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Edentulous Alveolar Ridge AtrophyNCT05638958

Immediate Implants With Customized Abutments

A study testing Immediate post-extractive Implant placement in people with Edentulous Alveolar Ridge Atrophy, run by University Hospital, Geneva at 1 site in Switzerland.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Tooth extraction is followed by marked alterations of the tissue volume. The resorption process of at least the surrounding mucosa can be altered by using immediate implant placement and additional features such as immediate provisional crown, platform switching and grafting the gap between implant and buccal bone… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Edentulous Alveolar Ridge Atrophy
What is being tested?
Immediate post-extractive Implant placement
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteSwitzerland
Study dates
10 Mar 2018to 10 Mar 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The patient is ≥ 18 years old
  • Extraction of single rooted tooth with healthy adjacent teeth (PD<5mm, no BOP)
  • Patient must be able to understand the purpose of the study and to sign the consent form

Who cannot join

  • Smoking status of more than 10 cigarettes/day
  • History of uncontrolled metabolic disorders (e.g. diabetes mellitus)
  • History of malignancy, radiotherapy, or chemotherapy
  • Pregnant or breast feeding
  • History of immunodeficiences
  • existence of metabolic bone disease or disease affecting bone healing
  • untreated or active periodontitis (BOP and PD>5mm)
  • absence or defects of the buccal bone plate

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • HUG

    Geneva, 1205

Other trials in Switzerland

About this study

Official title: Effect of Peri-implant Gap Grafting and Immediate Provisionalization With Customized Healing Abutments on the Stability of Peri-implant Soft Tissues - a Randomized Clinical Trial

Tooth extraction is followed by marked alterations of the tissue volume. The resorption process of at least the surrounding mucosa can be altered by using immediate implant placement and additional features such as immediate provisional crown, platform switching and grafting the gap between implant and buccal bone plate. The support of the gingival margin with a provisional crown led to an increase of buccal gingival tissue.

Teeth scheduled for extraction will be used to study the effect of a customized healing abutment.

Read more

The following groups will be randomly assigned:

Control: A commercially available healing abutment will be screwed on top of the implant and a collagen sponge will be used to protect the graft.

Test: A customized PEEK abutment mimicking the subgingival emergence of the extracted tooth will be screw retained on top of the implant to seal the extraction site.

Read the detailed description

Tooth extraction is followed by marked alterations of the tissue volume. Incorporation of biomaterials into a fresh extraction socket can significantly reduce alveolar resorption but is not able to diminish the biologic process of the buccal bone plate. The resorption process of at least the surrounding mucosa can be altered by using immediate implant placement and additional features such as immediate provisional crown, platform switching and grafting the gap between implant and buccal bone plate. The support of the gingival margin with a provisional crown led to an increase of buccal gingival tissue. Platform switching seems to be a viable option to reduce interproximal bone level alterations and to limit the buccal soft tissue recession. Furthermore, augmenting the defect between the implant and the buccal bone plate has been proven to reduce the resorption process and lead to less shrinkage.

The primary objective is:

  • The implant success

The Secondary objectives are:

  • The Changes in mid-facial mucosal recession
  • The changes in papilla height
  • The changes in soft tissue ridge width
  • The aesthetic evaluation
  • The implant stability
Being tested
Immediate post-extractive Implant placement
Keywords
immediate implants, immediate provvisional, soft tissue recession

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Immediate post-extractive Implant placementDevice

    Teeth scheduled for extraction will be used to study the effect of a customized healing abutment. All patients should receive prophylactic antibiotic therapy of 2g of amoxicillin (or clindamycin 600mg if allergic to penicillin) 1 hour before the surgery. Implant placed along the lingual/palatal bone plate and the implant platform should be placed at the level of the buccal bone plate. GUIDOR easy-graft CRYSTAL will be used to fill the defect between implant and buccal bone plate, subsequently, a standard healing abutment or a customized healing abutment will be screw-retained on the implants.

Study groups in NCT05638958
Study groupRoleWhat they receive
Test groupExperimentalA customized PEEK abutment mimicking the subgingival emergence of the extraction site will be screw-retained on the implant to seal the extraction site and to support healing of buccal soft tissues.
Receives: Device: Immediate post-extractive Implant placement
Control groupActive comparatorA commercially available healing abutment will be screwed on top of the implant and a collagen sponge will be used to protect the graft.
Receives: Device: Immediate post-extractive Implant placement

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Implant success

    Evaluated according to the criteria of Albrektsson et al. (1986):

    • the implant is immobile when tested clinically
    • Radiography does not demonstrate evidence of peri-implant radiolucency
    • Bone loss that is less than 0.2 mm annually after the implant's first year of service
    • No pain, discomfort or infection

    Measured: 1 year of follow up

  2. Peri-implant marginal bone level- Radiographic Measurements

    Peri-implant bone level will be assessed based on individual peri-apical x-rays performed at baseline, after implant placement, at the time of final impression at 90 days and after insertion of the definitive crown after 160 days using an individualized impression tray with resin imprints and at 1, 2, 3 years of follow up. The radiographic measurements will be performed by an independent evaluator, who will be unware of the assigned treatment.

