Immediate Implant Placement Utilizing Vestibular Flap Versus Single Flap

Status Not yet recruiting

Clinical Trial Summary

Due to the evolution of esthetic implant dentistry and tissue regeneration (hard and soft tissue), flap design plays a crucial role in the maintenance and regeneration of the marginal soft tissue and interdental papillae around dental implants. The present study aims to compare soft and hard tissue changes following immediate implant placement with ridge augmentation using the vestibular flap versus single flap approach.

Clinical Trial Description

Achieving and maintaining optimal esthetics around maxillary anterior single implants is a demanding task. Despite the high success rates achieved with osseointegrated implants, inevitable loss of soft and hard tissue following tooth extraction often results in compromised vertical and horizontal dimensions of the peri-implant soft tissue in terms of esthetics. Various surgical techniques have been advocated to overcome the expected alveolar ridge dimensional changes in immediate implant placement, including the use of connective tissue grafts, bone grafts, flapless implant placement protocol and the different flap designs . Different flap designs available include vestibular incision, papilla sparing, envelope, triangular, and trapezoidal. Selection of the ideal flap design is case dependent, and is based on several factors such as, smile line, gingival biotype, width of the edentulous area, and the proposed treatment plan. It has also been reported that flapless implant placement is a predictable procedure with a high success rate and less patient discomfort, minimizing the overall procedure time, postoperative pain, and inflammation. However, flapless surgery has been regarded as a technique with limitations regarding bone augmentation. Therefore, cases with labial bone defects during immediate implant placement require flap mobilization to achieve the needed coverage for ridge augmentation, despite of the proposed drawbacks to flap reflection, such as the increased postoperative sequelae, recovery time, and reduced blood supply after flap adaptation. A single flap approach, a modified form of the envelope flap, has been suggested as an alternative to allow for ridge augmentation in esthetic immediate implant cases with labial bone defects. Whereas the vestibular incision, one horizontal full-thickness incision in the vestibule is considered a minimally invasive aesthetic ridge augmentation technique away from the gingival margin and sulcus, intending to maintain the volume and contour of the supra crestal soft tissue. ;

Study Design

Related Conditions & MeSH terms

Immediate Implant Placement

Clinical Trial Details

NCT number	NCT06207565
Study type	Interventional
Source	Misr International University
Contact	Ahmed I Abo El Futtouh, Dr
Phone	+201019999983
Email	ahmedkey7@hotmail.com
Status	Not yet recruiting
Phase	N/A
Start date	June 1, 2024
Completion date	October 1, 2025

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT04992416` - Immediately Placed Implants Using Simvastatin and Autogenous Tooth Graft Combination in Periodontally Compromised Sites	N/A
Active, not recruiting	`NCT05670067` - Alveolar Ridge and Soft Tissue Augmentation Using Graft From the Maxillary Tuberosity	N/A
Completed	`NCT05990283` - Socket Shield Technique and Guided Bone Regeneration	N/A
Withdrawn	`NCT06038695` - Immediate Implant Placement Using Volume-Stable Collagen Matrix Combined With rhPDGF-BB	N/A
Recruiting	`NCT05436158` - The Use of a New Safe Angle Position for Implant Placement in the Anterior Region.
Not yet recruiting	`NCT06246253` - Bone Formed Labial to the Implant in Relation to the Horizontal Gap Dimension in Immediate Implant Placement.
Enrolling by invitation	`NCT05330702` - Ultrasound-based Imaging to Detect Early Changes of Hard and Soft Tissue Around Immediately Placed Implants With or Without Soft Tissue Augmentation	N/A
Enrolling by invitation	`NCT05880771` - Immediate Implant Placement: a Clinical and Radiographic Study on Hard and Soft Tissues Retraction at One Year.	N/A
Completed	`NCT04795102` - Effect of "Autogenous Leukocyte Platelet Rich Fibrin- Tooth Graft" Combination Around Immediately Placed Implants	N/A
Completed	`NCT03422458` - The Impact of Immediate Implant Placement on Alveolar Ridge Preservation Techniques	N/A
Completed	`NCT04803500` - Simvastatin Around Immediate Implant	Phase 2

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Immediate Implant Placement Utilizing Vestibular Flap Versus Single Flap Approach With Bone Graft

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms