Esthetic, Clinical and Radiographic Outcomes of Immediate Implant Placement and Delayed Implant Placement in the Anterior Region of the Maxilla
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Jaw, Edentulous, Partially
- Sponsor
- Sun Yat-sen University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Pink and white esthetic scores (PES/WES)
- Status
- Recruiting
- Last Updated
- 6 years ago
Overview
Brief Summary
The aim of this prospective cohort study is to compare the esthetic, clinical and patient-centered outcomes following immediate and delayed implant placement protocols.
Detailed Description
Patients are divided into two groups: immediate and delayed implant placement. The investigators are asking subjects to take part in a research study of soft tissue and bone healing around dental implants following tooth extraction. The investigators want to compare how the gums and the bone changes shape with healing in two different scenarios.
Investigators
Xin Liu
post graduate
Sun Yat-sen University
Eligibility Criteria
Inclusion Criteria
- •At least 18 years old and able to understand an informed consent
- •Adequate oral hygiene to allow for implant therapy consistent with standards of care.
- •Missing a single tooth in the maxillary anterior region
- •Presence of adjacent natural teeth
Exclusion Criteria
- •Poor oral hygiene
- •Severe parafunctional habits, for example, bruxing and clenching
- •Presence of clinically active periodontal disease as expressed by probing pocket depths≥4 mm in combination with bleeding on probing.
- •Conditions that might lead to a possibly lowered regenerative capacity of the bone, for example, osteoporosis and Paget's disease
- •Pregnant or expecting to be pregnant
- •History of drug and alcohol abuse
- •History of systemic diseases that would contraindicate oral surgical treatment, for example, uncontrolled diabetes (defined as HBA1c level \>7%)
- •Radiotherapy in the head and neck area,
- •On certain medications like bisphosphonates or steroids currently or within the past three months
- •Absence of adjacent teeth
Outcomes
Primary Outcomes
Pink and white esthetic scores (PES/WES)
Time Frame: Up to 10 years after baseline
Baseline will be at the time of implant placement.Pink and white esthetic scores (PES/WES) will be recorded at 0.5, 1.5, 3.5, 5.5, 7.5, 10.5 years after implant placement.
Radiographic bone volume
Time Frame: Up to 10 years after baseline
Radiographic bone volume be assessed at pre-operation, 0 ,1.5, 1, 1.5, 3.5, 5.5, 7.5, 10.5 years after implant placement.
Secondary Outcomes
- Implant survival(Up to 10 years after baseline)
- Modified bleeding index(Up to 10 years after baseline)
- Buccal marginal recession(Up to 10 years after baseline)
- Papilla volume(Up to 10 years after baseline)
- Probing depth(Up to 10 years after baseline)
- Modified plaque index(Up to 10 years after baseline)
- Width of keratinized gingiva(Up to 10 years after baseline)
- Visual analogue scale (VAS)(Up to 10 years after baseline)
- Oral health impact profile shortened version (OHIP-I)(Up to 10 years after baseline)