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The goal of this clinical trial is to evaluate effect of customized healing abutment in patients who need single implant reconstruction. The main question it aims to answer is:
• effect of customized healing abutment on peri-implant soft and hard tissue Participants will received customized healing abutments before final prostheses delivery.
Patients who need single implant restoration will be received one- stage implant placement with utilization of customized healing abutment. Data collection about change in hard and soft tissue will be collected digitally at several times points. Patients will received single crown on implant as final prosthesis. Change in peri-implant tissue will be analyzed with digital softwares.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Customized group | Experimental | patients who received customized healing abutments following implant placement. customized healing abutments will be fabricated with different macrogeometry and different emergence angle |
|
| Standard group | Experimental | patients who received standard titanium healing abutments following implant placement |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| customized healing abutment | Procedure | patients will undergoes one-stage implant placement with customized healing abutments with different macrogeometry and emergence angle made prior to the surgery and will be inserted without sutures, after osseointegration completed patients will received single crown on implant. |
| Measure | Description | Time Frame |
|---|---|---|
| soft tissue alteration | peri-implant soft tissue change compared to baseline including vertical and horizontal soft tissue alteration by superimposing intraoral scan at different time points | T0 baseline before implant placement,T1 1month follow up, 4month follow up, 6month follow up, 12month follow up |
| hard tissue alteration | peri-implant marginal bone change compared to baseline at different time points by periapical radiograph | T0 baseline before implant placement, 6month follow up, 12month follow up |
| volumetric alteration | peri-implant volumetric change at different time points compared to baseline with superimposing intraoral scan | T0 baseline before implant placement,T1 1month follow up, 4month follow up, 6month follow up, 12month follow up |
| Measure | Description | Time Frame |
|---|---|---|
| pain numerical rating scale | pain assessment at time of final prosthesis delivery with scale from 0 to 10 | at prosthesis delivery, 2 hours and 24 hours after prosthesis delivery |
| pink esthetic score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pimduen Rungsiyakull, AssocProfDr | Chiang Mai University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University | Chiang Mai | 50300 | Thailand |
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patients in each group will received different types of customized healing abutment
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|
| standard healing abutment | Procedure | patients will undergoes one-stage implant placement with standard titanium healing abutment made prior to the surgery and will be inserted without sutures, after osseointegration completed patients will received single crown on implant. |
|
pink esthetic score change compared to before implant treatment
| T0 baseline before implant placement, 6 month follow up |