- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05891990
Immediate Implant Placement With Sticky Tooth Versus Autogenous Tooth Graft In Cases With Labial Plate Dehiscence
September 3, 2023 updated by: Halla Gamal Mohammed Esmail
Evaluation of Soft and Hard Tissue Changes After Immediate Implant Placement With Sticky Tooth Versus Autogenous Tooth Graft In Cases With Labial Plate Dehiscence: A 1-Year Randomized Clinical Trial
Evaluation of Soft and Hard Tissue Changes After Immediate Implant Placement With Sticky Tooth Versus Autogenous Tooth Graft for management of Cases With Labial Plate Dehiscence
Study Overview
Status
Not yet recruiting
Conditions
Detailed Description
In patients with labial plate dehiscence in the esthetic zone, there is no difference between the use of tooth-derived granules in combination with platelet-rich fibrin ("sticky tooth") and autogenous tooth graft in conjunction with immediate implant placement in enhancing the amount of bone labial to the implant
Study Type
Interventional
Enrollment (Estimated)
36
Phase
- Not Applicable
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
- Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
Non-restorable teeth in the esthetic zone with a defect of labial bone.
- Teeth with no acute inflammation.
- Patients are free from any systemic condition that may affect the healing.
- Availability of bone apical and palatal to the socket to provide primary stability
- Good oral health.
- Willingness to sign the informed consent form.
Exclusion Criteria:
- Heavy smoker (> 10 cigarettes/day)
- Pregnant females
- Contraindication for Implant surgery.
- Patients with poor oral hygiene.
- Acute inflammation in the site of implantation and adjacent tissue.
- A history of radiotherapy in the head or neck region.
- Patients with systemic diseases like uncontrolled diabetes mellitus, coagulation disorders, alcohol or drug abuse not suitable for implantation
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 Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention group
sticky tooth preparation:
|
|
Active Comparator: Control group
Autogenous demineralized dentin graft preparation
|
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Radiographic width of bone labial to the implant
Time Frame: 1 year
|
Amount of bone labial to the implant will be measured perpendicular to the vertical line of the implant surface at the implant neck level or the top of the buccal bone (which is regarded as 0 mm), 3 mm and 6 mm apical to the implant neck Each measurement will be recorded at different times
|
1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Radiographic horizontal bucco-palatal bone changes
Time Frame: 1 year
|
The bucco-palatal width of the alveolar bone will be measured perpendicular to the long axis of the alveolar bone; the 3 measurements will be the coronal width (CW), middle width (MW), and apical width (AW).
Each measurement will be recorded at different times
|
1 year
|
Radiographic vertical bone changes
Time Frame: 1 year
|
Vertical bone height will be measured.
Measurement will be taken at highest point of the remaining labial/buccal plate of bone using the implant neck as a reference point.
Each measurement will be recorded at different times and the difference between pre and post-operative measurements will be determined as the gain in labial/buccal vertical bone dimension
|
1 year
|
Esthetic evaluation (The pink esthetic score)
Time Frame: 1 year
|
The pink esthetic score will be calculated on the parameters defined by (Fürhauser et al. 2005).
Clinical photographs will be taken to evaluate peri-implant soft tissue through evaluating seven variables compared to a natural reference tooth including: mesial papilla, distal papilla, soft-tissue level, soft-tissue contour, alveolar process deficiency, soft-tissue color and texture.
Using a 0-1-2 scoring system, 0 being the lowest, 2 being the highest value.
The maximum achievable PES is 14.
|
1 year
|
Implant stability
Time Frame: 6 months
|
Implant stability will be measured using Ostell which has a scale ranges from 1 to 100, the higher the ISQ the more stability
|
6 months
|
Gingival Thickness
Time Frame: 1 year
|
Gingival thickness will be evaluated 2 mm below the gingival margin with a short needle for and silicon disk stop.
The needle will be inserted perpendicular to the mucosal surface, through the soft tissues with light pressure until a hard surface was reached.
The silicone disc stop was then mounted in close contact with the gingival tissue surface.
The insertion depth was assessed with a digital caliper accurate to the nearest 0.1 mm
|
1 year
|
Width of the Keratinized Tissue
Time Frame: 1 year
|
It will be evaluated from the gingival margin to the mucogingival junction (MGJ).
The MGJ was assessed with roll technique
|
1 year
|
Midfacial recession
Time Frame: 1 year
|
Corono-apical distance between the peri-implant soft tissue margin and the cemento-enamel junction (CEJ) of the homologous contralateral tooth
|
1 year
|
Post-Operative Pain
Time Frame: 7 days
|
Pain will be assessed post-surgically using the Visual Analogue Scale (VAS) with numbers from 0 to 10 score zero represented no pain while score 10 represented the worst pain imaginable
|
7 days
|
Post-Operative patient's Satisfaction
Time Frame: 1 year
|
Three Yes or No Questions will be asked to the patient about his overall satisfaction about the procedure / |
1 year
|
Post-operative swelling
Time Frame: 7 days
|
Swelling will be assessed post-surgically using the Verbal Rating Scale (VRS) (García et al. 2008):
|
7 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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 (Estimated)
October 1, 2023
Primary Completion (Estimated)
October 30, 2025
Study Completion (Estimated)
December 30, 2025
Study Registration Dates
First Submitted
May 27, 2023
First Submitted That Met QC Criteria
May 27, 2023
First Posted (Actual)
June 7, 2023
Study Record Updates
Last Update Posted (Actual)
September 7, 2023
Last Update Submitted That Met QC Criteria
September 3, 2023
Last Verified
September 1, 2023
More Information
Terms related to this study
Other Study ID Numbers
- 2023
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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