Immediate Implant Placement With Immediate Loading With and Without Connective Tissue Graft

NCT03841851 | Unknown

• 1 other identifier: cairo univ
• Study Type: interventional
• Target: 2
• Locations: 0 countries
• Sites: N/A

Brief Summary

extraction of badely decayed anterior teeth immediate implant placement with immediate temporaization

Conditions

Pateint With Badely Decayed Anterior Teeth

Outcome Measures

Primary Outcomes (1)

• Pink esthetics

  evaluation of esthetic outcome using pink esthetic score

  every 2 weeks for 3 months

Study Arms (2)

temporization without soft tissue graft

NO INTERVENTION

* Local anesthesia will be injected intra-orally at the implant site. * Atraumatic extraction of badley decayed teeth in the aesthetic area * traditional drilling for immediate implant placement . * immediate temporization .

temporization with soft tissue graft

ACTIVE COMPARATOR

* Local anesthesia will be injected intra-orally at the implant site. * Atraumatic extraction of badley decayed teeth in the aesthetic area * traditional drilling for immediate implant placement . * immediate temporization . * subepithelial connective tissue graft from the palate .

Procedure: sub epithelial connective tissue graft

Interventions

sub epithelial connective tissue graft PROCEDURE

* Local anesthesia will be injected intra-orally at the implant site. * Atraumatic extraction of badley decayed teeth in the aesthetic area traditional drilling for immediate implant placement . * immediate temporization . * subepithelial connective tissue graft from the palate

temporization with soft tissue graft

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with non-restorable maxillary anterior teeth indicated for implant placement.
• Both sexes.
• No intraoral soft and hard tissue pathology.
• No systemic condition that contraindicate implant placement.

You may not qualify if:

• Patients with systemic disease that may affect bone quality.
• Patients with poor oral hygiene and active periodontal diseases.
• Heavy smokers more than 20 cigarettes per day.

Sponsors & Collaborators

• Cairo University: lead

Related Publications (10)

• Branemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O, Ohman A. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977;16:1-132. No abstract available.

  PMID: 356184 BACKGROUND

• Salama H, Salama MA, Li TF, Garber DA, Adar P. Treatment planning 2000: an esthetically oriented revision of the original implant protocol. J Esthet Dent. 1997;9(2):55-67. doi: 10.1111/j.1708-8240.1997.tb00919.x.

  PMID: 9468854 BACKGROUND

• Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986 Summer;1(1):11-25. No abstract available.

  PMID: 3527955 BACKGROUND

• Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T. Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants. 1990 Winter;5(4):347-59.

  PMID: 2094653 BACKGROUND

• Schnitman PA, Wohrle PS, Rubenstein JE, DaSilva JD, Wang NH. Ten-year results for Branemark implants immediately loaded with fixed prostheses at implant placement. Int J Oral Maxillofac Implants. 1997 Jul-Aug;12(4):495-503.

  PMID: 9274078 BACKGROUND

• Testori T, Meltzer A, Del Fabbro M, Zuffetti F, Troiano M, Francetti L, Weinstein RL. Immediate occlusal loading of Osseotite implants in the lower edentulous jaw. A multicenter prospective study. Clin Oral Implants Res. 2004 Jun;15(3):278-84. doi: 10.1111/j.1600-0501.2004.01013.x.

  PMID: 15142089 BACKGROUND

• Redemagni M, Cremonesi S, Garlini G, Maiorana C. Soft tissue stability with immediate implants and concave abutments. Eur J Esthet Dent. 2009 Winter;4(4):328-37.

  PMID: 20111758 BACKGROUND

• Botticelli D, Berglundh T, Lindhe J. Hard-tissue alterations following immediate implant placement in extraction sites. J Clin Periodontol. 2004 Oct;31(10):820-8. doi: 10.1111/j.1600-051X.2004.00565.x.

  PMID: 15367183 BACKGROUND

• Sanz M, Cecchinato D, Ferrus J, Pjetursson EB, Lang NP, Lindhe J. A prospective, randomized-controlled clinical trial to evaluate bone preservation using implants with different geometry placed into extraction sockets in the maxilla. Clin Oral Implants Res. 2010 Jan;21(1):13-21. doi: 10.1111/j.1600-0501.2009.01824.x. Epub 2009 Nov 18.

  PMID: 19922492 BACKGROUND

• Cosyn J, Hooghe N, De Bruyn H. A systematic review on the frequency of advanced recession following single immediate implant treatment. J Clin Periodontol. 2012 Jun;39(6):582-9. doi: 10.1111/j.1600-051X.2012.01888.x. Epub 2012 Apr 18.

  PMID: 22509794 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Each patient will be given acode by the researcher and the observers will be blind to which group this case belong
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator(doctor)

Model Details: This study will be conducted on patients with badely decayed teeth in aesthetic zone and need immediate fixed restoration . This study is to be conducted in Dental Implant Clinic, Faculty of Dentistry, Cairo University, Egypt. All the patients will be entailed about the study and given their approval to participate on written consent.

Study Record Dates

• First Submitted: February 11, 2019
• First Posted: February 15, 2019
• Study Start: June 15, 2019
• Primary Completion: July 1, 2019
• Study Completion: July 1, 2019
• Last Updated: February 15, 2019

Record last verified: 2019-02

Data Sharing

• IPD Sharing: Will not share