Clinical and radiological outcomes for guided implant placement in sites preserved with bioactive glass bone graft after tooth extraction: a controlled clinical trial

Priyanka Baskaran, P. S.G. Prakash*, Devapriya Appukuttan, Maryam H. Mugri, Mohammed Sayed, Sangeetha Subramanian, Mohammed Hussain Dafer Al Wadei, Zeeshan Heera Ahmed, Harisha Dewan, Amit Porwal, Thodur Madapusi Balaji, Saranya Varadarajan, Artak Heboyan, Gustavo V. O. Fernandes, Shankargouda Patil

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

The goal of the study was to evaluate marginal bone loss (MBL) after 1-year implant placement using a guided implant surgical (GIS) protocol in grafted sockets compared to non-grafted sites. We followed a parallel study design with patients divided into two groups: grafted group (Test group, n = 10) and non-grafted group (Control, n = 10). A bioactive glass bone graft was used for grafting. A single edentulous site with a minimum bone height ≥11 mm and bone width ≥6 mm confirmed by cone-beam computerized tomography (CBCT) was chosen for implant placement. Tapered hybrid implants that were sandblasted and acid-etched (HSA) were placed using the GIS protocol and immediately loaded with a provisional prosthesis. MBL and implant survival rates (ISR) were assessed based on standardized radiographs and clinical exams. Patients were followed up for 1-year post-loading. MBL after one year, in the control group, was −0.31 mm ± 0.11 mm (me-sial) and −0.28 mm ± 0.09 mm (distal); and in the test group was −0.35 mm ± 0.11 mm (mesial) and −0.33 mm ± 0.13 mm (distal), with no statistical significance (p > 0.05). ISR was 100% in both groups after one year. ISR was similar between groups and the marginal bone changes were comparable one year after functional loading, without statistical significance, suggesting that bioactive glass permitted adequate bone formation. The GIS protocol avoided raising flaps and provided a better position to place implants, preserving the marginal bone around implants.
Original languageEnglish
Article number43
JournalBiomimetics
Volume7
Issue number2
DOIs
Publication statusPublished - Jun 2022
Externally publishedYes

Keywords

  • Bioactive glass
  • CBCT
  • Dental implants
  • Flapless technique guided implant surgery
  • Implant planning
  • Minimally invasive surgical technique
  • Surgical guides

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