Trial Outcomes & Findings for Esthetic Outcomes of Single Immediate Implant Placement (NCT NCT02435706)

NCT ID: NCT02435706

Last Updated: 2019-05-03

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

39 participants

Primary outcome timeframe

Change from Pre-operative Baseline in Gingival Margin Location at 3, 6 and 12 months and change from post-operative baseline at 3 and 6 months

Results posted on

2019-05-03

Participant Flow

Participant milestones

Participant milestones
Measure
Flapless Group
Flapless immediate implant placement: Flapless placement of immediate implant and temporary crown Flapless immediate implant placement: No elevation of flap prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental) Please see attached publication
Flap Group
Flap assisted immediate implant placement: Flap elevation prior to placement of immediate implant and temporary crown Flap assisted immediate implant placement: Flap will be elevated prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental)
Overall Study
STARTED
18
21
Overall Study
COMPLETED
16
20
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Flapless Group
n=18 Participants
Flapless immediate implant placement: Flapless placement of immediate implant and temporary crown Flapless immediate implant placement: No elevation of flap prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental)
Flap Group
n=21 Participants
Flap assisted immediate implant placement: Flap elevation prior to placement of immediate implant and temporary crown Flap assisted immediate implant placement: Flap will be elevated prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental)
Total
n=39 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=18 Participants
0 Participants
n=21 Participants
0 Participants
n=39 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=18 Participants
17 Participants
n=21 Participants
30 Participants
n=39 Participants
Age, Categorical
>=65 years
5 Participants
n=18 Participants
4 Participants
n=21 Participants
9 Participants
n=39 Participants
Age, Continuous
54 years
n=18 Participants
46 years
n=21 Participants
48 years
n=39 Participants
Sex: Female, Male
Female
10 Participants
n=18 Participants
15 Participants
n=21 Participants
25 Participants
n=39 Participants
Sex: Female, Male
Male
8 Participants
n=18 Participants
6 Participants
n=21 Participants
14 Participants
n=39 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
18 participants
n=18 Participants
21 participants
n=21 Participants
39 participants
n=39 Participants

PRIMARY outcome

Timeframe: Change from Pre-operative Baseline in Gingival Margin Location at 3, 6 and 12 months and change from post-operative baseline at 3 and 6 months

Outcome measures

Outcome measures
Measure
Flapless Group
n=18 Participants
Flapless immediate implant placement: Flapless placement of immediate implant and temporary crown Flapless immediate implant placement: No elevation of flap prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental) Please see attached publication
Flap Group
n=21 Participants
Flap assisted immediate implant placement: Flap elevation prior to placement of immediate implant and temporary crown Flap assisted immediate implant placement: Flap will be elevated prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental)
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From pre-operative to 12 months follow-up (Buccal)
.22 mm
Standard Deviation .31
.42 mm
Standard Deviation .52
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From pre-operative to 3 months follow-up (Mesial)
.11 mm
Standard Deviation 0.32
.43 mm
Standard Deviation .37
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From pre-operative to 3 months follow-up (Buccal)
.28 mm
Standard Deviation .39
.48 mm
Standard Deviation .50
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From pre-operative to 3 months follow-up (Distal)
.11 mm
Standard Deviation .32
.48 mm
Standard Deviation .44
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From pre-operative to 6 months follow-up (Mesial)
.11 mm
Standard Deviation .32
.40 mm
Standard Deviation .48
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From pre-operative to 6 months follow-up (Buccal)
.19 mm
Standard Deviation .30
.40 mm
Standard Deviation .60
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From pre-operative to 6 months follow-up (Distal)
.14 mm
Standard Deviation .29
.23 mm
Standard Deviation .47
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From pre-operative to 12 months follow-up (Mesial)
.09 mm
Standard Deviation .27
.22 mm
Standard Deviation .43
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From pre-operative to 12 months follow-up (Distal)
.06 mm
Standard Deviation .25
.28 mm
Standard Deviation .39
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From post-operative to 3 months (Mesial)
-.25 mm
Standard Deviation .46
.10 mm
Standard Deviation .48
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From post-operative to 3 months (Buccal)
-.22 mm
Standard Deviation .31
.2 mm
Standard Deviation .62
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From post-operative to 3 months (Distal)
-.31 mm
Standard Deviation .57
0 mm
Standard Deviation .61
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From post-operative to 6 months (Mesial)
-.50 mm
Standard Deviation .54
-.05 mm
Standard Deviation .54
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From post-operative to 6 months (Buccal)
-.25 mm
Standard Deviation .39
.13 mm
Standard Deviation .60
Change in Gingival Margin Location on the Buccal, Mesial and Distal Compared With Pre-operative Baseline and Post-operative Baseline
From post-operative to 6 months (Distal)
-.25 mm
Standard Deviation .73
-.03 mm
Standard Deviation .64

