Evidence map›Paper›PMID 39757749›Full record

Trial reportClinical and experimental dental research2025

Randomized, Placebo-Controlled Pilot Study of Naproxen During Dental Implant Osseointegration.

Hattanas Kumchai, Daniel I Taub, Ryan E Tomlinson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental dental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hattanas KumchaiDepartment of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-8507-8728
Daniel I TaubDepartment of Oral and Maxillofacial Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Ryan E TomlinsonDepartment of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Funding

This research was supported by the Osteo Science Foundation.
6 · The paper itself

Abstract

objectivesNonsteroidal anti-inflammatory drugs (NSAIDs) are often prescribed following the placement of dental implants, but the effects of these drugs on the osseointegration process are poorly understood. We designed a randomized, placebo-controlled pilot study to quantitatively assess the effect of NSAIDs during early implant osseointegration. MATERIALS AND

methodsSubjects receiving a maxillary dental implant were randomized to take naproxen or placebo for 7 days after the surgery. Implant osseointegration was quantified using Resonance Frequency Analysis device. Implant-Stability-Quotient (ISQ) measurement was performed at the time of surgery and at follow-up visits 1, 4, and 16 weeks after surgery. Periapical radiographs were taken to measure the marginal bone level. Separately, a questionnaire of NSAIDs usage was provided to subjects presenting with early implant failure.

resultsAfter 4 weeks, ISQ values increased modestly ( + 1%) in subjects receiving naproxen whereas subjects receiving placebo had a much larger increase in ISQ value (+41%). We observed 55% more marginal bone loss at 4 weeks, and 52% at 16 weeks in the naproxen group compared to the placebo group. These results were not found to have statistically significant between groups (p ≥ 0.05). These effect sizes and variance were used to conduct a power analysis to determine the necessary sample size for future studies. Furthermore, our separate questionnaire study revealed that 68% of our patients with early failed dental implants reported a history of NSAIDs usage after the surgery.

conclusionIn conclusion, this pilot study provides effect sizes and sample size estimates for future studies to definitively determine recommendations regarding NSAID usage following dental implant surgery. Nonetheless, our study did not observe any statistically significant differences in ISQ value or marginal bone loss after up to 16 weeks of follow-up between subjects from naproxen and placebo groups.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalDental ImplantsNaproxenOsseointegrationAdultAgedAlveolar Bone LossDental Implantation, EndosseousDouble-Blind MethodFemaleHumansMaleMaxillaMiddle AgedPilot ProjectsResonance Frequency AnalysisAnti-Inflammatory Agents, Non-SteroidalDental ImplantsNaproxendental implantsimplant stabilityimplant surgeryISQNSAIDsosseointegration

Identifiers

PMID39757749
PMCPMC11702411

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.