Immediate Implant Placement in the Esthetic Zone With and Without Using Autogenous Mixed With Xenograft
The Effect on Dental Implant Stability With and Without Using 1:1 Mixture of Autogenous Bone and Anorganic Bovine Bone Minerals Particulates in Immediate Implant Placement in the Dental Esthetic Zone (A Randomized Clinical Trial)
1 other identifier
interventional
26
1 country
1
Brief Summary
Xenografts are graft materials derived from the inorganic portion of animal bones; the most common source is bovine the removal of the organic component are processed to remove their antigenicity, while the remaining inorganic components provide a natural matrix as well as an excellent source of calcium. The disadvantage of xenografts is that they are only osteoconductive and the resorption rate of bovine cortical bone is slow. However leaving the jumping gap empty has been the gold standard for immediate implantation as the formed blood clot will allow bone fill in that area.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Sep 2019
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 18, 2019
CompletedFirst Posted
Study publicly available on registry
September 19, 2019
CompletedStudy Start
First participant enrolled
September 30, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2020
CompletedSeptember 19, 2019
September 1, 2019
8 months
September 18, 2019
September 18, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Implant stability
implant stability will be measured using osstell
4-6 months
Study Arms (1)
Graft-less and grafting using xenograft and autograft
EXPERIMENTALExtraction of badly decayed teeth with immediate implant placement using graft-less and grafting using autogenous bone and xenograft between the implant and labial socket bone
Interventions
Eligible patients will be randomized in equal proportions between control group (immediate implant placement without bone grafts in the jumping gap) and study group (immediate implant placement with a mixture of Xenograft and autogenous bone placed in the jumping gap). All patients will be evaluated by proper history taking and thorough clinical and radio graphical examination and assessed according to the inclusion and exclusion criteria. Patients of both groups will be subjected to Cone beam Computed tomography (CBCT). Primary impression will be taken, a study model will then be poured and then waxing up will be performed. Patients will be instructed to rinse with chlorhexidine 0.1% mouthwash. Articaine 4% (1:100,000) local anesthesia will be given to the patient. Atraumatic extraction of the tooth or remaining root using No. 15c lancet and periotome
Eligibility Criteria
You may qualify if:
- Age from 20-60 years
- Both sexes
- non-restorable maxillary incisors, canine and premolars
- Good oral hygiene
- Adequate bone height apical to the alveolus of the failing tooth
You may not qualify if:
- Systematic disease which affect osseointegration (uncontrolled diabetes, cancer, etc...)
- Bad oral hygiene
- Bruxism, clenching, deep bite, edge to edge and abnormal habits
- Non-treated periodontal diseases
- Pregnancy and smokers
- Severe infection
- Absence of labial plate of bone (Fenestration, dehiscence).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
Study Sites (1)
Cairo University
Cairo, Egypt
Related Publications (1)
El Ebiary SO, Atef M, Abdelaziz MS, Khashaba M. Guided immediate implant with and without using a mixture of autogenous and xeno bone grafts in the dental esthetic zone. A randomized clinical trial. BMC Res Notes. 2023 Nov 13;16(1):331. doi: 10.1186/s13104-023-06612-8.
PMID: 37957760DERIVED
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- principal investigator
Study Record Dates
First Submitted
September 18, 2019
First Posted
September 19, 2019
Study Start
September 30, 2019
Primary Completion
June 1, 2020
Study Completion
June 1, 2020
Last Updated
September 19, 2019
Record last verified: 2019-09