    Measured: 1 year of follow up

  3. Peri-implant marginal bone level- Radiographic Measurements

    Peri-implant bone level will be assessed based on individual peri-apical x-rays performed at baseline, after implant placement, at the time of final impression at 90 days and after insertion of the definitive crown after 160 days using an individualized impression tray with resin imprints and at 1, 2, 3 years of follow up. The radiographic measurements will be performed by an independent evaluator, who will be unware of the assigned treatment.

    Measured: 2 years of follow up

  4. Peri-implant marginal bone level- Radiographic Measurements

    Peri-implant bone level will be assessed based on individual peri-apical x-rays performed at baseline, after implant placement, at the time of final impression at 90 days and after insertion of the definitive crown after 160 days using an individualized impression tray with resin imprints and at 1, 2, 3 years of follow up. The radiographic measurements will be performed by an independent evaluator, who will be unware of the assigned treatment.

    Measured: 3 years of follow up

  5. Implant success

    Evaluated according to the criteria of Albrektsson et al. (1986):

    • the implant is immobile when tested clinically
    • Radiography does not demonstrate evidence of peri-implant radiolucency
    • Bone loss that is less than 0.2 mm annually after the implant's first year of service
    • No pain, discomfort or infection

    Measured: 2 years of follow up

  6. Implant success

    Evaluated according to the criteria of Albrektsson et al. (1986):

    • the implant is immobile when tested clinically
    • Radiography does not demonstrate evidence of peri-implant radiolucency
    • Bone loss that is less than 0.2 mm annually after the implant's first year of service
    • No pain, discomfort or infection

    Measured: 3 years of follow up

Secondary outcomes (17)
  1. Changes in mid-facial mucosal recession

    The height of the mid-facial mucosa will be measured using the drilling template at baseline before tooth extraction after implant placement at day 45±5 (wound healing day 160±5 (primary endpoint - impression for final restoration) and at 1, 2, 3 years of follow up. Changes of mid-facial mucosal recession will be drawn by subtracting the post-op measurements from the baseline measurements.

    Measured: 1 year of follow up

  2. Changes in mid-facial mucosal recession

    The height of the mid-facial mucosa will be measured using the drilling template at baseline before tooth extraction after implant placement at day 45±5 (wound healing day 160±5 (primary endpoint - impression for final restoration) and at 1, 2, 3 years of follow up. Changes of mid-facial mucosal recession will be drawn by subtracting the post-op measurements from the baseline measurements.

    Measured: 2 years of follow up

  3. Changes in mid-facial mucosal recession

    The height of the mid-facial mucosa will be measured using the drilling template at baseline before tooth extraction after implant placement at day 45±5 (wound healing day 160±5 (primary endpoint - impression for final restoration) and at 1, 2, 3 years of follow up. Changes of mid-facial mucosal recession will be drawn by subtracting the post-op measurements from the baseline measurements.

    Measured: 3 years of follow up

  4. Changes in papilla height

    Height of the mesial and distal papilla will be assessed by measuring the distance between the incisal edge and the tip of the papilla using a caliper to the nearest 0.5mm before tooth extraction, after implant placement 45±5 during wound healing and at the time of final impression at 90±5 days, at 160±14 days after insertion of the definitive crown and at 1, 2, 3 years of follow up. Papilla height changes will be assessed by subtracting post-op measurements from baseline measurements before tooth extraction or after implant placement.

    Measured: 1 year of follow up

  5. Changes in papilla height

    Height of the mesial and distal papilla will be assessed by measuring the distance between the incisal edge and the tip of the papilla using a caliper to the nearest 0.5mm before tooth extraction, after implant placement 45±5 during wound healing and at the time of final impression at 90±5 days, at 160±14 days after insertion of the definitive crown and at 1, 2, 3 years of follow up. Papilla height changes will be assessed by subtracting post-op measurements from baseline measurements before tooth extraction or after implant placement.

