Management of the Fresh Extraction Socket in the Aesthetic Area: Comparing Alveolar Ridge Preservation, Immediate Implant Placement, and Delayed Implant Placement

What this Trial Is About

Researchers are comparing three treatment methods for patients who need a single tooth removed from the front part of their mouth, including premolars. The study looks at immediate implant placement, alveolar ridge preservation followed by delayed implant placement, and spontaneous healing followed by delayed implant placement. The goal is to assess patient outcomes like discomfort, treatment costs, bone and soft tissue changes, and implant success over a period of up to five years. Participants are randomly assigned to one of three groups: immediate implant placement with bone substitute and soft tissue matrix along with immediate provisional prosthesis; alveolar ridge preservation using bone substitute and collagen matrix, followed by implant placement with possible bone and soft tissue augmentation after four months; or spontaneous healing with implant placement and possible augmentation after four months. All implants are placed prosthetically with specific materials and techniques. Throughout the study, patients will have clinical, radiographic, and volumetric assessments at baseline, 4 months after extraction, and at 1, 3, and 5 years after receiving the final prosthesis. These evaluations will be done by clinicians not involved in the surgeries and who are unaware of the treatment groups. The main outcome measured is the need for additional bone and soft tissue augmentation during implant placement, along with long-term implant health and patient satisfaction. Maintenance visits will continue after prosthesis delivery.

Management of the Fresh Extraction Socket in the Aesthetic Area