Effect of Tooth Angulation, Alveolar and Basal Bone Anatomical Characteristics on Soft and Hard Tissue Alterations Around Immediate Implants With Customized Healing Abutment

Cairo University (CU)

Status

Not yet enrolling

Conditions

Esthetic Zone

Tissue Collapse

Immediate Implant

Customized Healing Abutment

Tissue Dimensional Changes

Treatments

Procedure: immediate implant placement with customized healing abutment

Study type

Interventional

Funder types

Other

Identifiers

NCT06040788

IDCE.N5

Details and patient eligibility

About

The goal of this clinical trial is to investigate the effect of different anatomical variations in terms of root angulation, alveolar bone and basal bone morphology on soft and hard tissue alterations in patients with non-restorable teeth in the inter-canine region undergoing immediate implantation. The main question it aims to answer are:

Will the amount of collapse be greater when the root is proclined or outside the bone housing?
Will no additional intervention be needed with immediate implants in the esthetic zone if we have better anatomy that will help hinder the collapse? Participants will receive immediate dental implants with customized healing abutments

Enrollment

60 estimated patients

Sex

All

Ages

21 to 65 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Patient-related criteria:

Adults at or above the age of 21.
Non-restorable maxillary inter-canine tooth requiring extraction and needed an implant placing therapy.
The failing tooth will have adjacent and opposing natural teeth.
Sufficient mesial-distal and interocclusal space for placement of the implant and definitive restoration.
Able to tolerate surgical periodontal procedures.
Good oral hygiene.
Compliance with the maintenance program.
Provide informed consent.
Accepts the one-year follow-up period.

Teeth related criteria:

Intact thick biotype gingival tissue with at least 2mm band of keratinized tissue.
Intact socket wall before the extraction, buccal bone thickness ≤1mm assessed by CBCT.
Sufficient apical bone to place an immediate implant with minimum primary stability of 30Ncm.

Exclusion criteria

Patients diagnosed with periodontal diseases.
Current or previous smokers.
Pregnant and lactating females.
Patients with medical conditions that would compromise the surgical procedures; uncontrolled diabetes mellitus, taking IV Bis-phosphonates for treatment of osteoporosis.
Patients with active infection related at the site of implant/bone graft placement.
Patients with parafunctional habits