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Safety Assessment of Placing a Single Dental Implant Without Antibiotic Prophylaxis in Simple Cases: A Pilot Study

2. november 2026 opdateret af: Dang Tran Ngoc Hien, University of Medicine and Pharmacy at Ho Chi Minh City

Safety Assessment of a No - Antibiotic - Prophylaxis Protocol for Single - Implant Placement in Straightforward Cases: A Pilot Study

This pilot study will examine whether a single dental implant can be placed safely without giving antibiotics before or after surgery in patients with straightforward cases in Vietnam. Adults who are generally healthy, have one missing back tooth, and have enough bone for an implant will have the implant placed with standard infection-control measures (antiseptic mouth rinse, a surgical guide, and ibuprofen for relieving the pain) but no preventive antibiotics. Antibiotics will be given only if an infection develops. Participants will be seen 2 days, 7 days, 14 days, 1 month and 3 months after surgery. The main outcome is early implant failure, meaning the implant is lost before the replacement tooth is fitted. We will also record infection, pain, painkiller use, and gum health around the implant. The study will enroll 39 participants at the dental specialty clinic of the University of Medicine and Pharmacy at Ho Chi Minh City.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

39

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

  • Navn: Hien Tran Ngoc Dang, Doctor of Odonto-Stomatology
  • Telefonnummer: (+84-28) 3855 8735
  • E-mail: dtnhien.nt25@ump.edu.vn

Studiesteder

      • Ho Chi Minh City, Vietnam
        • Odonto-Stomatology Clinic, University of Medicine and Pharmacy at Ho Chi Minh City
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Age 18 years or older
  • ASA physical status I or II
  • Single missing posterior tooth with an indication for dental implant placement
  • Straightforward case: sufficient bone volume, no bone graft or sinus lift, no complex soft-tissue procedure, bone density D2 or D3 (Misch)
  • Periodontal disease treated and stable
  • Written informed consent

Exclusion Criteria:

  • Immediate implant placement
  • Beta-lactam allergy
  • Systemic antibiotics within the previous 4 weeks
  • Long-term high-dose corticosteroids, immunosuppressants or intravenous bisphosphonates
  • Poorly controlled diabetes (HbA1c above 7.5%)
  • Indication for mandatory antibiotic prophylaxis (high risk of infective endocarditis)
  • Pregnancy or breastfeeding
  • Current smoking or alcohol dependence
  • Poor oral hygiene or non-cooperation

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Andet
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Single Implant Placement Without Antibiotic Prophylaxis

Adults with one missing posterior tooth in a straightforward case receive a single dental implant placed with a tooth-supported surgical guide. No systemic antibiotic is given before or after surgery. Standardised care: ibuprofen 400 mg 1 hour before surgery; chlorhexidine 0.12 to 0.2% mouthrinse for 60 seconds; extraoral povidone-iodine 10% antisepsis. After surgery: ibuprofen 400 mg (9 tablets, up to three times daily, stopped when pain resolves) and gentle chlorhexidine 0.12% rinse on day 1. Systemic antibiotics (amoxicillin/clavulanate 1 g twice daily) are used only as rescue treatment if infection is diagnosed. Follow-up at day 2, day 7, day 14, 1 month and 3 months.

Single dental implant placement with standardised perioperative care (ibuprofen, chlorhexidine mouthrinse, povidone-iodine antisepsis, surgical guide) and no systemic antibiotic prophylaxis. Antibiotics are used only as rescue treatment for diagnosed infection.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Early Implant Failure Rate
Tidsramme: 1 month and 3 months after implant placement

Proportion of participants whose implant is lost before functional prosthetic loading (implant removed for mobility with infection, progressive bone loss, or no response to treatment), assessed by clinical and radiographic examination.

1 month and 3 months after implant placement

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Early Postoperative Infection Rate
Tidsramme: Day 2, day 7, day 14, 1 month and 3 months after implant placement

Proportion of participants with early postoperative infection, defined as at least two of the following four signs: pus or fistula; fever 38°C or above; pain increasing after postoperative day 3; progressive or spreading swelling beyond the surgical area after day 3.

Day 2, day 7, day 14, 1 month and 3 months after implant placement
Postoperative Pain
Tidsramme: Day 2, day 7 after implant placement

Pain intensity on a 0 to 10 visual analogue scale (0 = no pain, 10 = worst pain imaginable)

Day 2, day 7 after implant placement
Ibuprofen Use After Surgery
Tidsramme: Day 7 after implant placement

Total number of ibuprofen 400 mg tablets taken for pain after surgery

Day 7 after implant placement
Peri-implant Soft-Tissue Status
Tidsramme: 1 month and 3 months after implant placement

Modified sulcus bleeding index (mSBI), score 0 to 3

1 month and 3 months after implant placement

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: Hien Tran Ngoc Dang, Doctor of Odonto-Stomatology, University of Medicine and Pharmacy at Ho Chi Minh City

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. november 2026

Primær færdiggørelse (Anslået)

1. oktober 2027

Studieafslutning (Anslået)

1. oktober 2027

Datoer for studieregistrering

Først indsendt

2. november 2026

Først indsendt, der opfyldte QC-kriterier

2. november 2026

Først opslået (Faktiske)

5. november 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 26723 - ĐHYD

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

Individual participant data will not be shared because of the small sample size, the risk of re-identification of participants, and because data sharing is not part of the ethics-approved consent.

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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Ingen

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