Silicate β-TCP vs Extended Sticky Bone for Peri-Implant Jumping Gap in Guided Immediate Implants: RCT

Clinical and Digital Outcomes of Silicate-Added β-TCP Putty and Extended Sticky Bone for Peri-Implant Jumping Gap Management Following Fully Guided Immediate Implant Placement in the Maxillary Esthetic Zone: A Randomized Clinical Trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07700706

Acronym

JUMP-ESTHETIC

Enrollment

Registered

2026-07-14

Start date

2025-12-01

Completion date

2026-07-01

Last updated

2026-07-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Bone Grafting, Customized Healing Abutment, Guided Immediate Implant Placement, Provisional Crown, Tooth Loss in the Esthetic Zone Requiring Immediate Implant Placement

Keywords

Immediate implant placement, Fully guided surgery, Jumping gap management, Peri-implant defect, Silicate-added β-TCP putty, Extended sticky bone, Bone grafting, Maxillary esthetic zone, Immediate provisionalization, Clinical outcomes, Digital outcomes, Randomized clinical trial

Brief summary

This randomized clinical trial compares three peri-implant jumping gap management approaches following fully guided immediate implant placement in the maxillary esthetic zone. Clinical and digital outcomes will be evaluated after immediate provisionalization and final restoration.

Detailed description

Seventy two patients will be randomly assigned to receive no graft, silicate-added β-TCP putty, or extended sticky bone for jumping gap management around immediately placed implants. A CAD/CAM provisional crown will be delivered immediately, and the final prosthesis will be placed after 3 months.

Interventions

PROCEDURENo Grafting

The peri-implant jumping gap was managed without grafting.

PROCEDURESilicate-Added β-TCP Putty

The peri-implant jumping gap was managed using silicate-added β-TCP putty.

PROCEDUREExtended Sticky Bone

The peri-implant jumping gap was managed using extended sticky bone.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 50 Years

Healthy volunteers

Inclusion criteria

* Patients with non-restorable teeth in maxillary esthetic zone requiring dental extraction. * Age range: from18 to 50 years. * Adequate inter-arch relation and inter-occlusal space to accommodate the prosthetic restoration. * Jumping gap more than 2mm. * Patients with good oral hygiene. * Patients willing to participate in the study's follow-up intervals.

Exclusion criteria

* Patients with any pathological lesion or aggressive periodontal disease at the planned surgical site impaired the immediate implant placement. * Alcohol or drug abuse. * Smokers. * Patients with systemic diseases that absolutely contraindicate implant placement (bleeding disorders, immunosuppression,…etc.) * Pregnancy. * Patients with para-functional habits (bruxism and clenching). * Lack of motivation or inability to maintain good oral hygiene.

Design outcomes

Primary

Measure	Time frame	Description
Implant Stability	Immediate post-operative, 3 months, and 6 months.	Implant stability will be evaluated using Osstell device based on resonance frequency analysis (ISQ values).
Hard Tissue (Peri-implant bone)	- Immediately after implant placement - 6 months after implant placement.	Marginal bone loss will be assessed using CBCT measured in mm.

Secondary

Measure	Time frame	Description
Soft Tissue	Baseline, 1 month, 3 months, and 6 months.	Soft tissue contour and peri-implant tissue condition will be assessed using digital intraoral scanning (STL files) using superimposition and modified sulcus bleeding index (mSBI).

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 23, 2026