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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04731545
Other study ID # 333
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 15, 2017
Est. completion date June 1, 2022

Study information

Verified date January 2024
Source Cairo University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The utilization of SLActive implants which allow more rapid osseointgeration with 3 to 4 weeks. will be placed in thin buccal bone as immediate implants to determine the resorption compared to thick buccal bone


Description:

With the increased demand for aesthetics and the expectation of immediate tooth replacement, improving the treatment options in case with hopeless teeth in the esthetic zone by immediate implants is a need by both practitioners and patients. Current guidelines, today, restricting such treatment to only thick (+ or = 1mm) buccal bone plates. However, the literature shows that less than 10% of the community have such criteria, making it a high risk but needed procedure. Soft tissue and bone remodelling after extraction is an inescapable fact. Immediate implant placement cannot prevent soft tissue and bone remodeling around implants (Araújo et al. 2005, Chen et al. 2009), but implant surface treatment and modifications might enhance the maintainability of the supporting structures around the dental implant due to its faster integration, better stimulating the vascular components at the site. This could be tested by the crestal and buccal bone changes, pink esthetic score and ostell readings.


Recruitment information / eligibility

Status Completed
Enrollment 30
Est. completion date June 1, 2022
Est. primary completion date July 1, 2021
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 20 Years to 65 Years
Eligibility Inclusion Criteria: 1. Single bounded irrestorable tooth in the esthetic zone that needs to be extracted. 2. Healthy systemic condition. 3. Type I socket with a minimum of 1mm of buccal bone thickness prior to extraction. (Morton et al., 2014) 4. Sufficient bone apical to the socket for implant primary stability. (Morton et al., 2014) 5. Good oral hygiene. 6. Patient accepts a minimum of three-year follow-up period (cooperative patients). Exclusion Criteria: 1. Signs of acute infection related to the area of interest. 2. Patients with parafunctional habits (Lobbezoo et al. 2006 and Roelhing et al. 2016). 3. Smokers (Lambert et al. 2000). 4. Pregnant females.

Study Design


Related Conditions & MeSH terms


Intervention

Device:
immediate implant placement
Minimally traumatic tooth extraction, immediate implant placement and hard tissue grafting. loading after 3 months.

Locations

Country Name City State
Egypt Faculty of Oral and Dental Medicine Cairo University Cairo

Sponsors (2)

Lead Sponsor Collaborator
Cairo University Institut Straumann AG

Country where clinical trial is conducted

Egypt, 

Outcome

Type Measure Description Time frame Safety issue
Primary Bucccal bone changes standardized Cone beam computed Tomography The radiograph will be taken preoperatively and 12 month after. The pre and post operative cone beams will be compared to each other observing any changes of the buccal bone at 2 , 4 and 6 mm from the crest, the measurements will be in mm 12 months post loading
Secondary Implant stability Ostell readings in isq (range from 55 till over 70) bleow 55 low stability over 55 till 65 moderate stability above 70 good stability 3 months
Secondary Crestal bone changes Periapical radiograph the measurements will be taken from the platform of the implants. 3 readings will be taken one at the paltform one above and one below according to pattern and form of the resorption. 12 months post loading
Secondary Soft tissue thickness Periodontal probe 3 months
Secondary Post operative pain and swelling Blinded assessment ( numerical score) 1 week
Secondary Buccal bone thickness Cone Beam Computed Topography 3 months
Secondary Postsurgical satisfaction Questionnaire 1 week
Secondary Pink aesthetic score Pink esthetic score Scale 0 being the lowest and 14 highest attainable 12 months post loading
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