Tooth Loss
Conditions
Brief summary
Comparison of the clinical healing of simultaneous vs. delayed grafting for dental implant placement.
Detailed description
The primary aims of this study are to compare the clinical and histologic results of a traditional ridge preservation with implant placement at 16 weeks (control group) with early implant placement (8 weeks) with simultaneous contour augmentation as described by Buser (test group).
Interventions
8 weeks post-extraction 15 test patients will receive implant placement plus osseous grafting.
At the time of extraction osseous graft will be placed in the socket and implant placed 4 months later.
Sponsors
Study design
Eligibility
Inclusion criteria
* Have one non-molar maxillary tooth requiring extraction that will be replaced by a dental implant. The site must be bordered by 2 teeth. * Healthy persons at least 18 years old. * Patients must sign an informed consent approved by the University of Louisville Human Studies Committee.
Exclusion criteria
* Patients with debilitating systemic disease, or diseases that have a clinically significant effect on the periodontium. * Exclude any molar tooth. * Presence of or history of osteonecrosis of jaws. * Patients with current or previous history of IV bisphosphonates, irrespective of duration. * Patients taking oral bisphosphonates for ≥ 3 years. * Pregnant women. * Allergy to any material or medication used in the study. * Patients who need prophylactic antibiotics prior to dental procedures. * Previous head and neck radiation therapy. * Chemotherapy in the previous 12 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Final ridge width for simultaneous and delayed grafting treatment. | 16 to 20 weeks | Measure final ridge width to determine if adequate bone is available. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Soft tissue thickness | 16 to 20 weeks | Facial and occlusal |
| Histology | 16 weeks | Histologic composition for control group only |
| Implant dehiscence | 20 weeks | Implant dehiscence |
Countries
United States