Immediate Implant Placement in the Posterior Region Combining Sealing Socket Abutment and Peri-implant Socket Filling.
Immediate Implant Placement in the Posterior Region Combining Sealing Socket Abutment and Peri-implant Socket Filling.A Randomized Controlled Clinical Trial
University of Liege
30 participants
Oct 1, 2022
INTERVENTIONAL
Conditions
Summary
The primary endpoint of this study is to compare the soft tissue contour changes after immediate implant placement combined to peri-implant socket filling with a sealing socket abutment (SSA) versus a standard healing abutment. The hypothesis is that the SSA better preserves the alveolar ridge profile in the cervical region compared to a conventional healing abutment. The secondary objectives aim to evaluate 3D hard tissue changes, peri-implant bone remodeling, soft tissue health, esthetic outcomes and the patients related outcome measures.
Eligibility
Inclusion Criteria9
- Good general health (ASA I/II),
- More than 18 years old,
- Smoker \< 10c/day, one hopeless tooth,
- Healthy periodontal condition,
- Presence of at least 2 mm of keratinized gingiva
- Intact buccal bone wall
- Adequate plaque control (FMPS ≤ 25%)
- Adequate bone quantity allowing an immediate implant procedure (apical bone height of at - Least 5 mm or presence of interradicular septum)
- Written consent provided
Exclusion Criteria12
- Auto-immune disease or immunocompromised patients
- Uncontrolled diabetes
- Use of steroids or biphosphonates
- Local or systemic infection (medical treatment needed prior to entrance to the study)
- Pregnancy or breastfeeding
- Alcoholism or chronically drug abuse
- Bone availability requiring an angulated abutment
- Untreated local inflammation
- Cyst
- Mucosal disease or oral lesions
- Local irradiation therapy
- Oral communication with sinus after the extraction
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Interventions
Customized Healing Abutment
Locations(1)
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NCT05741749