Immediate Implant Outcomes With and Without Bone Augmentation

Verdugo, Fernando, DDS

Status: Invitation-only

Conditions: Dental Trauma; Bone Loss, Alveolar; Tooth Loss; Dental Diseases

Treatments: Procedure: implant placement

Study type: Interventional

Identifiers

NCT05157009

VerdugoF

Details and patient eligibility

About

To evaluate immediate implant placement feasibility and esthetic outcomes in severely damaged sockets that received simultaneously bone reconstruction (cortical bone shield) and implant placement versus intact sockets that needed no reconstruction and had immediate implant placement.

Full description

The present clinical trial aims at demonstrating facial bone regeneration on sites that presented large buccal bone dehiscences & vertical bone loss and evaluate the feasibility of performing simultaneous bone augmentation and implant placement, comparing the outcomes with sites that had intact sockets that did not require reconstruction. A secondary objective was to evaluate pink esthetics and marginal bone levels at final follow-up.

Enrollment: 50 estimated patients

Sex: All

Ages: 20+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• individuals 20 Years and older
• Patients requiring single implants to replace missing teeth to restore masticatory function and esthetics.
• ASA1 or ASA2 (American Society of Anesthesiologists)
• Healthy individuals with good oral hygiene and motivation
• No systemic uncontrolled diseases
• Not taking drugs known to modify bone metabolism

Exclusion criteria

• Individuals with untreated & generalized severe periodontitis
• Smokers (>5 cigarettes/day)
• Poor oral hygiene
• Diabetes (HbA1C >6.5% as cutoff value)
• Uncontrolled cardiovascular disease
• Poor overall health (ASA IV)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Immediate implant placement without reconstruction

Other group

Description:

Immediate implant placement after tooth extraction

Treatment:

Procedure: implant placement

Immediate implant placement with reconstruction

Other group

Description:

Immediate implant placement and simultaneous bone reconstruction after tooth extraction

Treatment:

Procedure: implant placement