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Evaluation of Melatonin Application of Immediate Dental Implant

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Cairo University

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概要

The presence of periapical pathology, the absence of kera¬tinized tissue and lack of complete soft tissue closure over the extraction socket have been reported a drawbacks of immediate implant placement .
As mentioned before the presence of periapical pathology is one of the limitation of immediate implant placement, melatonin has an action against Gram-positive and Gram-negative microorganisms with a higher efficacy on the latter; it also showed efficacy against different strains of antibiotic-resistant bacteria.
Melatonin was found to be effective in several cases as an anxiolytic and analgesic agent. It also reduce inflammatory pain by blocking the production of nitric oxid Also the lack of complete soft tissue closure over the extraction socket is one of the drawbacks of immediate implant placement; melatonin induces the production of interleukin-1, tumor necrosis factor (TNF)-α and transforming growth factor (TGF). In addition, melatonin is an immunomodulator and a neuroendocrine hormone, and stimulates both monocyte cytokine and fibroblast proliferation, which influence angiogenesis and wound healing..
As the initial implant stability is one of the criteria of implant success, Melatonin was found to increase new cortical bone width and length during the early stages (15 and 30 days), and it also promoted early cell differentiation. Melatonin acted on the bone as a local growth factor .

説明

Melatonin is chemically recognized as N-acetyl-5-methoxytryptamine. It is a compound occurring naturally in plants, microbes and animals. The circulating level of the melatonin hormone in animals shows interesting variations, by entertainment of variable biological functions in a daily cycle "circadian rhythm". Melatonin called hormone of night is secreted by the pineal gland, and its plasma levels concentration are 50 folds higher in night in comparison to daytime. A variety of peripheral cells play a role in production of melatonin such as epithelial cells, bone marrow cells, and lymphocytes. Though melatonin is a hormone, it does not act on a specific organ, it has several functions; stimulation of the synthesis of type I collagen fibers, regulation of the body temperature, sexual development, antioxidant scavenging and detoxifying free radicals thus inhibiting the process of bone resorption through interfering with the function of osteoclasts.

日付

最終確認済み: 12/31/2019
最初に提出された: 09/25/2018
提出された推定登録数: 09/26/2018
最初の投稿: 09/30/2018
最終更新が送信されました: 01/25/2020
最終更新日: 01/27/2020
実際の研究開始日: 09/29/2019
一次完了予定日: 09/29/2020
研究完了予定日: 12/29/2020

状態または病気

Immediate Dental Implant

介入/治療

Device: immediate implant placement

Drug: implant placement with melatonine

段階

段階 4

アームグループ

介入/治療
Experimental: implant placement with melatonine
immediate implant placement with melatonine
Drug: implant placement with melatonine
topical application of melatonin
Active Comparator: immediate implant placement alone
immediate implant placement alone

適格基準

研究の対象となる年齢 18 Years に 18 Years
研究に適格な性別All
健康なボランティアを受け入れるはい
基準

Inclusion criteria

1. Age: 18-60.

2. Healthy patients

3. Non Smoker

4. Patients with adequate bone volume for immediate dental implant procedure.

5. Patients with absence of any periapical pathosis.

Exclusion criteria:

1. Heavy smokers.

2. Systemic disease that contraindicates implant placement or surgical procedures.

3. No or poor patient's compliance.

4. Psychological problems.

5. Pathology at the site of intervention.

6. Pregnancy females.

7. Patient refuses to sign the informed consent.

結果

主な結果の測定

1. implant stability [6 months]

measuring implant stability using ostell

二次的な結果の測定

1. Soft tissue healing [10 days]

measuring the soft tissue healing by likert scale which classify the healing in to 5 score ( score 0 ,1 , 2 , 3 , 4 ( 0 indicate complete healing & 4 indicate incomplete healing

2. Post operative pain [10 days]

measuring the post operative pain by visual analog scale from 1 to 10

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