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