This study focuses on patients with a single non-restorable tooth in the esthetic zone accompanied by a buccal bone wall defect. It aims to evaluate the clinical efficacy and safety of treatment using the flapped bone grafting combined with immediate implant placement and provisionalization. The research will primarily assess changes in the thickness of the buccal bone plate around the implant, al
Conditions
Interventions
Flapped Bone Grafting with Immediate Implant Placement and Provisionalization Group:Flapped bone grafting combined with immediate implant placement and provisionalization
Sponsors
Hospital of Stomatology, Shandong University
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1.Age > 18 years; 2.Presence of a single non-restorable tooth in the maxillary anterior region; 3.Sufficient restorative space; 4.At least 4 mm of residual bone apical to the extraction socket; 5.Good oral hygiene, with a plaque index < 20%; 6.No contraindications to surgery; 7.Non-smoker; 8.Absence of severe bruxism; 9.No active, untreated periodontitis or infection at the intended implant site or adjacent tissues;
Exclusion criteria
Exclusion criteria: 1.Poor oral hygiene; 2.Insufficient restorative space; 3.Presence of periodontal disease; 4.General health conditions unsuitable for surgical intervention, including a history of severe cardiovascular/cerebrovascular diseases, epilepsy or other neurological disorders, or uncontrolled systemic diseases such as diabetes or hematological disorders; 5.Current or former smoker (smoking cessation < 1 year); 6.Long-term use of bisphosphonates. 7.Pregnancy or lactation;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in buccal bone plate thickness around the implant; | — |
Secondary
| Measure | Time frame |
|---|---|
| Soft tissue examination;Change in Bleeding Index;Changes in buccal keratinized gingiva width;Jemt papilla index;Change in marginal bone level;Probing depth change;patient-reported outcome measures (PROMs);Survival and Success;PES/WES; | — |
Countries
China
Contacts
Public ContactYong Wen
Hospital of Stomatology, Shandong University
Outcome results
None listed