Autogenous Tooth Bone Graft Versus Allogeneic Bone Graft Around Dental Implant in Aesthetic Zone

NCT ID: NCT06773104

Last Updated: 2025-12-26

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

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-25

Study Completion Date

2025-06-16

Brief Summary

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24 patienta with non restorable anterior teeth underwent extraction with immediate implant installation using bone grafts either autogenous tooth bone graft or allogenic bone graft Autogenous tooth bone graft group (study group): 12 patients will have immediate implant placement with autogenous tooth bone graft.

• Allogeneic bone graft group (control group): 12 patients will have immediate implant placement with allogeneic bone graft (demineralized freeze dried bone allograft - cortico cancellous).

Detailed Description

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24 patienta with non restorable anterior teeth underwent extraction with immediate implant installation randomized to two groups Autogenous tooth bone graft group (study group): 12 patients will have immediate implant placement with autogenous tooth bone graft.

• Allogeneic bone graft group (control group): 12 patients will have immediate implant placement with allogeneic bone graft (demineralized freeze dried bone allograft - cortico cancellous).

preparation of autogenous tooth bone graft Any restorations, caries, cementum, periodontal ligament and pulp tissue will be removed .The tooth will be grinded using dental bone mill and bone crusher Tooth particles will be sieved to particles size 300 to 1200 microns. The sorted particles will be immersed in 70 % ethanol and 5% Peracetic acid\* in a sterile container for 10 minutes to remove any soft tissue remnants, bacteria and smear layer (defatting and sterilization).

Tooth particles will be demineralized using 2% HNO3for 20 minutes to expose the dentine organic matrix.

The bacteria-free particulate dentin will be washed with phosphate buffered saline‡ twice for 5 minutes to restore the PH balance to 7.4. In the same setting, surgical procedure after atraumatic extraction immediate implant willbe inserted according to dimensions taken from CBCT and jumbing gap will be filled with bone graft according to randomization

Conditions

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Immediate Dental Implants Thin Labial Plate of Bone Pre-extraction Hopeless Tooth in Esthetic Zone

Keywords

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autogenous tooth bone graft allogenic bone graft grafting the jumbing gap immediate dental implant

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

non restorable anterior teeth with thin labial plate of bone
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Autogenous tooth bone graft group

Twelve patients receiving immediate implant placement with autogenous fresh partially demineralized dentin graft.

Group Type EXPERIMENTAL

Allogeneic bone graft with immediate implant placement

Intervention Type PROCEDURE

Immediate dental implant placement with grafting of the jumping gap using allogeneic bone graft (DFDBA).

Allogeneic bone graft group (control group)

Patients receiving immediate dental implant placement with allogeneic bone graft (DFDBA) for grafting of the jumping gap.

Group Type ACTIVE_COMPARATOR

immediate implant with allogenic bone graft

Intervention Type PROCEDURE

after atraumatic extraction immediate implant will be inserted with allogenic bone graft

Interventions

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immediate implant with allogenic bone graft

after atraumatic extraction immediate implant will be inserted with allogenic bone graft

Intervention Type PROCEDURE

Allogeneic bone graft with immediate implant placement

Immediate dental implant placement with grafting of the jumping gap using allogeneic bone graft (DFDBA).

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

Patients with non restorable maxillary anterior teeth need to be extracted.

* Thin labial plate of bone of the tooth to be extracted.
* Patients age above 20years old.
* Good oral hygiene.
* No signs of acute infection or inflammation

Exclusion Criteria

* Prior radiation therapy.
* Soft and hard tissue pathology at the operation site.
* Any relevant systemic disease or medication that might compromise bone healing.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Tanta University

OTHER

Sponsor Role lead

Responsible Party

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Diab Abdel Gaied Diab Ghanem Mohammed

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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diab abdelgaied diab, master

Role: PRINCIPAL_INVESTIGATOR

faculty of dentistry tanta university

Rafic ramadan bedir, professor

Role: PRINCIPAL_INVESTIGATOR

faculty of dentistry tanta university

Ibrahim mohammed nowair, professor

Role: PRINCIPAL_INVESTIGATOR

faculty of dentistry tanta university

Mona samy sheta, lecturer

Role: PRINCIPAL_INVESTIGATOR

faculty of dentistry tanta university

Locations

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Faculty of Dentistry

Tanta, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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diab123

Identifier Type: -

Identifier Source: org_study_id