Hard Tissue Augmentation With or Without Connective Tissue Graft in Immediate Esthetic Implants

University of Baghdad

Status: Not yet enrolling

Conditions: Dental Implant

Treatments: Procedure: Immediate dental implant in the esthetic zone

Study type: Interventional

Funder types: Other

Identifiers

NCT07333534

973124

Details and patient eligibility

About

This randomized controlled study is aimed to evaluate the esthetic, clinical, and radiographic outcomes following the placement of immediate single-tooth implant with hard and soft tissue augmentation.

Subjects will randomly assigned to one of two groups:

• Group A (control group) receiving an immediate single-tooth implant in the esthetic zone with bone augmentation only.
• Group B (study group) receiving an immediate single-tooth implant in the esthetic zone with bone augmentation and connective tissue graft (CTG).

The main questions it aims to answer is:

Is there is a significant difference in the esthetic outcome between bone augmentation alone and bone augmentation combined with connective tissue graft after immediate dental implant in the esthetic zone?

Enrollment: 28 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with a non-restorable tooth or a remaining root without signs of acute infection in the maxillary esthetic zone.
• The failing tooth is an incisor, canine or first bicuspid in the maxilla bounded by natural sound teeth.
• Sufficient bone (>4 mm) apically and palatally to allow for proper implant positioning with sufficient primary stability (≥35 N cm).
• Sufficient mesial-distal and interocclusal space for placement of the implant and definitive restoration.

Exclusion criteria

• Patients with systemic conditions affecting bone healing (e.g., uncontrolled diabetes).
• Teeth with current acute periapical infection.
• Dehiscence of the labial (facial) bone plate after extraction.
• Signs of uncontrolled periodontal disease.
• Heavy smokers and vulnerable groups (pregnant females and decision-impaired individuals).
• History of head and neck radiation therapy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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28 participants in 2 patient groups

Hard tissue augmentation with connective tissue graft

Experimental group

Description:

Hard tissue augmentation (bone grafting) with additional connective tissue graft (CTG) performed at the same time following immediate dental implant in the esthetic zone

Treatment:

Procedure: Immediate dental implant in the esthetic zone

Hard tissue augmentation

Active Comparator group

Description:

Hard tissue augmentation (bone grafting) following immediate dental implant in the esthetic zone.

Treatment:

Procedure: Immediate dental implant in the esthetic zone