Dental Implants, Single-Tooth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age greater than 18 and less than or equal to 60 years. Both sexes. Patients with a single missing anterior tooth in the maxilla or an anterior tooth indicated for extraction, clinically suitable for surgical planning. Willingness to participate and to sign the informed consent form. Healed anterior edentulous ridge with at least 8 weeks since extraction, or tooth indicated for extraction due to fracture, non-restorable coronal destruction, or localized periodontal problem. Minimum ridge dimensions of 5.4 millimeters in width and 12 millimeters in height in the anterior maxilla, allowing placement of regular or narrow diameter implants with a minimum length of 10 millimeters
Exclusion criteria
Exclusion criteria: Inability to perform adequate oral hygiene or postoperative care. Inability to provide written informed consent or to comply with the study protocol. Any contraindication for oral surgery, including but not limited to uncontrolled diabetes, immunosuppression, radiation therapy, chemotherapy, or use of antiresorptive medications such as bisphosphonates. Presence of multiple posterior edentulous spaces requiring extensive oral rehabilitation. Heavy smoking habit with consumption greater than 20 cigarettes per day
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to find differences in cost-effectiveness among the different treatment protocols for single-tooth implant rehabilitation in the anterior maxilla, verified through a cost-effectiveness analysis. The cost will be assessed based on the items used during the treatment (consumable and capital materials), and the effectiveness will be measured through clinical and patient-reported outcomes. The comparison parameter will be the incremental cost-effectiveness ratio (ICER), expressed as cost per unit of effectiveness, considering a one-year follow-up period. | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to find variations in clinical, patient-reported, and operational outcomes among the different treatment scenarios for single-tooth implant rehabilitation in the anterior maxilla, verified by clinical, radiographic, and validated questionnaire methods. The outcomes will include: (1) total treatment time and duration of each appointment, recorded chronologically throughout the treatment; (2) perceived discomforts during and after surgery, assessed through a specific questionnaire for discomforts in oral surgical procedures; (3) oral health-related quality of life, evaluated using the OHIP-14 questionnaire; and (4) clinical parameters at 3, 6, and 12 months after definitive crown placement, including plaque and gingival indices, probing depth, and implant success and survival criteria according to Misch. Differences greater than 10% between compared groups are expected for at least one of the evaluated parameters. | — |
Countries
BR
Contacts
Faculdade de Odontologia, Universidade Federal de Goias