Management of the Fresh Extraction Socket in the Aesthetic Area

Recruiting now · Not applicable

Conditions studied: Tooth Extraction Status Nos, Dental Implant, Bone Augmentation, Soft Tissue Augmentation

In brief

After atraumatic tooth extraction and the assessment of the feasibility of immediate implant placement, patients will be randomly assigned to one of three treatment concepts: 1. Immediate Implant Placement and Immediate Provisionalization 2. Alveolar Ridge Preservation. After 4 months of healing an implant will be placed with simultaneous GBR and/or Soft Tissue Augmentation procedures, if needed. 3. Spontaneous Healing of the socket. After 4 months of healing, an implant will be placedwith simultaneous GBR and/or Soft Tissue Augmentation procedures, if needed. In all groups, four months after implant placement, a prosthesis will be delivered. From this experimental period onward, patients will be scheduled for maintenance. Clinical, radiographic and volumetric assessment will be performed by clinicians not involved in the surgery and blind with respect to treatment assignment at 1, 3 and 5 years post loading.

Key facts

Study ID

NCT04367766

Run by

Centro Specialistico Odontoiatrico, Rome

People needed

60

Starts

2023-09-27

Expected to finish

2026-08-01

Last updated by the study team

2023-12-12

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• single tooth extraction in the anterior region of the dentition (including premolars) to be extracted
• smoking no more than 10 cigarettes/day,
• periodontal health (BoP < 10%) and good plaque control (< 20%)
• absence of symptomatic periapical radiolucencies, acute abscesses at the site of extraction,
• extraction sites with less than 30% loss of one or more walls
• adequate quantity and quality of native bone to achieve primary stability

You may not qualify if…

• growing patients
• patients with autoimmune disease, uncontrolled diabetes or immunocompromised
• history of head and neck radiation for cancer treatment,
• pregnancy

Where it is running

• Centro Specialistico Odontoiatrico (CSO) — Roma, Italy (enrolling)

Full record on ClinicalTrials.gov

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