Impact of Abutment Design on Tissue Around Dental Implants

Effect of Abutment 3-dimensional Configuration on Peri-implant Soft and Hard Tissue in the Esthetic Zone - Randomized Clinical Trial

NA · Semmelweis University · NCT06407271

This study tests how different designs of dental abutments affect the healing and appearance of the gums and bone around dental implants for people with a missing tooth in the front of their mouth.

Quick facts

PhaseNA
Study typeInterventional
Enrollment30 (estimated)
Ages18 Years and up
SexAll
SponsorSemmelweis University (other)
Locations1 site (Budapest, Pest County)
Trial IDNCT06407271 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates the effects of different abutment configurations on the hard and soft tissue around dental implants placed in the aesthetic zone of the maxilla. Patients with a single missing tooth will receive either custom or cylindrical healing abutments, followed by screw-retained ceramic crowns. The study will measure tissue volume changes, keratinized mucosa thickness, and blood flow during the healing process. Outcomes will be assessed using aesthetic scores and monitoring for complications over a three-year period.

Who should consider this trial

Good fit: Ideal candidates are adults over 18 with a single missing tooth in the maxillary anterior region and a thick phenotype.

Not a fit: Patients with general health issues, active periodontal disease, or those who smoke may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance the aesthetic outcomes and tissue health around dental implants, leading to improved patient satisfaction.

How similar studies have performed: Previous studies have shown promising results with custom abutment designs, indicating potential for success in this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* patients over 18 years
* good general health
* good oral hygiene (FMPS \< 25%)
* healthy periodontium (PPD \< 4mm)
* thick phenotype
* maxilla anterior region (extended to 15-25 positions)
* solo missing teeth, intact adjacent teeth
* type 1 alveolar shape after extraction 1
* retained occlusion
* baseline buccal bone wall thickness at least 1.5 mm, based on intact CBCT scan
* patient voluntarily accepts and signs the information and consent form for the study

Exclusion Criteria:

* general ill health
* general surgical or oral surgery contraindication
* a patient who has undergone local radiotherapy
* active periodontal inflammation, inflammation of the alveolar cavity
* smoking
* posterior region
* pregnancy, lactation
* psychological or mental involvement affecting individual plaque control
* presence of an implant adjacent to the planned implant
* inadequate oral hygiene
* need for vertical bone augmentation
* gingival recession
* Inappropriate implant position for screw fixation
* bruxism

Where this trial is running

Budapest, Pest County

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Dental Implants, Single-Tooth, Dental Implant-Abutment Design, Peri-Implant Tissue Management, CAD-CAM

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.