- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02864862
Esthetic Outcomes Following Immediate Implant Combine With Soft Tissue Augmentation
November 21, 2022 updated by: Chun-Teh Lee, The University of Texas Health Science Center, Houston
The purpose of this study is to evaluate the esthetic outcomes following immediate implant combined with the autogenous tissue graft or acellular dermal matrix compared to immediate implant alone.
Study Overview
Status
Completed
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
46
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Texas
-
Houston, Texas, United States, 77030
- The University of Texas Health Science Center at Houston
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- patients who are in need of a tooth extraction at the maxillary premolar, canine and incisor region, and subsequent single implant placement.
- The reasons for extraction will include poor endodontic prognosis and/or unrestorable teeth (extensive caries, traumatic fractures, fractures of endodontically treated teeth, root perforation, root resorption with or without radiographic periapical lesion up to 3 mm in diameter). patients who are systemically healthy or with controlled common systemic conditions (controlled hypertension, controlled diabetes HbA1c up to 7 %).
- adjacent teeth have to be present and the eligible tooth has esthetically acceptable buccal gingival margin position prior to surgery, compared to neighboring teeth and contralateral tooth, and adequate width of buccal keratinized gingiva(≥3mm).
- level of radiographic bone level has the distance from CEJ to interproximal crest up to 4 mm.
- Location of buccal alveolar crest has to be generally within 4 mm from the free gingival margin, verified after the extraction, before randomization; and fenestration, if present, up to 3mm in diameter at the apical part of the root and affecting less than 30% of the buccal socket wall.
Exclusion Criteria:
- currently smoke exceeding 10 cigarettes/ day
- severe parafunctional habits, malocclusion or intent of orthodontic therapy in the future and are pregnant.
- teeth in the surgical site will be excluded if there is advanced periodontal disease or periapical lesion causing significant bony defects that are beyond the criteria mentioned at Section 3.3.
- allergy to antibiotics contained in the ADM (Gentimicin, Cefoxitin, Lincomcin, polymixin B and Vancomycin) will not be included in the immediate implant combined with ADM group.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: Immediate implant
Immediate implant alone
|
|
ACTIVE_COMPARATOR: Immediate implant combined with SCTG
Subepithelial connective tissue graft (SCTG)
|
|
ACTIVE_COMPARATOR: Immediate implant combined with ADM
Acellular dermal matrix (ADM)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Ridge Dimension
Time Frame: baseline, 6 months after surgery
|
Change in ridge dimension is calculated as the value at 6 months minus the value at baseline.
To take ridge dimension measurements, impressions were taken at baseline and 6 months, models were made from these impressions, the models were scanned, and then ridge dimension of scanned models was assessed using software.
Ridge dimension was assessed at (and at 1mm increments below) the initial soft tissue margin.
|
baseline, 6 months after surgery
|
Change in Ridge Dimension
Time Frame: baseline, 12 months after surgery
|
Change in ridge dimension is calculated as the value at 12 months minus the value at baseline.
To take ridge dimension measurements, impressions were taken at baseline and 12 months, models were made from these impressions, the models were scanned, and then ridge dimension of scanned models was assessed using software.
Ridge dimension was assessed at (and at 1mm increments below) the initial soft tissue margin.
|
baseline, 12 months after surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Gingival Level
Time Frame: baseline, 6 months after surgery
|
Change in gingival level is calculated as the value at 6 months minus the value at baseline.
Gingival level is measured at three sites: mesial, mid-buccal and distal sites.
Gingival level is measured from a notch on a custom fabricated stent to the mucosal margin.
|
baseline, 6 months after surgery
|
Change in Gingival Thickness
Time Frame: baseline, 6 months after surgery
|
Change in gingival thickness is calculated as the value at 6 months minus the value at baseline.
Gingival thickness is measured using a stoppered endodontic file (#30) penetrating through the facial soft tissue 3 millimeters (mm) below the mid-buccal peri-implant mucosal margin.
|
baseline, 6 months after surgery
|
Change in Width of Keratinized Gingiva
Time Frame: baseline, 6 months after surgery
|
Change in width of keratinized gingiva is calculated as the value at 6 months minus the value at baseline.
|
baseline, 6 months after surgery
|
Change in Alveolar Bone Level (Marginal)
Time Frame: baseline, 6 months after surgery
|
Change in alveolar bone level is calculated as the value at 6 months minus the value at baseline.
The bone level measurement, taken from the standardized periapical radiographs, was defined as the distance from the first bone to implant contact (IB) at either the mesial or the distal aspect of the implant to the implant platform.
Specifically, marginal bone level was defined as the distance between the vertical implant bone level (IB; the first bone to implant contact) and implant platform (IP).
Crestal bone level was defined as the distance between the interproximal crestal bone level (IC) and implant platform (IP).
|
baseline, 6 months after surgery
|
Change in Alveolar Bone Level (Crestal)
Time Frame: baseline, 6 months after surgery
|
Change in alveolar bone level is calculated as the value at 6 months minus the value at baseline.
The bone level measurement, taken from the standardized periapical radiographs, was defined as the distance from the first bone to implant contact (IB) at either the mesial or the distal aspect of the implant to the implant platform.
Specifically, crestal bone level was defined as the distance between the interproximal crestal bone level (IC) and implant platform (IP).
|
baseline, 6 months after surgery
|
Change in Bone Dimension
Time Frame: baseline, 6 months after surgery
|
Change in bone dimension is calculated as the value at 6 months minus the value at baseline.
To measure bone dimensions, bone dimensions on cone beam computed tomography (CBCT) images were assessed using software.
Bone dimension was assessed at the initial buccal crestal bone level (and at 1mm increments below).
|
baseline, 6 months after surgery
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Chun-Teh Lee, DDS, DMSc, The University of Texas Health Science Center, Houston
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
October 1, 2016
Primary Completion (ACTUAL)
November 22, 2021
Study Completion (ACTUAL)
November 22, 2021
Study Registration Dates
First Submitted
August 9, 2016
First Submitted That Met QC Criteria
August 9, 2016
First Posted (ESTIMATE)
August 12, 2016
Study Record Updates
Last Update Posted (ACTUAL)
December 16, 2022
Last Update Submitted That Met QC Criteria
November 21, 2022
Last Verified
November 1, 2022
More Information
Terms related to this study
Other Study ID Numbers
- HSC-DB-16-0286
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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