About this trial
This prospective clinical study aims to evaluate the clinical performance of digitally assisted immediate implant placement and immediate loading in geriatric patients. The study will assess biological outcomes, including implant survival and marginal bone level changes, as well as mechanical complications and primary stability progression. Additionally, patient-reported outcomes such as pain, functional improvement, and esthetic satisfaction will be evaluated using visual analog scales. A fully digital workflow incorporating CBCT, intraoral scanning, and guided surgery will be utilized to enhance treatment accuracy and efficiency. Patients will be followed for 12 months to determine the predictability and effectiveness of this treatment approach in the elderly population.
Eligibility criteria
Qualifiers
Patients aged ≥65 years
Indication for tooth extraction with immediate implant placement
Sufficient residual bone volume to achieve primary implant stability
Ability to achieve insertion torque ≥35 Ncm and/or implant stability quotient (ISQ) ≥60
Disqualifiers
Uncontrolled systemic diseases (e.g., uncontrolled diabetes mellitus)
History of head and neck radiotherapy
Active untreated periodontal disease
Heavy smoking (>10 cigarettes/day)
Trial design
Treatments tested in this trial
- Digitally Assisted Immediate Implant Placement and Immediate Loading