Bone preservation after tooth extraction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who require the extraction of at least one tooth in the upper jaw (15-25). The extraction may be indicated for periodontal reasons or destruction of the tooth due to caries or trauma, which preclude the preservation of the tooth. The missing tooth should be restored with an implant. A requirement for inclusion in the patient group is that a tooth or an existing implant is present in the immediate vicinity of the tooth to be extracted.
Exclusion criteria
Exclusion criteria: • Persons under 18 or legally incompetent persons • Recognizable primary additional need for augmentation • Insertion of the implant with an implant drilling template not possible (insufficient mouth opening). • Heavy smokers (more than 10 cigs/day) • Taking bisphosphonates • Pregnant • Alcohol or drug addicts • Patients with an infectious disease such as hepatitis or HIV/AIDS • Patients with uncontrolled severe diabetes mellitus. The long-term blood sugar level, HbA1c, must be below 6.7%.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Bone loss after tooth extraction. Measured in bucco-oral and mesio-distal direction in millimeters. | — |
Secondary
| Measure | Time frame |
|---|---|
| • Changes in the alveolar ridge in relation to the loss of volume of the outer contour measured in cubic millimeters • Bone changes in relation to the loss of volume measured in cubic millimeters • Need for augmentation as a yes/no decision and extent of a planned augmentation • Complications and special events post-surgery, descriptive • Patient satisfaction (VAS) | — |
Countries
Germany, Switzerland
Contacts
Zentrum für Zahnmedizin Prof. Dr. Schnutenhaus MVZ GmbH