Management of the Fresh Extraction Socket in the Aesthetic Area
Management of the Fresh Extraction Socket in the Aesthetic Area: Alveolar Ridge Preservation vs Immediate Implant Placement vs Delayed Implant Placement
Centro Specialistico Odontoiatrico, Rome
60 participants
Sep 27, 2023
INTERVENTIONAL
Conditions
Summary
After atraumatic tooth extraction and the assessment of the feasibility of immediate implant placement, patients will be randomly assigned to one of three treatment concepts: 1. Immediate Implant Placement and Immediate Provisionalization 2. Alveolar Ridge Preservation. After 4 months of healing an implant will be placed with simultaneous GBR and/or Soft Tissue Augmentation procedures, if needed. 3. Spontaneous Healing of the socket. After 4 months of healing, an implant will be placedwith simultaneous GBR and/or Soft Tissue Augmentation procedures, if needed. In all groups, four months after implant placement, a prosthesis will be delivered. From this experimental period onward, patients will be scheduled for maintenance. Clinical, radiographic and volumetric assessment will be performed by clinicians not involved in the surgery and blind with respect to treatment assignment at 1, 3 and 5 years post loading.
Eligibility
Inclusion Criteria6
- single tooth extraction in the anterior region of the dentition (including premolars) to be extracted
- smoking no more than 10 cigarettes/day,
- periodontal health (BoP \< 10%) and good plaque control (\< 20%)
- absence of symptomatic periapical radiolucencies, acute abscesses at the site of extraction,
- extraction sites with less than 30% loss of one or more walls
- adequate quantity and quality of native bone to achieve primary stability
Exclusion Criteria4
- growing patients
- patients with autoimmune disease, uncontrolled diabetes or immunocompromised
- history of head and neck radiation for cancer treatment,
- pregnancy
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Interventions
Insertion of an osseointegrated implant into the bone of anterior maxilla/mandible, following the right prosthetic plan
Locations(1)
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NCT04367766