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Post-extraction implants are an alternative to traditional implant placement on completely healed bone, in order to reduce the number of surgical interventions, shorten treatment time, maintain bone architecture and thus provide better aesthetics. This study focuses on evaluating the results obtained by opting for different immediate placement of single dental implants protocols in a fresh alveolus, and its general objective is to compare implant stability and marginal bone loss (MBL) in implants installed post-extraction. For this, the investigators will placement Grand Morse Acqua or NeoPoros implants (Helix GM - Neodent, Curitiba, Brazil), in early loading protocols, with or without low level laser photobiomodulation (LLLT), in patients attending the Master of Oral Medicine, Oral Surgery and Implantology of the University of Santiago de Compostela for oral rehabilitation using osseointegrated single dental implants in the maxillary and/or mandibular region.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Implants GM Acqua surface, with LLLT. | Other | Surgical protocol Periotomes will be used for atraumatic extraction and/or a stainless steel tooth extractor. The implant, GM Acqua, will be placed in a flapless manner through the alveolus, manually or mechanically, and a minimum length of 2 mm longer than the root length. The implant placement site will be prepared following the manufacturer's protocol. The minimum torque that to be employed to attain primary stability of the implant will have to be ≥ 30 Ncm measured with a manual torque wrench. (Neodent®). After the implant has been placed, a healing abutment GM (Neodent®) will be placed, with a maximum torque of 10 N.cm. LLLT protocol: With a infrared diode laser, wavelength of 808 nm, continuous mode, a dose of 2J per spot, for 20 seconds per spot, the following irradiation protocol shall be applied: immediately after surgery and on days 3 and 7 after surgery, 4 spots (2 in the vestibular and 2 in lingual/palatal of the alveolus/implant). |
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| Implants GM Acqua surface, without LLLT. | Other | Surgical protocol Periotomes will be used for atraumatic extraction and/or a stainless steel tooth extractor. The implant, GM Acqua, will be placed in a flapless manner through the alveolus, manually or mechanically, and a minimum length of 2 mm longer than the root length. The implant placement site will be prepared following the manufacturer's protocol. The minimum torque that to be employed to attain primary stability of the implant will have to be ≥ 30 Ncm measured with a manual torque wrench. (Neodent®). After the implant has been placed, a healing abutment GM (Neodent®) will be placed, with a maximum torque of 10 N.cm. |
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| Implants GM NeoPoros surface, with LLLT. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low Laser Radiation | Radiation | One group will receive laser application to check if there is acceleration of healing. |
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| Measure | Description | Time Frame |
|---|---|---|
| Implant survival rate | After comparative of; Acqua/NeoPoros surface and LLLT/No LLLT application. Final total number. | 3 months |
| Implant stability | Basal and 3 months postimplantation measured by Implant Stability Quotient (ISQ). | 3 months |
| Marginal bone loss | Measured (mm) from the implant platform to the most coronal part of the peri-implant bone crest. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Implant failure | To be assessed 3 months after surgery. Implant failure will be defined as implant failure when it is necessary to remove the implant due to implant mobility as a consequence of loss of osseointegration. Final total number. | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidad de Santiago de Compostela | Santiago de Compostela | A Coruña | 15785 | Spain |
We will anonymize and categorize the clinical data of the patients to share the information with the other researchers of the group.
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| Other |
Surgical protocol Periotomes will be used for atraumatic extraction and/or a stainless steel tooth extractor. The implant, GM NeoPoros, will be placed in a flapless manner through the alveolus, manually or mechanically, and a minimum length of 2 mm longer than the root length. The implant placement site will be prepared following the manufacturer's protocol. The minimum torque that to be employed to attain primary stability of the implant will have to be ≥ 30 Ncm measured with a manual torque wrench. (Neodent®). After the implant has been placed, a healing abutment GM (Neodent®) will be placed, with a maximum torque of 10 N.cm. LLLT protocol: With a infrared diode laser, wavelength of 808 nm, continuous mode, a dose of 2J per spot, for 20 seconds per spot, the following irradiation protocol shall be applied: immediately after surgery and on days 3 and 7 after surgery, 4 spots (2 in the vestibular and 2 in lingual/palatal of the alveolus/implant). |
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| Implants NeoPoros surface, without LLLT. | Other | Surgical protocol Periotomes will be used for atraumatic extraction and/or a stainless steel tooth extractor. The implant, GM NeoPoros, will be placed in a flapless manner through the alveolus, manually or mechanically, and a minimum length of 2 mm longer than the root length. The implant placement site will be prepared following the manufacturer's protocol. The minimum torque that to be employed to attain primary stability of the implant will have to be ≥ 30 Ncm measured with a manual torque wrench. (Neodent®). After the implant has been placed, a healing abutment GM (Neodent®) will be placed, with a maximum torque of 10 N.cm. |
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| Changing the implant surface | Other | Changing the treatment surface of the dental implant to see if osseointegration occurs more quickly. |
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| Low Laser Radiation off | Radiation | This group will receive laser application off. |
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| Implant placement immediately after tooth extraction | Procedure | When the last alternative is tooth extraction, this will be done, and in the same surgical intervention the dental implant will be placed. |
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| Installing the dental crown with early loading | Procedure | The installation of the dental crowns will be performed in a period of 6 to 8 weeks, after the dental implant has been installed. |
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