NCT05891990

Immediate Implant Placement With Sticky Tooth Versus Autogenous Tooth Graft In Cases With Labial Plate Dehiscence

Evaluation of Soft and Hard Tissue Changes After Immediate Implant Placement With Sticky Tooth Versus Autogenous Tooth Graft In Cases With Labial Plate Dehiscence: A 1-Year Randomized Clinical Trial

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 36 (estimated)
• Sponsor: Halla Gamal Mohammed Esmail · Academic / Other
• Sex: All
• Age: 18 Years – 60 Years
• Healthy volunteers: Accepted

Summary

Evaluation of Soft and Hard Tissue Changes After Immediate Implant Placement With Sticky Tooth Versus Autogenous Tooth Graft for management of Cases With Labial Plate Dehiscence

Detailed description

In patients with labial plate dehiscence in the esthetic zone, there is no difference between the use of tooth-derived granules in combination with platelet-rich fibrin ("sticky tooth") and autogenous tooth graft in conjunction with immediate implant placement in enhancing the amount of bone labial to the implant

Conditions

• Immediate Implant

Interventions

Type	Name	Description
PROCEDURE	immediate implant augmented with sticky tooth	* Topical anesthesia will be administered using an infiltration technique. * Atraumatic extraction will be done with the aid of periotome and Luxators. * The extraction socket will be debrided to remove any residual debris or granulation tissue. * Full-thickness midcrestal incision and vertical releasing incision on the distal side will be made, and a vertical releasing incision on the mesial side will be made if necessary. The extraction socket and the labial bone defect will be exposed by buccal and palatal flap reflection. * Implant insertion will be performed according to the manufacturer's instruction, and then the implant will be inserted 2mm apical to the alveolar bone crest with adequate primary stability. * The gap between the implant and the defect of the facial bone will be filled with the sticky tooth to reach enough buccal bone supported and then will be covered with absorbable barrier collagen membranes. * Finally, the flap will be repositioned and sutured.
PROCEDURE	immediate implant augmented with autogenous tooth graft	* Topical anesthesia will be administered using an infiltration technique. * Atraumatic extraction will be done with the aid of periotome and Luxators. * The extraction socket will be debrided to remove any residual debris or granulation tissue. * Full-thickness midcrestal incision and vertical releasing incision on the distal side will be made, and a vertical releasing incision on the mesial side will be made if necessary. The extraction socket and the labial bone defect will be exposed by buccal and palatal flap reflection. * Implant insertion will be performed according to the manufacturer's instruction, and then the implant will be inserted 2mm apical to the alveolar bone crest with adequate primary stability. * The gap between the implant and the defect of the facial bone will be filled with the autogenous demineralized dentin graft to reach enough buccal bone supported and then will be covered with collagen membranes. * Finally, the flap will be repositioned and sutured.

Timeline

• Start date: 2023-10-01
• Primary completion: 2025-10-30
• Completion: 2025-12-30
• First posted: 2023-06-07
• Last updated: 2023-09-07