NCT05988281

Brief Summary

The study aims to compare clinical, radiographic, patient-reported outcomes (PROMs) and cost analysis outcomes in type I, II and socket preserved sites (III/IV) implant placement at 1-year post-loading in all groups.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
75

participants targeted

Target at P50-P75 for not_applicable

Timeline
43mo left

Started Sep 2023

Longer than P75 for not_applicable

Status
not yet recruiting

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

Study Progress44%
Sep 2023Dec 2029

First Submitted

Initial submission to the registry

July 21, 2023

Completed
24 days until next milestone

First Posted

Study publicly available on registry

August 14, 2023

Completed
18 days until next milestone

Study Start

First participant enrolled

September 1, 2023

Completed
5.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2029

Last Updated

August 14, 2023

Status Verified

August 1, 2023

Enrollment Period

5.3 years

First QC Date

July 21, 2023

Last Update Submit

August 4, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Combined success rate criteria.

    This is the success criteria described by Ong et al. 2008, in combintation with predetermined scores for PES/WES as decribed in Garcia-Sanchez et al. 2021.

    12 months after delivery of implant restoration.

Secondary Outcomes (25)

  • Pre-treatment outcome. Total Need for further bone augmentation.

    At implant placement.

  • Pre-treatment outcome. Alveolar ridge dimensions clinically.

    Immediately after dental extraction for type I, at month 2 for type II, at month 4 for type III/IV and at second stage surgery (10-12 weeks after implant placement) for all groups.

  • Pre-treatment outcome. Alveolar ridge dimensions radiographic:

    Immediately after dental extraction for type I, at month 2 for type II, at month 4 for type III/IV and at 12 months post-loading for all groups.

  • Pre-treatment outcome. Periodontal phenotype

    Before dental extraction.

  • Pre-treatment outcome. Keratinised attached gingivae before extraction.

    Before dental extraction.

  • +20 more secondary outcomes

Study Arms (3)

Type I dental implant placement.

EXPERIMENTAL

Type I dental implant placement (immediately after extraction)

Procedure: Type I Dental implant placement.

Type II dental implant placement.

EXPERIMENTAL

Type II dental implant placement (6-8 weeks after extraction)

Procedure: Type II Dental implant placement.

Type III/IV placement.

EXPERIMENTAL

Type III/IV placement in socket preserved sites after 3-6 months.

Procedure: Type III/IV dental implant placement.

Interventions

Placement of dental implant.

Type I dental implant placement.

Placement of dental implant.

Type II dental implant placement.

Placement of dental implant.

Type III/IV placement.

Eligibility Criteria

Age23 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • i) Patient must have willingness to read and sign a copy of the Informed Consent Form Males and females, ≥23 years old.
  • ii) Patient in need of a single permanent tooth extraction with clinical and/or radiographic evidence of unrestorable maxillary premolars, canines, or incisors with at least one adjacent tooth present, and with periodontal attachment preserved at least for two thirds of the root not associated with acute periapical pathology.
  • iii) Post-extraction alveolar bone defect with ≤50 % buccal bone loss. This will be confirmed at Visit 2 after extraction. In case of \>50% buccal bone loss, the participant will be withdrawn from the study.
  • iv) Patient in good general health as documented by self-assessment. v) Full mouth bleeding and plaque scores (FMBS \<10% and FMPS \<30%) recorded within the previous 8 weeks.

You may not qualify if:

  • i) Uncontrolled or untreated periodontal disease. ii) History of local (head and neck) radiation therapy. iii) Presence of oral lesions in the area of the extraction (such as ulceration, malignancy).
  • iv) Severe bruxing or clenching habits. v) Acute endodontic lesion in the test tooth or in the neighbouring areas to the extraction procedure (sites with presence of an asymptomatic chronic lesion are eligible).
  • vi) Medical history that includes uncontrolled diabetes or hepatic or renal disease, or other serious medical conditions that can impact on bone metabolism (e.g. rheumatoid arthritis, osteoporosis) or transmittable diseases (e.g. AIDS).
  • vii) History of alcohol or drug abuse. viii) Smokers. ix) Self-reported pregnancy or lactation (this criterion is due to oral tissue changes related to pregnancy and nursing which can affect interpretation of study results).
  • x) Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results and, in the judgement of the investigator, would make the subject inappropriate for entry into this trial.
  • xi) Malocclusion, or collapse of the occlusal vertical dimension leading to dentoalveolar compensation which could interfere with ridge preservation dimensions and measurements.
  • xii) Lack of adjacent sound restored or unrestored teeth.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Officials

  • Guillermo Pardo Zamora, Dr.

    Universidad de Murcia. Associate Professor.

    STUDY DIRECTOR
  • Ruben Garcia-Sanchez, Dr.

    Universidad de Murcia. Associate Professor.

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Ruben Garcia-Sanchez, Dr.

CONTACT

Guillermo Pardo Zamora, Dr.

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Investigator and outcome assessor will be blinded regarding group allocation as patients' ID and group will be anonimysed
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This is a prospective, parallel-group, randomized study. This study will include three groups: i. Immediate dental implant placement with autogenous connective tissue graft (type I). ii. Early dental implant placement (type II). iii. Delayed/late dental implant placement in socket-preserved sites (type III/IV).
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr. Ruben Garcia-Sanchez. Senior Lecturer.

Study Record Dates

First Submitted

July 21, 2023

First Posted

August 14, 2023

Study Start

September 1, 2023

Primary Completion (Estimated)

December 1, 2028

Study Completion (Estimated)

December 1, 2029

Last Updated

August 14, 2023

Record last verified: 2023-08

Data Sharing

IPD Sharing
Will share

Datasets generated during and/or analysed during the current study are/will be available upon request from Dr. Guillermo Pardo Zamora (gparza@um.es). This data will become available once the study results are published. The data available will be all of the individual participant data collected during the trial, after deidentification. This data will be available 3 months after publication and ending 5 years following article publication. This data will be shared with investigators whose proposed use of the data has been approved by an independent review committee identified for this purpose. The data will be shared to achieve the aims in the approved proposal. Proposals should be directed to Dr Guillermo Pardo Zamora (gparza@um.es). To gain access, data requestors will need to sign a data access agreement.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
3 months after publication and ending 5 years following article publication.
Access Criteria
This data will be shared with investigators whose proposed use of the data has been approved by an independent review committee identified for this purpose. The data will be shared to achieve the aims in the approved proposal.