About this trial
The goal of this clinical trial is to learn if alveolar bone drilling and anatomical position of an immediately placed dental implant has influence on the primary stability, osseointegration and function. It aims to answer these questions:
* Does absence of alveolar drilling before implant placement give the same result as traditional osteotomy with apical drilling? * Is palatinal root position of implant as succesful as central position?
Researchers will compare crestal bone levels and primary stability of the implant after insertion in the groups. Subjects will be assigned to groups, acoording to clinical situation. Study groups:
1. Dental implants will be placed in the extraction socket with an apical osteotomy. 2. Dental implants will be placed in the extraction socket without performing an osteotomy. 3. Dental implants will be placed in the centre of the extracted maxillary molar socket. 4. Dental implants will be placed into the palatal root socket of the extracted maxillary molar.
Eligibility criteria
Qualifiers
≥ 18 years old.
healthy patients without medical contraindications for dental implantation surgery.
removable and non-molar teeth indicated for extraction in both jaws
healthy soft tissues (bleeding on probing < 20%, plaque index < 25%);
Disqualifiers
Smokers (≥ 10 cigarettes per day);
history of uncontrolled periodontitis;
uncontrolled diabetes/alcoholism;
use of drugs that may affect healing;
Trial design
Treatments tested in this trial
- dental implant placement
- Dental implant