Long- Term Follow-up of Extraction Socket Management

Completed

• Conditions: Tooth Loss

• Registration Number: NCT03410251
• Lead Sponsor: University of Liege

Brief Summary

Twenty-nine patients needing single tooth replacement in aesthetic area were treated by extraction and socket preservation with saddle connective tissue graft between September 2009 and February 2012. Computed Tomography scan were taken at baseline just after the surgery and 3 months later. Long- term evaluation of this particular socket management procedure was evaluated by recalling successfully seventeen of theses patients in June 2016. At this time, a clinical and radiographical consultation was done and Cone Beam CT was taken. Horizontal and vertical bone dimensional changes were then assessed thanks to 3D imaging analysis and esthetic and implants outcomes were evaluated.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-06
• Primary Completion: 2016-07
• Study Completion: 2017-07
• Study First Submitted: 2017-07-26
• Status Verified: 2018-01
• Study First Submitted QC: 2018-01-24
• Last Update Submitted: 2018-01-24
• Study First Posted: 2018-01-25
• Last Update Posted: 2018-01-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 17

Inclusion Criteria

• Good general health (ASA 1, 2)
• Controlled periodontitis
• >18 years of age or signed consent by the parents
• Smoking history of<10 cigarettes per day
• Signed informed consent.

Exclusion Criteria

• Pregnancy or lactation
• Concurrent participation in another trial
• Bone disease or the use of medications that interfered with bone metabolism
• History of head and neck radio- therapy
• Presence of dehiscence or fenestration on bone wall of the socket.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Changes from Baseline Alveolar bone remodeling to 3 months and 6 year : vertical measurements (based on CBCT, in mm)	Baseline, 3 months, 6 years	The measurement were done by matching and superimposing CT scans using a three dimensional reconstruction software. One vertical measurement was taken on the buccal side, in parallel to the vertical reference line at mid distance between the buccal wall and reference line.
Changes from Baseline Alveolar bone remodeling to 3 months and 6 year: horizontal measurements (based on CBCT, in mm)	Baseline, 3 months, 6 years	The measurement were done by matching and superimposing CT scans using a three dimensional reconstruction software. Palatal horizontal measurements were calculated by subtracting the buccal horizontal measurements from the total horizontal measurements.

Secondary Outcome Measures

Name	Time	Method
Implant survival rate (based on criteria of Buser et al., 1990)	Approximatively 6 years	Success was defined according to the criteria of Buser et al., 1990 which are 1. absence of suppuration (recurring peri implant infection) 2. absence of persistent complaints like pain, foreign body sensation and/or dysesthesia 3. absence of continuous radioluncency area around the implant 4. absence of implant mobility.
Esthetic outcomes (PES questionnaire)	Approximatively 6 years	At the cross- sectional long- term evaluation, to analyse the esthetic outcomes of the surgical procedure, the pink esthetic score (PES) was assessed (Fürhauser et al. 2005)
Esthetic outcomes (VAS questionnaire)	Approximatively 6 years	A VAS questionnaire was given to the patients in order to collect their opinion about the esthetic results.
Peri-implant bone levels (based on periapical radiography, in mm)	Approximatively 6 years	The peri- implant bone levels were assessed on periapical radiography using the parallell technique: the distance between the implant shoulder and the first bone to implant contact (DIB) was measured at the mesial and distal aspects using the specific software Image J64 (National Institutes of Health, Bethesda, MD, USA).