Ovate Pontic Versus Essix Provisional After Tooth Extraction and Alveolar Ridge Preservation (Pontic-Essix)

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Bern

About this trial

This randomized controlled trial compares two provisional socket-sealing concepts following single non-molar tooth extraction and alveolar ridge preservation: a fixed, tooth-supported, 3D-printed ovate pontic provisional restoration providing active soft tissue support (test) versus a removable Essix-type provisional restoration without intentional soft tissue contact combined with a porcine collagen matrix seal (control). Both groups receive alveolar ridge preservation using a deproteinized bovine bone mineral with 10% collagen. The primary endpoint is interproximal soft tissue height at 5 months, adjusted for baseline, assessed by digital superimposition of intraoral surface scans. Up to 40 participants will be enrolled at the University of Bern School of Dental Medicine.

Eligibility criteria

Qualifiers

Adults aged 18 years or older

ASA physical status I or II

Requiring a single non-molar tooth extraction (incisor, canine, or premolar) in the maxilla or mandible, with planned tooth replacement

Extraction site bounded by natural, periodontally stable adjacent teeth

Disqualifiers

Current smokers, or former smokers who quit less than 6 months before extraction

Uncontrolled diabetes mellitus (HbA1c > 7.0%)

Clinical attachment loss ≥ 2 mm at the extraction site

Active or recent chemotherapy, or history of head and neck radiotherapy

Trial design

Treatments tested in this trial

  • Bio-Oss Collagen
  • Mucograft Seal
  • Fixed 3D-printed ovate pontic provisional restoration
  • Removable Essix provisional restoration

Treatment groups

40 Participants
are divided into 2 treatment groups

Sponsors and collaborators