Immediate implant placement in molar sockets with or without bone graft

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The trial compares two approaches after extracting a non-restorable mandibular first molar: immediate implant placement with a customized healing abutment alone, versus immediate implant placement with a xenogeneic bone graft plus a customized healing abutment. It measures primary stability and aims to assess buccolingual ridge changes and soft tissue remodeling during healing. The study uses a flapless extraction technique and standard Straumann implants, with radiographic CBCT criteria to select eligible participants. Outcomes focus on dimensional changes, tissue health, and feasibility in posterior molar sites. Enrollment targets adults 18-50 who meet specific anatomical criteria and consent to participate.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Adults from the age of 18 - 50 years of both genders.
* Patients with non-restorable single bounded mandibular 1st molar tooth indicated for extraction.
* Periodontally healthy patients with good oral hygiene.
* Intact interradicular bone with 2-3 mm width, assessed by CBCT.
* Thin buccal plate of bone (1 mm or less) among both of the mesial and distal root, assessed by CBCT.
* Intact gingival tissue with at least 2 mm keratinized tissue.
* Patients accepts to provide written informed consent.

Exclusion Criteria:

* Molar sites indicated for extraction with roots of close proximity to vital structures as inferior alveolar nerve.
* Pregnant females.
* Smokers as smoking is a contraindication for any plastic periodontal surgery (Khuller, 2009).
* Handicapped and mentally retarded patients.
* Patients undergoing chemotherapy and/or radiotherapy.
* Presence of systemic disease that would affect wound healing.
* Presence of active infection with soft tissue communication.

Where it's running

• International Dental Continuing Education
  Cairo, Egypt Recruiting

Study contacts

• Study coordinator: Nourhan Gamal
• Email: nourhannegamal259@gmail.com
• Phone: 01064249441

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.