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OpenTrials
Completed

NCT Number: NCT07456553

Impacted Tooth With Immediate Implant Placement

This is a prospective study, in which there are involved four clinical cases of surgical extraction of impacted maxillary canines followed by immediate implant placement and immediate screw-retained temporary crown using a full-digital workflow that included performing a CBCT, an intraoral scan, AI-assisted segmentation, a virtual wax-up, and the design of a surgical guide and a 30° angled abutment. Then, the follow-up lasting two years is performed to verify the functional and esthetical outcomes. The patients included in this report are part of an ongoing clinical trial, and the complete data set will be published separately upon study completion. The aims is to present clinical outcomes and synthesize evidence comparing placing implant to avoid buccal augmentation using angles abutments versus performing guided bone regeneration (GBR) to allow ideal implant placement with straight abutments, and to evaluate the risk of abutment screw loosening.

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Dr. Giuseppe D'Albis

Bari, 70124, Italy

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Refuse Orthodontic treatments
  • Patients had to be healthy according to System of the American Society of Anesthesiology (ASA) and aged 18 years or older
  • No general medical condition representing a contraindication to implant therapy
  • minimum 2 missing teeth in the maxilla or mandible from the canine to the second molar
  • No periodontal disease (periodontal probing depth <4 mm) or treated periodontitis
  • Good oral hygiene (full mouth plaque index<25%)
  • Adequate control of inflammation (full mouth bleeding on probing<25%)

Exclusion criteria

  • smoking of more than 15 cigarettes a day
  • untreated periodontal disease
  • pregnancy or breastfeeding at date of inclusion
  • acute infections
  • keratinized mucosal tissue less than 2 mm

Treatment and study plan

Implantology

Procedure

Following local anesthetic infiltration and a minimally invasive access, the atraumatic extraction of the impacted canine is performed, preserving the vestibular soft and bone tissues. The implant site is then prepared, and the implant is placed using the surgical guide, with the required insertion torque to achieve primary implant stability.

Primary outcomes

  1. ISQ

    Time frame: At implant insertion and after 3 months

    Implant stability quotient. ( 0 - 100)

  2. Periimplant chart

    Time frame: 3 month after implant insertion, 1 year, 2 years

    Probing the implant in 6 site.

Sponsors and collaborators

Lead sponsor

University of Bari Aldo Moro

Other

Registry information

Official study title

Surgical Extraction of an Impacted Canine and Immediate Implant Placement: A Prosthetically Guided Digital Approach

Acronym: ImmediateIMP

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Mar 6, 2026
Registry last updated
Mar 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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