Impacted Tooth With Immediate Implant Placement

NCT07456553 | Completed

• 1 other identifier: TiltedImplant2026
• Study Type: interventional
• Target: 5
• Locations: 1 country
• Sites: 1

Brief Summary

This is a prospective study, in which there are involved four clinical cases of surgical extraction of impacted maxillary canines followed by immediate implant placement and immediate screw-retained temporary crown using a full-digital workflow that included performing a CBCT, an intraoral scan, AI-assisted segmentation, a virtual wax-up, and the design of a surgical guide and a 30° angled abutment. Then, the follow-up lasting two years is performed to verify the functional and esthetical outcomes. The patients included in this report are part of an ongoing clinical trial, and the complete data set will be published separately upon study completion. The aims is to present clinical outcomes and synthesize evidence comparing placing implant to avoid buccal augmentation using angles abutments versus performing guided bone regeneration (GBR) to allow ideal implant placement with straight abutments, and to evaluate the risk of abutment screw loosening.

Conditions

Impacted Tooth

Keywords

Implantology; Prosthesis; Fixed Crown

Outcome Measures

Primary Outcomes (2)

• ISQ

  Implant stability quotient. ( 0 - 100)

  At implant insertion and after 3 months

• Periimplant chart

  Probing the implant in 6 site.

  3 month after implant insertion, 1 year, 2 years

Study Arms (1)

Patients with impacted tooth

EXPERIMENTAL

Patient with impacted Maxillary Canine.

Procedure: Implantology

Interventions

Implantology PROCEDURE

Following local anesthetic infiltration and a minimally invasive access, the atraumatic extraction of the impacted canine is performed, preserving the vestibular soft and bone tissues. The implant site is then prepared, and the implant is placed using the surgical guide, with the required insertion torque to achieve primary implant stability.

Patients with impacted tooth

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Refuse Orthodontic treatments
• Patients had to be healthy according to System of the American Society of Anesthesiology (ASA) and aged 18 years or older
• No general medical condition representing a contraindication to implant therapy
• minimum 2 missing teeth in the maxilla or mandible from the canine to the second molar
• No periodontal disease (periodontal probing depth \<4 mm) or treated periodontitis
• Good oral hygiene (full mouth plaque index\<25%)
• Adequate control of inflammation (full mouth bleeding on probing\<25%)

You may not qualify if:

• smoking of more than 15 cigarettes a day
• untreated periodontal disease
• acute infections
• keratinized mucosal tissue less than 2 mm

Sponsors & Collaborators

• University of Bari Aldo Moro: lead

Study Sites (1)

Dr. Giuseppe D'Albis

Bari, 70124, Italy

Location

MeSH Terms

Conditions

Tooth, Impacted

Condition Hierarchy (Ancestors)

Tooth Diseases; Stomatognathic Diseases

Study Officials

• Francesco Colacicco

  University of Bari Aldo Moro

  PRINCIPAL INVESTIGATOR

• Giuseppe D'Albis, Dr.

  University of Bari Aldo Moro

  PRINCIPAL INVESTIGATOR

• Saverio Capodiferro, Prof. Dr.

  University of Bari Aldo Moro

  STUDY DIRECTOR

• Massimo Corsalini, Prof. Dr.

  University of Bari Aldo Moro

  STUDY DIRECTOR

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: March 2, 2026
• First Posted: March 6, 2026
• Study Start: January 1, 2024
• Primary Completion: March 1, 2026
• Study Completion: March 1, 2026
• Last Updated: March 11, 2026

Record last verified: 2026-03

Locations

IT (1)