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Clinical Trials/NCT05081284
NCT05081284
Recruiting
N/A

Clinical Outcomes of Immediate Implants With or Without a Volume-stable Collagen Matrix: a Randomized Controlled Clinical Trial

University of Pisa1 site in 1 country40 target enrollmentNovember 1, 2021

Overview

Phase
N/A
Intervention
Not specified
Conditions
Edentulous Alveolar Ridge
Sponsor
University of Pisa
Enrollment
40
Locations
1
Primary Endpoint
Soft Tissue Thickness (STT)
Status
Recruiting
Last Updated
last year

Overview

Brief Summary

The purpose of this study is to evaluate the soft tissue clinical results in patients that received, or not, a soft tissue augmentation around dental implant inserted immediately after the extraction.

Detailed Description

After being informed about the study and potential risks, all patients giving written informed consent will undergo a screening period to determinate eligibility for study entry. Patients who meet eligibility requirements will be randomized in this single blinded(investigator) study. Group (Test) will receive immediate implant after extraction and a soft tissue augmentation with a collagen matrix. Group (Control) will receive only immediate implant after extraction without soft tissue augmentation.

Registry
clinicaltrials.gov
Start Date
November 1, 2021
End Date
November 2025
Last Updated
last year
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Antonio Barone

Professor

University of Pisa

Eligibility Criteria

Inclusion Criteria

  • Presence of a single failing tooth in the esthetic region (second premolar to contralateral second premolar), the adjacent teeth should be present and without any dental pathologies.

Exclusion Criteria

  • Patients who are heavy smokers (more than 10 cigarettes/day);
  • Patients who suffer from any systemic diseases that could negatively influence wound healing;
  • Patients who received head and neck radiation treatment;
  • Patients who have a full contraindication to implant surgery;
  • Patients who have uncontrolled periodontal disease;
  • Patients who show a full mouth plaque and bleeding score higher than 25%;
  • Patients who have deficient extraction sockets according to the classification of Juodzbalys et al.
  • Patients with known allergy, sensitivity or intolerance to collagen
  • Patients who are pregnant or who are breastfeeding

Outcomes

Primary Outcomes

Soft Tissue Thickness (STT)

Time Frame: T2: 12 months after implant placement

Measured at 3 and 6 mm from the free gingival margin using a 15-endodontic file and a rubber disk. The file will advance perpendicularly through the soft tissue until the first point of bone contact. Thickness will be measured to the nearest 0.1 mm using a caliper. The rubber disk stop will be then placed in tight contact with the soft tissue surface and fixed with a drop of cyanocrylic adhesive. After file removal, the distance between file tip and the silicon stop will be measured using a digital caliper with 0.01 mm of accuracy. (Cairo et al. 2017; Bittner et al. 2020)

Secondary Outcomes

  • Implant success(T4: 36 months after surgery)
  • Peri-implant marginal bone level (MBL)(T4: 36 months after surgery)
  • Modified Plaque Index (mPI)(T4: 36 months after surgery)
  • Gingival bleeding on probing (BoP)(T4: 36 months after surgery)
  • Pink Esthetic Score (PES)(T4: 36 months after surgery)
  • Width of keratinized tissue (WKT)(T4: 36 months after surgery)
  • Vertical position of soft tissue (VPS)(T4: 36 months after surgery)
  • Probing pocket depth (PD)(T4: 36 months after surgery)
  • Papillae index (PI)(T4: 36 months after surgery)
  • Surgery time(T0a-b: baseline)
  • Patient satisfaction VAS(T4: 36 months after surgery)
  • Assessment of the linear volumetric changes(T4: 36 months after surgery)
  • Phenotype(T4: 36 months after surgery)
  • Biological and technical complication(T4: 36 months after surgery)
  • Patient satisfaction OHIP-14(T4: 36 months after surgery)

Study Sites (1)

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