SECONDARY outcome

Timeframe: Change from Baseline in Buccal Horizontal Ridge Dimensions at 3, 6 and 12 months

Horizontal changes of the buccal ridge was calculated through the use of acrylic stents and digital overlays (3Shape D800, Biomet 3i, Palm Beach Gardens, FLS). The acrylic stents were obtained from the pre-surgical plaster casts and they were repositioned on the plaster casts obtained at 3, 6 and 12 months. Discrepancies between the acrylic stent and the plaster cast were measured with a probe. The digital cast overlays were used to analyze changes from pre-surgical to 3 and from 3 to 6 months). The plaster casts were scanned and changes were analyzed with the use of a software.

Outcome measures

Outcome measures
Measure
Flapless Group
n=18 Participants
Flapless immediate implant placement: Flapless placement of immediate implant and temporary crown Flapless immediate implant placement: No elevation of flap prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental) Please see attached publication
Flap Group
n=21 Participants
Flap assisted immediate implant placement: Flap elevation prior to placement of immediate implant and temporary crown Flap assisted immediate implant placement: Flap will be elevated prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental)
Change in Buccal Horizontal Ridge Dimensions
Casts(Digital Over delays) 0-3 months
.64 mm
Standard Deviation .59
.54 mm
Standard Deviation .63
Change in Buccal Horizontal Ridge Dimensions
Casts(Digital Over delays) 3-6 months
.18 mm
Standard Deviation .46
.19 mm
Standard Deviation .7
Change in Buccal Horizontal Ridge Dimensions
Casts (stents) 0-3 months
.58 mm
Standard Deviation .60
.80 mm
Standard Deviation .83
Change in Buccal Horizontal Ridge Dimensions
Casts (stents) 0-6 months
.89 mm
Standard Deviation .80
.95 mm
Standard Deviation .92
Change in Buccal Horizontal Ridge Dimensions
Casts (stents) 0-12 months
.91 mm
Standard Deviation .84
1.11 mm
Standard Deviation .92

SECONDARY outcome

Timeframe: Change from Baseline in Interproximal Crestal Bone Levels at 6 and 12 months

Outcome measures

Outcome measures
Measure
Flapless Group
n=18 Participants
Flapless immediate implant placement: Flapless placement of immediate implant and temporary crown Flapless immediate implant placement: No elevation of flap prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental) Please see attached publication
Flap Group
n=21 Participants
Flap assisted immediate implant placement: Flap elevation prior to placement of immediate implant and temporary crown Flap assisted immediate implant placement: Flap will be elevated prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental)
Change in Interproximal Crestal Bone Levels
Bone level change at 12 months (mesial)
.47 mm
Standard Deviation .98
.73 mm
Standard Deviation 1.18
Change in Interproximal Crestal Bone Levels
Bone level change at 12 months (distal)
.59 mm
Standard Deviation 1.05
1.33 mm
Standard Deviation 1.23
Change in Interproximal Crestal Bone Levels
Bone level change at 6 months (mesial)
.31 mm
Standard Deviation .47
.37 mm
Standard Deviation .91
Change in Interproximal Crestal Bone Levels
Bone level change at 6 months (distal)
.45 mm
Standard Deviation .81
.82 mm
Standard Deviation .87

Adverse Events

Flapless Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Flap Group

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Flapless Group
n=18 participants at risk
Flapless immediate implant placement: Flapless placement of immediate implant and temporary crown Flapless immediate implant placement: No elevation of flap prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental) Please see attached publication
Flap Group
n=21 participants at risk
Flap assisted immediate implant placement: Flap elevation prior to placement of immediate implant and temporary crown Flap assisted immediate implant placement: Flap will be elevated prior to immediate implant placement Implant and temporary crown: Standard intervention/procedure (non-experimental)
Surgical and medical procedures
Early implant failure
0.00%
0/18
4.8%
1/21 • Number of events 1

Additional Information

Elena Sanz Miralles, DDS, PhD

Columbia University College of Dental Medicine

Phone: 212-342-3008

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place