Effect of Tooth Angulation, Alveolar and Basal Bone Anatomical Characteristics on Soft and Hard Tissue Alterations Around Immediate Implants With Customized Healing Abutment

Launched by CAIRO UNIVERSITY · Sep 10, 2023

Keywords

ClinConnect Summary

This clinical trial is studying how different shapes and angles of the jawbone and teeth affect the healing of the gums and bone around dental implants placed right after tooth extraction. Researchers want to find out if certain bone structures can help prevent the soft and hard tissues from collapsing after an implant is put in, especially in the front of the mouth where appearance matters most. Participants will receive immediate dental implants along with customized healing pieces designed to support the gums during recovery.

To be eligible for this trial, you need to be at least 21 years old and have a tooth in the upper jaw that cannot be saved and needs to be removed. You should have healthy gums, enough space for the implant, and be able to handle the surgery. If you have certain health conditions, like uncontrolled diabetes or are a smoker, you may not qualify. Participants will need to commit to following up for one year after the procedure, and they can expect to play an important role in helping researchers understand how to improve dental implant procedures for better outcomes.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• Patient-related criteria:
• • Adults at or above the age of 21.
• • Non-restorable maxillary inter-canine tooth requiring extraction and needed an implant placing therapy.
• • The failing tooth will have adjacent and opposing natural teeth.
• • Sufficient mesial-distal and interocclusal space for placement of the implant and definitive restoration.
• • Able to tolerate surgical periodontal procedures.
• • Good oral hygiene.
• • Compliance with the maintenance program.
• • Provide informed consent.
• • Accepts the one-year follow-up period.
• Teeth related criteria:
• • Intact thick biotype gingival tissue with at least 2mm band of keratinized tissue.
• • Intact socket wall before the extraction, buccal bone thickness ≤1mm assessed by CBCT.
• • Sufficient apical bone to place an immediate implant with minimum primary stability of 30Ncm.
• Exclusion criteria:
• • Patients diagnosed with periodontal diseases.
• • Current or previous smokers.
• • Pregnant and lactating females.
• • Patients with medical conditions that would compromise the surgical procedures; uncontrolled diabetes mellitus, taking IV Bis-phosphonates for treatment of osteoporosis.
• • Patients with active infection related at the site of implant/bone graft placement.
• • Patients with parafunctional habits