Socket Sealing Abutment With Immediate Implant

NCT07748494 | Completed DMC

• 1 other identifier: SSA with immediate implant
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to evaluate bone and soft tissue changes clinically and radio-graphically after using socket sealing abutment with or without bone graft material.

Conditions

Immediate Dental Implant; Socket Sealing; Molar Teeth

Keywords

Immediate implant; Socket sealing; Soft tissue; Implant stability; Cone beam computed tomography

Outcome Measures

Primary Outcomes (1)

• soft tissue changes

  Optical scans of the patients' impressions were obtained immediately after surgery (baseline) and at 3- and 6-month follow-up intervals. For each patient, the baseline STL file was digitally superimposed onto the corresponding 3- and 6-month STL files using dedicated image analysis software to evaluate changes in the peri-implant soft tissues over time. A standardized two-dimensional bucco-lingual cross-sectional image was generated along the long axis of the implant. Buccal and lingual/palatal soft tissue dimensional changes were assessed by measuring the linear distance between baseline and follow-up(3,6month) soft tissue profiles at 1, 2, 3, and 4 mm apical to the GM. Mid-buccal gingival recession was evaluated by measuring the vertical change in the position of the gingival margin at 3,6month.

  Baseline,3 month,6month

Secondary Outcomes (1)

• Dental implant stability assessed by resonance frequency analysis (ISQ)

  basline 3,6 months

Study Arms (2)

With Grafting Material

EXPERIMENTAL

Placement of immediate molar implant followed by socket sealing abutment and addition of grafting material to the extraction socket.

Procedure: Immediate Molar Implant Placement with Grafting Material

Without Grafting Material

ACTIVE COMPARATOR

Placement of immediate molar implant followed by socket sealing abutment without adding grafting material.

Procedure: Immediate Molar Implant Placement without Grafting Material

Interventions

Immediate Molar Implant Placement with Grafting Material PROCEDURE

Participants will receive immediate molar implant placement after tooth extraction. A socket sealing abutment will be placed, and the extraction socket will be filled with an appropriate grafting material to promote bone preservation and enhance soft tissue healing. Standard post-operative care will be provided.

With Grafting Material

Immediate Molar Implant Placement without Grafting Material PROCEDURE

Participants will receive immediate molar implant placement after tooth extraction. A socket sealing abutment will be placed, without adding any grafting material. Standard post-operative care will be provided.

Without Grafting Material

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with non-restorable maxillary or mandibular molars indicated for extraction and replacement with implants
• Age between 18-45 years
• Sufficient inter-arch space to accommodate the future prosthesis
• Good oral hygiene
• Free from systemic diseases
• Patients with jumping space \> 2 mm

You may not qualify if:

• Presence of any pathological lesion or root tips at the planned surgical site
• Aggressive periodontal disease
• Inadequate bone height or thickness for implant placement
• Alcohol or drug abuse
• Systemic diseases that contraindicate implant placement (e.g., osteoporosis, active cancer)
• Pregnancy
• Para-functional habits (e.g., bruxism, clenching)
• Patients wearing orthodontic appliances

Sponsors & Collaborators

• Mansoura University: lead

Study Sites (1)

Faculty of dentistry ,Mansoura university, Cairo

Al Mansurah, 35516, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 20, 2025
• First Posted: August 5, 2026
• Study Start: February 15, 2024
• Primary Completion: February 15, 2024
• Study Completion: August 30, 2025
• Last Updated: September 15, 2026

Record last verified: 2025-12

Locations

EG (1)