The study investigates the regeneration of hard and soft tissues following dental implant placement using different healing approaches after tooth loss.
Conditions
Interventions
Group 1: Open healing using a healing abutment
Group 2: Closed healing using a mucoperiosteal advancement flap
Sponsors
Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinikum Heidelberg
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Immediate implant placement directly after tooth extraction. Sufficient bone volume to allow immediate implant placement. Adjacent teeth present to serve as reference points.
Exclusion criteria
Exclusion criteria: • Systemic diseases (such as diabetes mellitus) • Previous radiation therapy • Antiresorptive therapy • Smokers of more than 10 cigarettes per day • Untreated periodontitis or dental caries • Patients under 18 years of age • Poor oral hygiene or lack of compliance • Missing adjacent teeth • Insufficient apical bone volume (minimum 3 mm required) • Extensive inflammation • Compromised buccal alveolar wall • Immediate loading or immediate provisionalization • Insertion torque below 30 Ncm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pink Esthetic Score (PES) assessed at 3 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Implant survival rate (end of study) Patient satisfaction with aesthetic outcomes (end of study) Patient-reported pain (end of study) Linear measurement of bone level (baseline, 12 months) Volumetric bone measurement | — |
Countries
Germany
Contacts
Public ContactChristian Mertens
Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinikum Heidelberg
Outcome results
None listed