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A study comparing bone loss and gum changes in immediate implant placement with and without bone graft using a modified healing cap in the upper premolar region

Comparative evaluation of crestal bone loss and pink esthetic score in immediate implant placement with and without bone grafting using socket seal abutments in maxillary premolar region: An in-vivo split mouth study. - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/02/104409
Enrollment
20
Registered
2026-02-20
Start date
Unknown
Completion date
Unknown
Last updated
2026-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K029- Dental caries, unspecified

Interventions

Intervention1: Immediate Implant Placement with bone grafting: Application of the dual-zone bone grafting concept in immediate implant placement in the maxillary premolar region Control Intervention1:

Sponsors

Dr Devang Bansal
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients requiring tooth extraction and immediate implant placement in the maxillary premolar region, present in the esthetic zone. 2. Extraction socket classified as Type I [Elian et al], which is the presence of an intact facial (buccal) cortical plate with no clinical or radiographic evidence of dehiscence or fenestration. 3. Teeth with no active periapical pathology and gingival inflammation. 4. Presence of adjacent sound natural teeth without caries, trauma, or tooth surface loss. 5. Teeth with a minimum of 3 mm palatal/apical bone/interradicular bone to facilitate implant placement. 6. Patients willing to participate in the study and provide written informed consent.

Exclusion criteria

Exclusion criteria: 1. Extraction sockets classified as Type II or Type III [Elian et al] according to the socket classification system, indicating compromised facial bone integrity. 2. Teeth with active periapical pathology and gingival inflammation. 3. Patients who have a habit of smoking and chewing tobacco or parafunctional habits. 4. Patients having systemic diseases like uncontrolled diabetes, hypertension and bleeding disorders and also with bisphosphonate therapy. 5. Pregnant women, lactating mothers and also patients who underwent radiation therapy less than a year ago. 6. Patients with poor oral hygiene, poor compliance, and those who are not willing to undergo treatment.

Design outcomes

Secondary

MeasureTime frame
Pink Esthetic Score (PES): Evaluated clinically to assess peri-implant soft-tissue esthetics and gingival contour around immediate implants with and without bone grafting.Timepoint: Preoperatively, immediate postoperatively, 3-month, and 6-month postoperatively—

Primary

MeasureTime frame
Crestal bone loss (CBL): Assessed using CBCT to evaluate peri-implant bone loss in grafted and nongrafted sites.Timepoint: Immediate postoperatively, 3 month and 6 months postoperatively.—

Countries

India

Contacts

Public ContactDr Devang Bansal

KAHERs KLE VK Institute of Dental Sciences

swapnilshankargouda@gmail.com9986815280

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Mar 14, 2026