IMMEDIATE IMPLANT PLACEMENT IN MANDIBULAR MOLARS USING ROOT-GUIDED VS COMPUTER-GUIDED TECHNIQUES

Document Type : Original Article

Authors

1 Oral and Maxillofacial department faculty of Dentistry Alexandria

2 Oral and Maxillofacial surgery department, Faculty of Dentistry, Alexandria University, Egypt

3 Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt

Abstract

Introduction: Because of minimal trauma and shorter treatment durations, immediate implant has becoming prevalent. Immediate implant placement after teeth extraction is an efficient technique for preserving bone while, also restoring function and aesthetics. To provide enough proper implant-bone contact and stability of the immediate implant, the inter-radicular bone must be preserved during extraction. This will prevent the implants from sliding into the empty sockets. Our study’s goal was to evaluate the accuracy of root guided and computer guided techniques.
Objectives: Investigation of accuracy and stability of immediate implant placement utilizing two techniques (Root-Guided versus Computer-Guided Techniques).
Materials and Methods: this study was a randomized control clinical trial (RCT). Twenty-four patients were randomly allocated into two groups: group I twelve immediate implants were placed by (Root-Guided Technique) and group II twelve immediate implants were placed by (Computer-Guided Technique). Osstell was used to determine the primary stability intra-operative. After 3 months the secondary stability was assessed again by Osstell. Post-operative Cone Beam Computer Tomography was done immediately after surgery for both groups evaluating the implant accuracy.
Results: Throughout the study, 24 implants were effectively operating, in both groups. The accuracy of implant placement was significantly higher in (group II) in comparison with (group I). Three months postoperative ISQ values for all implants increased with (group II) having significantly higher increase.
Conclusion: The computer-guided technique showed more accuracy and stability when compared with root-guided technique.

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Alexandria Dental Journal
Volume 49, Issue 2
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
August 2024
Pages 43-51

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