Dental Autotransplantation or Immediate Single Implant for the Replacement of a Hopeless Molar.

Surgery, Oral Clinical Trial

Official title:

Dental Autotransplantation or Immediate Single Implant for the Replacement of a Hopeless Molar: a Comparative Case Series Study.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05669118
• Other study ID #: PROSP AUTO
• Status: Completed
• Start date: May 1, 2021
• Est. completion date: September 2, 2023

Study information

• Verified date: April 2024
• Source: Aula Dental Avanzada
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The aim of this comparative study is to know the differences between the soft tissue volume changes around the autotransplanted tooth and the dental implant placed immediately after the extraction of a posterior tooth. Patient-centered results will also be obtained after having received one or the other treatment.

Description:

Dental autotransplantation has high levels of success in permanent teeth with open apex. The results of success in permanent teeth with closed apex are somewhat lower but sufficient to consider the treatment as a viable alternative and to extend the therapeutic range of the treatment to older ages.

The aim of this prospective observational investigation is to evaluate the dimensional and attachment changes that occur in the treated areas and in the autotransplanted teeth respectively of adult patients with permanent teeth with closed apex. All adult patients receiving a dental autotransplantation between the years 2022 and 2023 will be included.

Pre-treatment, volume and insertion parameters will be recorded before and one year after treatment. The comparison with the extraction and dental implant treatment will be made using the digital records that are usually obtained during the performance of this treatment. The comparison will be made with the same number of patients who have been recruited for the dental autotransplant treatment, and the volumetric changes that occur will also be analyzed.

The volume comparisons will be carried out using the Medit Link digital measurement software (Medit, Seoul, Republic of Korea) and data will be obtained and analyzed statistically in order to draw the appropriate conclusions.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 29
• Est. completion date: September 2, 2023
• Est. primary completion date: September 1, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• Patients in ASA-I health status

• Aged between 18 and 80 years,

• Present a tooth in need of extraction with a mature candidate donor tooth compatible with the recipient bed

• Acceptance of proposed treatment of dental autotransplantation

Exclusion Criteria:

• Unavailability of a candidate donor tooth

• Refusal of proposed treatment of dental autotransplantation

Related Conditions & MeSH terms

• Surgery, Oral
• Transplantation, Autologous

Intervention

Procedure:
• Tooth Autotransplantation
Place another tooth in the place of the newly extracted tooth in the same patient.
• Immediate implant
Place a dental implant immediately after tooth extraction.

Locations

Country	Name	City	State
Spain	Clínica Dental Esteve	Alicante

Sponsors (1)

Lead Sponsor	Collaborator
Aula Dental Avanzada

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Soft tissue volume changes	Soft tissue volume changes in the buccal side of the site in mm3	2 times measurement: day 0 and 6 months after
Primary	Periodontal probing pocket depth	Periodontal probing pocket depth in mm	6 months after
Secondary	Patients satisfaction after treatment	Satisfaction assessed by Numeric Rating Scale (NRS) form 0 to 10, being 0 "not satisfied at all" and 10 "very satisfied".	6 months after the reception of the treatment