Immediate vs Delayed Dental Implant Placement for Tooth Loss
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores the optimal timing for placing dental implants after tooth loss. It compares the immediate placement of the Straumann Bone Level Tapered Implant right after tooth extraction with placement after 16-18 weeks of healing. The trial focuses on individuals needing a single tooth replacement in the front and pre-molar areas of the upper and lower jaw. Ideal participants have healthy neighboring teeth, no major oral health issues, and are prepared to commit to follow-ups.
As an unphased trial, this study allows participants to contribute to dental research and potentially benefit from advanced implant techniques.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. However, if you are receiving intravenous or subcutaneous antiresorptive agents like bisphosphonates, you may not be eligible to participate.
What prior data suggests that this dental implant technique is safe?
Research has shown that the Straumann Bone Level Tapered Implant is generally safe and effective for dental use. Studies have found this implant to be a reliable choice for small gaps between teeth due to its 2.9 mm diameter design. It can be used immediately after tooth extraction, as it fits securely into the bone socket. This secure fit helps maintain implant stability, reducing the risk of complications.
The implant is approved for both single-tooth and multiple-tooth applications, confirming its safety. Although specific side effects are not detailed, its use in various dental procedures supports its safety.
Overall, evidence suggests that the Straumann Bone Level Tapered Implant is a safe option for tooth replacement, whether used immediately or after the area has healed.12345Why are researchers excited about this trial?
Researchers are excited about the immediate versus delayed dental implant placement trial because it explores the optimal timing for dental implants after tooth loss. Unlike the typical approach where implants are placed after a healing period of 16-18 weeks, the immediate placement method involves inserting the implant right after tooth extraction. This could potentially reduce the overall treatment time and improve patient convenience. If successful, immediate placement might offer a quicker and more efficient solution, maintaining bone structure and aesthetics without the extended waiting period associated with traditional methods.
What evidence suggests that this trial's treatments could be effective for tooth loss?
This trial will compare immediate versus delayed placement of the Straumann Bone Level Tapered Implant for tooth loss. Research has shown that using the Straumann Bone Level Tapered Implant immediately after tooth removal is generally effective. In one study, 96% of these implants lasted about five years. Another study found that all implants survived when placed immediately after tooth extraction. Additionally, a one-year follow-up showed a very high survival rate of 98.3%, with few complications. The implant's design allows it to fit securely in the bone right away, supporting its effectiveness. Overall, these findings suggest that immediate placement can be a reliable option for replacing missing teeth. Meanwhile, the trial will also evaluate the delayed placement approach, where the implant is placed after 16-18 weeks of healing, to determine its effectiveness compared to immediate placement.14678
Who Is on the Research Team?
David L. Cochran, DDS, PhD, MS
Principal Investigator
University of Texas Health Science Center San Antonio
Are You a Good Fit for This Trial?
Adults needing a single tooth extraction and implant in the front or premolar area of their upper or lower jaw, with healthy adjacent teeth and sufficient bone for stability. Participants must be in good health, able to perform oral hygiene, not pregnant, non-heavy smokers (less than 10 cigarettes/day), without severe bruxism or TMJ issues, and committed to follow-up visits.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Implant Placement
Implant is placed at the time of tooth extraction or after 16-18 weeks of healing
Loading
Implant loading occurs 10-12 weeks after implant surgery
Follow-up
Participants are monitored for clinical and radiographic outcomes, including implant success and survival, up to 12 months post-loading
Long-term Follow-up
Long-term monitoring of clinical and radiographic outcomes, including subject satisfaction and adverse events, up to 60 months post-loading
What Are the Treatments Tested in This Trial?
Interventions
- Straumann Bone Level Tapered Implant - Delayed Placement
- Straumann Bone Level Tapered Implant - Immediate Placement
Trial Overview
The study compares outcomes of placing Straumann Bone Level Tapered implants immediately after tooth extraction versus delayed placement in healed sites. It's randomized and controlled across multiple centers to assess clinical performance and x-ray results.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Straumann Bone Level Tapered Implant - Immediate Placement - Implant is placed at the time of tooth extraction to replace a single tooth.
Straumann Bone Level Tapered Implant - Delayed Placement - Implant is placed after 16-18 weeks of healing to replace a single tooth.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Institut Straumann AG
Lead Sponsor
Citations
Clinical outcomes of 3-5 years follow-up of immediate ...
Results: It was found that 24 out of the 25 (96%) dental implants survived for an average of 57 ± 8.07 months. All of the 24 surviving dental ...
Immediate vs Delayed Dental Implant Placement for Tooth ...
Research shows that immediate dental implant placement using Straumann tapered implants is generally safe, with studies reporting a 100% implant survival rate ...
Immediately versus early placed bone‐level‐tapered ...
The study demonstrated overall high 1-year implant survival rates (98.3%) and low complication rates. Outcomes between the university setting ...
4.
straumann.com
straumann.com/content/dam/media-center/straumann/en/documents/scientific-documentation/scientific-review/490.674-en_low.pdfStraumann® Bone Level Tapered Implant
The tapered implant is designed to facilitate immediate placement as it engages the socket bone at the apical and palatal/lingual por- tions of the alveolar ...
Evaluation of the clinical safety and performance of a narrow ...
A systematic review by González-Valls G et al. reported implant survival, success rate, and marginal bone loss at 36 months as 97% (95%-CI: 95.7 ...
6.
straumann.com
straumann.com/content/dam/media-center/straumann/en/documents/smart/490.192-SmartM-Bone-Level-Tapered-Implant-en.pdfBone Level Tapered Implant
The Bone Level Tapered Implant (BLT) is a Bone Level Implant suitable for implant treatments at bone level in combination with transmu- cosal or submucosal ...
Straumann Ø2.9 mm Bone Level Tapered Implants, SC ...
Implants can be placed with immediate function on single-tooth or multiple-tooth applications when good primary stability is achieved and with ...
lstraumann
This randomized, controlled, multi-center study will evaluate the clinical and radiographic outcomes of immediate placement of the Straumann® Bone Level Tapered ...
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