Clinical and Esthetic Outcomes of Immediate Implant Placement With Autogenous Maxillary Tuberosity Graft in the Esthetic Zone: A Prospective Case Series
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 15
- 试验地点
- 1
- 主要终点
- Buccal Bone Thickness
研究概览
简要总结
Immediate implant placement in the esthetic zone is often associated with buccal bone deficiency, which may compromise esthetic outcomes and long-term implant stability. Autogenous bone graft harvested from the maxillary tuberosity provides corticocancellous bone with favorable biological properties and may help reconstruct the buccal bone plate during immediate implant placement.
This prospective case series aims to evaluate the clinical and esthetic outcomes of immediate implant placement combined with autogenous maxillary tuberosity graft in the esthetic zone. The primary outcomes include buccal bone thickness measured on cone-beam computed tomography (CBCT), facial soft tissue thickness measured clinically, and the pink esthetic score (PES) after implant restoration.
详细描述
Immediate implant placement has become a widely accepted treatment modality in the esthetic zone. However, the presence of buccal bone defects following tooth extraction may negatively affect peri-implant tissue stability and esthetic outcomes. Autogenous bone graft harvested from the maxillary tuberosity has been proposed as a reliable grafting material due to its corticocancellous structure and high osteogenic potential.
This prospective interventional case series aims to evaluate the effectiveness of autogenous maxillary tuberosity graft used in conjunction with immediate implant placement in the esthetic zone. Patients requiring extraction and implant placement in the maxillary esthetic region will be treated with immediate implant placement and augmentation using a two-layer autogenous graft harvested from the maxillary tuberosity, consisting of cortical bone and connective tissue.
Clinical and radiographic outcomes will be assessed during follow-up. Buccal bone thickness will be evaluated using cone-beam computed tomography (CBCT). Facial soft tissue thickness will be measured clinically. Esthetic outcomes will be assessed using the pink esthetic score (PES) following definitive prosthetic restoration.
The results of this study are expected to provide clinical evidence regarding the effectiveness of maxillary tuberosity autogenous grafts for improving peri-implant tissue stability and esthetic outcomes in immediate implant placement.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 18 years or older
- •Patients requiring single implant placement in the maxillary esthetic zone
- •Indication for immediate implant placement following tooth extraction
- •Presence of a buccal bone defect requiring augmentation with an autogenous maxillary tuberosity bone graft
- •Adequate oral hygiene and ability to maintain postoperative care
- •Willingness to participate in the study and provide informed consent
排除标准
- •Uncontrolled sHistory of radiotherapy in the head and neck region ystemic diseases
- •History of radiotherapy in the head and neck region
- •Active periodontal disease or untreated oral infection
- •Heavy smoking (more than 10 cigarettes per day)
- •Pregnancy or lactation
- •Severe parafunctional habits
- •Insufficient bone volume preventing implant placement with the planned protocol
- •Patients unable to attend follow-up visits
研究组 & 干预措施
Immediate Implant With Maxillary Tuberosity Graft
Patients receiving immediate implant placement in the maxillary esthetic zone combined with autogenous bone graft harvested from the maxillary tuberosity to reconstruct the buccal bone plate.
干预措施: Immediate Implant Placement With Maxillary Tuberosity Autogenous Graft (Procedure)
结局指标
主要结局
Buccal Bone Thickness
时间窗: 6 months after implant placement
Buccal bone thickness around the implant measured on cone-beam computed tomography (CBCT) in the mid-facial aspect of the implant site.
次要结局
- Facial Soft Tissue Thickness(6 months after implant placement)
研究者
Tran Duy Anh
DDS
University of Medicine and Pharmacy at Ho Chi Minh City