Management of the Fresh Extraction Socket in the Aesthetic Area

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorCentro Specialistico Odontoiatrico, Rome

About this trial

After atraumatic tooth extraction and the assessment of the feasibility of immediate implant placement, patients will be randomly assigned to one of three treatment concepts:

1. Immediate Implant Placement and Immediate Provisionalization 2. Alveolar Ridge Preservation. After 4 months of healing an implant will be placed with simultaneous GBR and/or Soft Tissue Augmentation procedures, if needed. 3. Spontaneous Healing of the socket. After 4 months of healing, an implant will be placedwith simultaneous GBR and/or Soft Tissue Augmentation procedures, if needed.

In all groups, four months after implant placement, a prosthesis will be delivered. From this experimental period onward, patients will be scheduled for maintenance. Clinical, radiographic and volumetric assessment will be performed by clinicians not involved in the surgery and blind with respect to treatment assignment at 1, 3 and 5 years post loading.

Eligibility criteria

Qualifiers

single tooth extraction in the anterior region of the dentition (including premolars) to be extracted

smoking no more than 10 cigarettes/day,

periodontal health (BoP < 10%) and good plaque control (< 20%)

absence of symptomatic periapical radiolucencies, acute abscesses at the site of extraction,

Disqualifiers

growing patients

patients with autoimmune disease, uncontrolled diabetes or immunocompromised

history of head and neck radiation for cancer treatment,

pregnancy

Trial design

Treatments tested in this trial

  • Prosthetically driven implant placement

Treatment groups

60 Participants
are divided into 3 treatment groups