About this trial
The aim of this randomized clinical trial is to evaluate the clinical and radiographic outcomes of using Bone Bioactive Liquid (Theravex) compared to Xenograft and a combination therapy (Theravex + Xenograft) during immediate implant placement in the esthetic zone.
When a tooth is extracted and replaced immediately with a dental implant, bone grafting is often necessary to fill the gap (jumping distance) between the implant and the surrounding bone socket to support tissue healing and maintain facial contour.
Participants requiring immediate implant placement will be randomly assigned into three groups:
Group 1: Immediate implant placement using Bone Bioactive Liquid (Theravex).
Group 2: Immediate implant placement using Xenograft alone.
Group 3: Immediate implant placement using Combination Therapy (Theravex + Xenograft).
The primary outcomes will evaluate implant stability, bone dimensional changes, and soft tissue response around the implants over the follow-up period.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Patient requires extraction of a single failing or non-restorable maxillary anterior tooth or premolar.
Presence of an intact buccal bone plate (Socket Type I) with a horizontal peri-implant jumping gap ≥ 2 mm.
The implant can be placed in an ideal 3-D position with an intraoperative primary stability target of ≥ 35 Ncm.
Patient is in good general health with no systemic contraindications to implant surgery.
Disqualifiers
Pregnant and lactating females.
Heavy smokers (smoking ≥ 10 cigarettes per day).
Patients with poor oral hygiene.
Patients with occlusal or malalignment problems.
Trial design
Parallel
Treatments tested in this trial
Bone Bioactive Liquid
DeviceA bone bioactive liquid (Theravex) applied directly into the jumping gap and on implant surface immediately following implant placement to stimulate early bone healing and osseointegration.
Bovine-derived Xenograft
DeviceBovine derived- xenograft will be packed into the jumping gap to maintain volume and provide an osteoconductive scaffold for bone formation.
Immediate Implant Placement
Procedure/SurgerySurgical placement of the dental implant into the fresh extraction socket immediately following tooth extraction, according to standard surgical protocols.
Treatment groups
Trial outcomes
Primary outcomes
Implant Stability Quotient (ISQ)
Implant stability will be measured using Resonance Frequency Analysis (RFA) to record the Implant Stability Quotient (ISQ) values.
Secondary outcomes
Bone Density
Radiographic evaluation of peri-implant bone density within the jumping gap utilizing standardized low-dose Cone-Beam Computed Tomography (CBCT) scans.
Mid-facial Gingival Margin Level
Assessment of mid-facial tissue recession and soft-tissue alterations evaluated using superimposed standardized intra-oral digital scans with predefined reference points.
Oral Health-Related Quality of Life (OHIP-14)
Patient-reported oral health-related quality of life will be assessed using the Oral Health Impact Profile-14 (OHIP-14) questionnaire. The scale consists of 14 items, with each item scored on a 5-point Likert scale from 0 (never) to 4 (very often). The total score is calculated by summing the scores of all items, ranging from a minimum value of 0 to a maximum value of 56. Higher scores represent a worse outcome (greater negative impact on oral health-related quality of life), while lower scores represent a better outcome.
Sponsors and contacts
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