Buccal Bone Resorption in Immediate Implants in Thin and Thick Buccal Plates of Bone in Esthetic Zone

NCT ID: NCT04630665

Last Updated: 2024-02-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-23

Study Completion Date

2022-11-02

Brief Summary

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To achieve esthetic immediate implants a minimum of adequate buccal bone thickness must be present. It was postulated that 2 mm of buccal bone thickness was needed to prevent recession of the buccal plate. However, this was reduced to 1 mm with more ongoing research. In a recent study postulated that a buccal bone thickness less than 1 mm could be sufficient.

Scarce literature was found that monitored the ridge alterations following implant placement.

In regards to the controversies regarding the minimal initial buccal bone thickness required to perform immediate implant placement, our study aims to monitor the buccal bone thickness and soft tissue changes over a year from implant and prosthetic placement.

Detailed Description

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Conditions

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Buccal Bone Thickness

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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thin buccal bone

immediate implant placement in thin buccal bone wall socket

Group Type OTHER

immediate implant placement

Intervention Type OTHER

immediate implant placement in thin and thick buccal bony plates

≥1 buccal bone

immediate implant placement in 1 mm or more buccal bone thickness socket

Group Type OTHER

immediate implant placement

Intervention Type OTHER

immediate implant placement in thin and thick buccal bony plates

Interventions

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immediate implant placement

immediate implant placement in thin and thick buccal bony plates

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subjects who have at least one unrestorable tooth in the esthetic zone that needs to be extracted.
* Subjects with healthy systemic condition.
* Availability of bone apical and palatal to the socket to provide primary stability.

Exclusion Criteria

* Patients with signs of acute infection related to the area of interest.
* Patients with habits that may jeopardize the implant longevity and affect the results of the study such as parafunctional habits.
* Smokers
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Suzy Nabil Naiem

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cairo University

Cairo, Greater Cairo, Egypt

Site Status

Countries

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Egypt

References

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Merheb J, Vercruyssen M, Coucke W, Beckers L, Teughels W, Quirynen M. The fate of buccal bone around dental implants. A 12-month postloading follow-up study. Clin Oral Implants Res. 2017 Jan;28(1):103-108. doi: 10.1111/clr.12767. Epub 2016 Jan 8.

Reference Type BACKGROUND
PMID: 26749417 (View on PubMed)

El Nahass H, N Naiem S. Analysis of the dimensions of the labial bone wall in the anterior maxilla: a cone-beam computed tomography study. Clin Oral Implants Res. 2015 Apr;26(4):e57-e61. doi: 10.1111/clr.12332. Epub 2014 Jan 23.

Reference Type BACKGROUND
PMID: 24450845 (View on PubMed)

Other Identifiers

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21 Dec 2018 Protocol

Identifier Type: -

Identifier Source: org_study_id

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