Immediate Implant Placement With Sticky Tooth Versus Autogenous Tooth Graft In Cases With Labial Plate Dehiscence

Halla Gamal Mohammed Esmail

Status: Not yet enrolling

Conditions: Immediate Implant

Treatments: Procedure: immediate implant augmented with sticky tooth; Procedure: immediate implant augmented with autogenous tooth graft

Study type: Interventional

Funder types: Other

Identifiers

NCT05891990

2023

Details and patient eligibility

About

Evaluation of Soft and Hard Tissue Changes After Immediate Implant Placement With Sticky Tooth Versus Autogenous Tooth Graft for management of Cases With Labial Plate Dehiscence

Full description

In patients with labial plate dehiscence in the esthetic zone, there is no difference between the use of tooth-derived granules in combination with platelet-rich fibrin ("sticky tooth") and autogenous tooth graft in conjunction with immediate implant placement in enhancing the amount of bone labial to the implant

Enrollment: 36 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Non-restorable teeth in the esthetic zone with a defect of labial bone.

  • Teeth with no acute inflammation.
  • Patients are free from any systemic condition that may affect the healing.
  • Availability of bone apical and palatal to the socket to provide primary stability
  • Good oral health.
  • Willingness to sign the informed consent form.

Exclusion criteria

• Heavy smoker (> 10 cigarettes/day)
• Pregnant females
• Contraindication for Implant surgery.
• Patients with poor oral hygiene.
• Acute inflammation in the site of implantation and adjacent tissue.
• A history of radiotherapy in the head or neck region.
• Patients with systemic diseases like uncontrolled diabetes mellitus, coagulation disorders, alcohol or drug abuse not suitable for implantation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

Intervention group

Experimental group

Description:

sticky tooth preparation: * patient's venous blood will be collected using a 21 g needle with a butterfly handle. * The blood in the test tubes will be centrifuged at 700 rpm for 3 min for women and 4 min for men because of a different hematocrit. * The liquid PRF fraction will be collected using a sterile syringe. It gently will be mixed with the demineralized dentin granules and allowed for five-ten minutes for polymerization in order to produce a sticky tooth.

Treatment:

Procedure: immediate implant augmented with sticky tooth

Control group

Active Comparator group

Description:

Autogenous demineralized dentin graft preparation * Extracted teeth will be cleaned from periodontal ligaments, cementum, soft tissue attachment, caries, or restorations (if present), using a high-speed fine finishing stone and saline irrigation. * The pulp will be removed, using a root canal instrument. Subsequently, the remaining dentin will be cut into pieces. These pieces of dentin will be ground using a bone mill to produce dentin particles. * The sorted particles will be immersed in 70% ethanol and 4% H2O2 in a sterile container to remove any soft tissue remnants, bacteria, and smear layer. * Tooth particles will be demineralized using 0.6N HCl for 30 minutes to expose the dentine organic matrix. * After demineralization, the materials will be washed with phosphate-buffered saline (PBS) and dried with sterile gauze.

Treatment:

Procedure: immediate implant augmented with autogenous tooth graft