Patients with a hopeless tooth in need of single tooth implant replacement between canine and canine in the upper jaw. None
Conditions
Interventions
Group 1: Subsequent to tooth extraction a cylindrical screw-type dental implant will be inserted (SPI Element®
Thommen Medical, Grenchen, Switzerland). Deproteinized bovine bone mineral (Bio-Oss® Spongiosa 0.25-1 mm
Geistlich, Wolhusen, Switzerland) will be moistened with sterile water and packed in the space between implant and extraction socket. Subsequent a collagen membrane (BioGide®
Geistlich, Wolhusen, Switzerland) will be plugged around the implant to cover and protect the bone substitute material.
Group 2: After completion of the drilling protocol the coronal half of the faci
Thommen Medical, Grenchen, Switzerland) exerting as little pressure on the root segment as possible.
Sponsors
Gemeinschaftspraxis
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Male and female, systemically healthy patients, at least 18 years of age, presenting hopeless teeth in need of single tooth implant replacement between canine and canine in the upper jaw - Periodontally healthy conditions including the ability to achieve good oral hygiene and control gingivitis with FMPS and FMBS = 25% (full-mouth plaque (FMPS) and bleeding (FMBS) scores) - No medication known to interfere with periodontal tissue health or healing. - No pregnancy - Ability to understand study procedures and to comply with them for the entire duration of the study. Ability and willingness to give written informed consent
Exclusion criteria
Exclusion criteria: - Presence of less than 50% of a hypothetically idealised buccal bone height relative to the vertical distance between the base of the extraction socket and the midpalatal alveolar bone margin extension based on digital cone beam computed tomography (CBCT) measurements. - Patients smoking more than 20 cigarettes per day - Participation in another clinical trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Non-inferiority of test versus control surgical intervention with respect to loss in marginal bone level after 1y post-implantation assessed on standardized periapical radiographs | — |
Secondary
| Measure | Time frame |
|---|---|
| - Clinical assessment of plaque and bleeding, height of keratinized tissue, probing pocket depth (using dental probe and standard forms) - Ridge contour changes (based on dental impressions) - Pink esthetic score (based on photographs) - Patient Reported Outcome Measures (PROMs) (based on standardized surveys) | — |
Countries
Brazil
Contacts
Public ContactGiuseppe Alexandre Romito
University of São Paulo, School of Dentistry, Discipline of Periodontics, Department of Stomatology
Outcome results
None listed