Dental Autotransplantation or Immediate Single Implant for the Replacement of a Hopeless Molar.

Completed

• Conditions: Transplantation, Autologous; Autografts; Surgery, Oral
• Interventions: Procedure: Tooth Autotransplantation; Procedure: Immediate implant

• Registration Number: NCT05669118
• Lead Sponsor: Aula Dental Avanzada

Brief Summary

The aim of this comparative study is to know the differences between the soft tissue volume changes around the autotransplanted tooth and the dental implant placed immediately after the extraction of a posterior tooth. Patient-centered results will also be obtained after having received one or the other treatment.

Detailed Description

Dental autotransplantation has high levels of success in permanent teeth with open apex. The results of success in permanent teeth with closed apex are somewhat lower but sufficient to consider the treatment as a viable alternative and to extend the therapeutic range of the treatment to older ages.

The aim of this prospective observational investigation is to evaluate the dimensional and attachment changes that occur in the treated areas and in the autotransplanted teeth respectively of adult patients with permanent teeth with closed apex. All adult patients receiving a dental autotransplantation between the years 2022 and 2023 will be included.

Pre-treatment, volume and insertion parameters will be recorded before and one year after treatment. The comparison with the extraction and dental implant treatment will be made using the digital records that are usually obtained during the performance of this treatment. The comparison will be made with the same number of patients who have been recruited for the dental autotransplant treatment, and the volumetric changes that occur will also be analyzed.

The volume comparisons will be carried out using the Medit Link digital measurement software (Medit, Seoul, Republic of Korea) and data will be obtained and analyzed statistically in order to draw the appropriate conclusions.

Study Timeline

• Study Start: 2021-05-01
• Study First Submitted: 2022-12-08
• Study First Submitted QC: 2022-12-27
• Study First Posted: 2022-12-30
• Primary Completion: 2023-09-01
• Study Completion: 2023-09-02
• Status Verified: 2024-04
• Last Update Submitted: 2024-04-25
• Last Update Posted: 2024-04-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 29

Inclusion Criteria

• Patients in ASA-I health status
• Aged between 18 and 80 years,
• Present a tooth in need of extraction with a mature candidate donor tooth compatible with the recipient bed
• Acceptance of proposed treatment of dental autotransplantation

Exclusion Criteria

• Unavailability of a candidate donor tooth
• Refusal of proposed treatment of dental autotransplantation

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Autotransplantation	Tooth Autotransplantation	Patients who receive one tooth autotransplanted.
Immediate implant	Immediate implant	Patients who receive one inmediate dental implant.

Primary Outcome Measures

Name	Time	Method
Soft tissue volume changes	2 times measurement: day 0 and 6 months after	Soft tissue volume changes in the buccal side of the site in mm3
Periodontal probing pocket depth	6 months after	Periodontal probing pocket depth in mm

Secondary Outcome Measures

Name	Time	Method
Patients satisfaction after treatment	6 months after the reception of the treatment	Satisfaction assessed by Numeric Rating Scale (NRS) form 0 to 10, being 0 "not satisfied at all" and 10 "very satisfied".

Trial Locations

Locations (1)

Clínica Dental Esteve; 🇪🇸 Alicante, Spain