    Measured: 2 years of follow up

  6. Changes in papilla height

    Height of the mesial and distal papilla will be assessed by measuring the distance between the incisal edge and the tip of the papilla using a caliper to the nearest 0.5mm before tooth extraction, after implant placement 45±5 during wound healing and at the time of final impression at 90±5 days, at 160±14 days after insertion of the definitive crown and at 1, 2, 3 years of follow up. Papilla height changes will be assessed by subtracting post-op measurements from baseline measurements before tooth extraction or after implant placement.

    Measured: 3 years of follow up

  7. Changes in soft tissue ridge width - Volumetric measurements

    Digital scans of the implant region will be obtained at baseline before tooth extraction and after implant placement, at day 45±5 during wound healing of final impression at 90 days, at 160 days after insertion of the definitive crown and at 1, 2, 3 years of follow up.

    Measured: 1 year of follow up

  8. Changes in soft tissue ridge width - Volumetric measurements

    Digital scans of the implant region will be obtained at baseline before tooth extraction and after implant placement, at day 45±5 during wound healing of final impression at 90 days, at 160 days after insertion of the definitive crown and at 1, 2, 3 years of follow up.

    Measured: 2 years of follow up

  9. Changes in soft tissue ridge width - Volumetric measurements

    Digital scans of the implant region will be obtained at baseline before tooth extraction and after implant placement, at day 45±5 during wound healing of final impression at 90 days, at 160 days after insertion of the definitive crown and at 1, 2, 3 years of follow up.

    Measured: 3 years of follow up

  10. Aesthetic evaluation (PES)

    Pink esthetic score will be assessed on photographic images the tooth after final restoration and the insertion of the definitive crown. The assessment will be performed by an independent evaluator unaware of the assigned treatment.

    Measured: 1 year of follow up

  11. Aesthetic evaluation (PES)

    Pink esthetic score will be assessed on photographic images the tooth after final restoration and the insertion of the definitive crown. The assessment will be performed by an independent evaluator unaware of the assigned treatment.

    Measured: 2 years of follow up

  12. Aesthetic evaluation (PES)

    Pink esthetic score will be assessed on photographic images the tooth after final restoration and the insertion of the definitive crown. The assessment will be performed by an independent evaluator unaware of the assigned treatment.

    Measured: 3 years of follow up

  13. Implant stability (ISQ)

    Implant stability will be assessed using a resonance frequency measurement device and assessing Implant Stability Quotient (ISQ) scores after implant placement, at the time of final impression at 90 days, at 160 days after insertion of the definitive crown and at 1, 2, 3 years of follow up.

    Measured: 90 days after insertion of the definitive crown

  14. Implant stability (ISQ)

    Implant stability will be assessed using a resonance frequency measurement device and assessing Implant Stability Quotient (ISQ) scores after implant placement, at the time of final impression at 90 days, at 160 days after insertion of the definitive crown and at 1, 2, 3 years of follow up.

    Measured: 160 days after insertion of the definitive crown

  15. Implant stability (ISQ)

    Implant stability will be assessed using a resonance frequency measurement device and assessing Implant Stability Quotient (ISQ) scores after implant placement, at the time of final impression at 90 days, at 160 days after insertion of the definitive crown and at 1, 2, 3 years of follow up.

    Measured: 1 year of followup

  16. Implant stability (ISQ)

    Implant stability will be assessed using a resonance frequency measurement device and assessing Implant Stability Quotient (ISQ) scores after implant placement, at the time of final impression at 90 days, at 160 days after insertion of the definitive crown and at 1, 2, 3 years of follow up.

    Measured: 2 years of follow up

  17. Implant stability (ISQ)

    Implant stability will be assessed using a resonance frequency measurement device and assessing Implant Stability Quotient (ISQ) scores after implant placement, at the time of final impression at 90 days, at 160 days after insertion of the definitive crown and at 1, 2, 3 years of follow up.

    Measured: 3 years of follow up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Dec 2022
  2. Study start10 Mar 2018
  3. Primary completion10 Mar 2020
  4. Study completion10 Mar 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Test: A customized PEEK abutment mimicking the subgingival emergence of the extracted tooth will be screw retained on top of the implant to seal the extraction site. Control: A commercially available healing abutment will be screwed on top of the implant and a collagen sponge will be used to protect the graft.
Masking
Single blind
Who is masked
Participant
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05638958
Sponsor's protocol ID
AB0005
Status last verified
Nov 2022
First submitted
15 Nov 2022
Last updated
6 Dec 2022
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Immediate post-extractive Implant placement in people with Edentulous Alveolar Ridge Atrophy, run by University Hospital, Geneva at 1 site in Switzerland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 6 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Implant success (time frame: 1 year of follow up). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Dec 2022.

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