NCT07415265

Bone Barrier Technique for Compromised Immediate Implants

A Novel Bone Barrier Technique for Immediate Implant Placement With Severe Buccal Bone Dehiscence: A 1-year Case Series

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 10 (actual)
• Sponsor: Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The goal of this clinical study is to learn whether a new surgical method, called the Bone Barrier technique, can help improve outcomes when placing dental implants immediately after tooth removal in the front upper jaw. This study focuses on people who have a large loss of bone on the front side of the tooth socket, a condition that can make implant treatment difficult. The main questions this study aims to answer are: Can this technique help keep the implant stable and working after surgery? Can it help maintain the bone and gingiva shape around the implant? How satisfied are participants with the appearance and function of the implant after treatment? This study includes adults who need an immediate dental implant in the front upper jaw and have severe bone loss on the front side of the socket. All participants receive the same surgical treatment as part of their routine dental care. During the procedure, the surgeon places a dental implant immediately after tooth removal. A thin bone plate from donated human bone is used to rebuild the missing front bone wall, and a small piece of gum tissue is added to support the soft tissue. The surgery is done using a minimally invasive approach. Participants will: Receive the Bone Barrier implant procedure as part of their treatment Return for follow-up visits for routine dental examinations and CBCT imaging Be asked to rate their satisfaction with the appearance and function of the implant on a simple scale from zero to ten This study aims to help dentists better understand whether this approach may be a useful option for treating difficult cases that involve significant bone loss in the esthetic zone.

Conditions

• Immediate Implant With Bone Graft

Interventions

Type	Name	Description
PROCEDURE	Bone barrier technique	To reconstruct the buccal dehiscence, an allogenic cortical bone lamina (1 × 8 × 12 mm; Hubei Lianjie Biological Materials Co., Ltd., China) was employed using the novel BB technique. The specific tunnel preparation approach was then selected based on the defect morphology. A intrasulcular approach was utilized when the maximum width of the buccal bone dehiscence was less than half of the mesiodistal distance of the interdental space, whereas a vestibular approach was chosen when the defect width exceeded this threshold to minimize tension. Regardless of the approach, the tunnel was extended at least 2 mm apically and mesiodistally beyond the bone defect margins. Finally, the bone lamina was trimmed to match the defect dimensions and inserted into the prepared subperiosteal envelope, where it was stabilized between the residual bone and the elevated periosteum to prevent displacement.

Timeline

• Start date: 2021-04-12
• Primary completion: 2025-04-24
• Completion: 2026-01-22
• First posted: 2026-02-17
• Last updated: 2026-02-17

Locations

1 site across 1 country: China