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
Affiliations
Priyanka Baskaran
Department of Periodontology and Oral Implantology, SRM Dental College, Ramapuram Campus, Chennai 600089, India
P.S.G. Prakash
Department of Periodontology and Oral Implantology, SRM Dental College, Ramapuram Campus, Chennai 600089, India
Devapriya Appukuttan
Department of Periodontology and Oral Implantology, SRM Dental College, Ramapuram Campus, Chennai 600089, India
Maryam H. Mugri
Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan 45412, Saudi Arabia
Mohammed Sayed
Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45412, Saudi Arabia
Sangeetha Subramanian
Department of Periodontology and Oral Implantology, SRM Dental College, Ramapuram Campus, Chennai 600089, India
Mohammed Hussain Dafer Al Wadei
Department of Restorative Dental Science, King Khalid University, Abha 61421, Saudi Arabia
Zeeshan Heera Ahmed
Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh 11451, Saudi Arabia
Harisha Dewan
Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45412, Saudi Arabia
Amit Porwal
Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45412, Saudi Arabia
Thodur Madapusi Balaji
Tagore Dental College and Hospital, Chennai 600089, India
Saranya Varadarajan
Department of Oral Pathology and Microbiology, Sri Venkateswara Dental College and Hospital, Chennai 600089, India
Artak Heboyan
Department of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Str. Koryun 2, Yerevan 0025, Armenia
Gustavo V. O. Fernandes
Periodontics and Oral Medicine Department, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA
Shankargouda Patil
Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
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 ± 0.11 mm (mesial) and −0.28 ± 0.09 mm (distal); and in the test group was −0.35 ± 0.11 mm (mesial) and −0.33 ± 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.
