Diode Laser Photocoagulation With Immediate Implant Placement

Официальное название

Evaluation of Diode Laser Photocoagulation With Immediate Implant Placement in the Maxillary Esthetic Zone

Обзор

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.

Вмешательства

• Другое Diode laser and Immediate implant
  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.

Первичные конечные точки

• Change in pain socres [Срок оценки: at 7, 14, and 21 days]
• Change in wound healing [Срок оценки: at 7, 14, and 21 days]
• Change in implant stability [Срок оценки: baseline and 6 months]

Вторичные конечные точки (3)

• Change in Crestal Alveolar Process width [Срок оценки: baseline and 6 months]
• Change in labial bone thickness [Срок оценки: baseline and 6 months]
• Change in esthetic of soft tissue [Срок оценки: at 1 month]

Критерии участия

Критерии включения

• 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.

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Ливан · 1 центр

• Faculty of Dentistry clinics, Beirut Arab University — Beirut

Идентификаторы

NCT: NCT07044895 · 2025-H-0167-D-M-0754

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