Dental Implant Techniques for Tooth Loss

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Overseen ByRobert Kelley, DDS
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Nova Southeastern University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores two methods for placing dental implants when a tooth is missing. It compares the submerged technique, where the gum covers the implant, with the transmucosal technique, where the implant protrudes through the gum during healing. The researchers aim to determine which method better facilitates implant placement and bone growth around it. This study suits individuals needing a single tooth replaced, who had the tooth extracted at least 8 weeks ago, and have no active gum disease. As an unphased trial, it offers participants the chance to contribute to valuable research that could enhance dental 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.

What prior data suggests that these dental implant techniques are safe?

Research has shown that dental implants using both the submerged and transmucosal techniques are generally safe and effective. These methods have high success rates and patient satisfaction, with very little bone loss. Specifically, one study on the transmucosal technique reported excellent results after three years for implants used to replace single teeth. Another study found a 99.9% survival rate for implants in everyday dental practice.

For the submerged technique, similar positive results have been reported. One study showed a 95.7% survival rate for implants replacing damaged teeth. Over three years, the average bone loss was minimal, about 0.22 mm. These findings suggest that both techniques are well-tolerated, with high success rates and minimal side effects for patients.12345

Why are researchers excited about this trial?

Researchers are excited about these dental implant techniques for tooth loss because they offer potentially more effective healing processes. The Submerged Technique involves advancing flaps to achieve primary wound closure, which could enhance stability and integration with the jawbone. On the other hand, the Transmucosal Technique leaves the healing abutments exposed, which might promote quicker tissue healing and reduce the number of surgical procedures. By comparing these methods, researchers hope to pinpoint the most effective approach for improved patient outcomes in dental implants.

What evidence suggests that these dental implant techniques are effective for tooth loss?

This trial will compare the non-submerged (transmucosal) and submerged methods for dental implants. Research has shown that both methods generally achieve similar success rates and patient satisfaction. However, the non-submerged method tends to result in slightly less bone loss over time. One study found that non-submerged implants had significantly less bone loss over 24 months. For the submerged method, studies report a high survival rate, with some showing up to 97% success after 10 years. Both methods are effective, but the choice might depend on specific patient needs or preferences.26789

Who Is on the Research Team?

SS

Stavros Sofos, DDS

Principal Investigator

Nova Southeastern University

Are You a Good Fit for This Trial?

This trial is for adults over 21 who need a single tooth replaced and bone shaping, have no active gum disease, can come back for check-ups over 4 months, had a tooth taken out at least 8 weeks ago, and are generally healthy. Smokers of more than 10 cigarettes a day or pregnant individuals cannot join.

Inclusion Criteria

Availability for 4-month follow-up.
Available pre-operative CBCT study.
I need a single tooth replaced and the area around it reshaped.
See 4 more

Exclusion Criteria

Pregnancy at the screening visit.
Vertical bone defect less than 2mm (intra surgical assessment).
I have several missing teeth next to each other.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo dental implant placement with contour augmentation, randomized into submerged and non-submerged healing groups

Day of surgery

Healing Evaluation

Healing is evaluated at 4 months post-operation compared to the day of surgery

4 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Submerged Technique
  • Transmucosal Technique
Trial Overview The study compares two ways to put in dental implants with bone augmentation: the Transmucosal Technique (non-submerged) versus the Submerged Technique. It's random which method patients get.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Transmucosal (Non-Submerged)Experimental Treatment1 Intervention
Group II: SubmergedActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Nova Southeastern University

Lead Sponsor

Trials
103
Recruited
12,000+

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/25199862/
a randomized split-mouth clinical trialThe data of 18 patients were reviewed. During 24 months, non-submerged implants (0.57 ± 0.21 mm) showed significantly lower bone loss than submerged implants ( ...
Clinical evaluation of submerged and non- ...The data of 18 patients were reviewed. During 24 months, non-submerged implants (0.57 ± 0.21 mm) showed significantly lower bone loss than submerged implants ( ...
Dental Implant Techniques for Tooth LossResearch shows that both submerged and transmucosal techniques for dental implants have similar success rates and patient satisfaction, with minimal bone loss.
Outcomes of Dental Implants in Routine Clinical Practice: A ...Results: The implant survival rate was 99.9%, with only one implant failure observed in a 71-year-old female with subcrestal placement. Implants ...
Internally Submerged, Tapered, Bone-level Dental Implants...Internal submerged, tapered, bone-level dental implants have been shown to exhibit a high survival rate of 97.0% at 10-year follow-ups in medically compromised ...
Outcomes of Dental Implants in Routine Clinical PracticeResults: The implant survival rate was 99.9%, with only one implant failure observed in a 71-year-old female with subcrestal placement. Implants ...
Survival of immediate implants replacing traumatised teeth ...Results A total of 70 implants were placed in the anterior maxilla with three failures reported, resulting in an implant survival rate of 95.7% ...
3-Year Results of a Randomized Controlled Clinical TrialThe mean marginal bone loss over 3 years was 0.22 mm. The mean ITVs at implant placement for bone types 1 and 2 (grouped together), 3, and 4 were 32, 17, and 10 ...
a 7-year follow-up Stability and bone loss around ...... submerged dental implants showed more bone loss in T2DM than in NT2DM patients. Replacing missing teeth with dental implants has been shown to be safe and ...
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