound healing

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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20 participants in 2 patient groups

control group

Active Comparator group

Description:

conventional macrosurgical implant placement

Treatment:

Procedure: macrosurgical dental implant placement

test group

Experimental group

Description:

microsurgical implant placement

Treatment:

Procedure: dental implant placement using magnifying loupes and microsurgical instruments