Immediate Implant Placement With or Without Buccal Bone Dehiscence

Shanghai Jiao Tong University

Status: Completed

Conditions: Dental Implant Failed

Treatments: Procedure: connective tissue graft; Procedure: gap filling; Procedure: flap elevation and guided bone regeneration

Study type: Observational

Funder types: Other

Identifiers

NCT05445986

SH9H2022-136

Details and patient eligibility

About

Immediate implant placement has been advantageous in terms of reduced treatment time and fewer surgical interventions. Given the fact that the level of buccal bone acts as a major prognostic factor for IIP, the indications for immediate implant placement were suggested to be limited to intact alveolar sockets.In recent years, many attempts have been performed to compensate for the alveolar ridge resorption in immediate implant placement in compromised sockets. The clinical outcomes of IIP with guided tissue regeneration and connective tissue grafting using papilla preservation technique in compromised extraction sockets has not been previously reported.

Enrollment: 29 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with anterior failing teeth (from cainine to cainine) with the presence of neighbouring teeth
• sufficient bone volume to achieve primary stability at implant insertion

Exclusion criteria

• with uncontrolled periodontitis
• heavy smoker (>10 cigarettes/day)
• unwilling to sign the informed consent

Trial design

29 participants in 2 patient groups

group1

Description:

socket with intact buccal bone plate

Treatment:

Procedure: gap filling

Procedure: connective tissue graft

group 2

Description:

socket with damaged buccal bone plate

Treatment:

Procedure: gap filling

Procedure: connective tissue graft

Procedure: flap elevation and guided bone regeneration