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Compromised teeth with periapical pathologies are removed before dental implant placement and sockets are left to heal.
Some clinicians began to immediately place dental implants in fresh extraction sockets associated with chronic inflammatory periapical lesions and these studies revealed high success rates
12 implants will be immediately placed in sockets associated with chronic periapical granuloma. Clinical (Wound healing, Pain, swelling, implant stability) and radiographic parameters (Peri-implant radiolucency) will be evaluated
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| immediate dental implants | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Immediate dental implants | Procedure | Implants will be immediately placed in sockets associated with chronic periapical granuloma Extraction of non-restorable Teeth with periapical granuloma and socket debridement will be done then implants will be placed |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Implant stability | It will be measured by implant stability meter (Osstell™) | immediately, at 3 months and 6 months |
| Change in peri implant radiolucency | Immediate post-operative and after 6 months CBCT will be requested in order to compare the dimension of the periapical lesion in millimeters using OnDemand system. | immediately, and 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in pain score | It will be recorded daily for the first week through a 10-point Visual Analogue Scale (VAS) from 0 to 10 (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe). | within a week |
| Change in swelling status |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alexandria Faculty of Dentistry | Alexandria | Egypt |
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| ID | Term |
|---|---|
| D007239 | Infections |
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It will be recorded daily for the first week through a 10-point scale with 4 parameters will be used.
none (no swelling), light (intraoral, localized to the treated area), moderate (extraoral swelling localized to the treated area), and severe (extraoral swelling extending beyond the treated area)
| within a week |
| Change in Early Wound Healing Index | Using Early Wound Healing Index (EHI), it will be evaluated across weeks 2, 4 and 8. (EHI; 1: complete flap closure-no fibrin line; 2: complete flap closure-fine fibrin line; 3: complete flap closure-fibrin clot; 4: incomplete flap closure-partial necrosis; 5: incomplete flap closure-complete necrosis). | at 2 weeks, 4 weeks, and 8 weeks |