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The aim of this comparative study is to know the differences between the soft tissue volume changes around the autotransplanted tooth and the dental implant placed immediately after the extraction of a posterior tooth. Patient-centered results will also be obtained after having received one or the other treatment.
Dental autotransplantation has high levels of success in permanent teeth with open apex. The results of success in permanent teeth with closed apex are somewhat lower but sufficient to consider the treatment as a viable alternative and to extend the therapeutic range of the treatment to older ages.
The aim of this prospective observational investigation is to evaluate the dimensional and attachment changes that occur in the treated areas and in the autotransplanted teeth respectively of adult patients with permanent teeth with closed apex. All adult patients receiving a dental autotransplantation between the years 2022 and 2023 will be included.
Pre-treatment, volume and insertion parameters will be recorded before and one year after treatment. The comparison with the extraction and dental implant treatment will be made using the digital records that are usually obtained during the performance of this treatment. The comparison will be made with the same number of patients who have been recruited for the dental autotransplant treatment, and the volumetric changes that occur will also be analyzed.
The volume comparisons will be carried out using the Medit Link digital measurement software (Medit, Seoul, Republic of Korea) and data will be obtained and analyzed statistically in order to draw the appropriate conclusions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Autotransplantation | Patients who receive one tooth autotransplanted. |
| |
| Immediate implant | Patients who receive one inmediate dental implant. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tooth Autotransplantation | Procedure | Place another tooth in the place of the newly extracted tooth in the same patient. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Soft tissue volume changes | Soft tissue volume changes in the buccal side of the site in mm3 | 2 times measurement: day 0 and 6 months after |
| Periodontal probing pocket depth | Periodontal probing pocket depth in mm | 6 months after |
| Measure | Description | Time Frame |
|---|---|---|
| Patients satisfaction after treatment | Satisfaction assessed by Numeric Rating Scale (NRS) form 0 to 10, being 0 "not satisfied at all" and 10 "very satisfied". | 6 months after the reception of the treatment |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who come to the clinic and need a tooth extracted.
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| Name | Affiliation | Role |
|---|---|---|
| Guillem Esteve-Pardo, PhD | Clínica Dental Esteve | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clínica Dental Esteve | Alicante | 03001 | Spain |
Data will be shared upon reasonable request.
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| ID | Term |
|---|---|
| D057893 | Immediate Dental Implant Loading |
| ID | Term |
|---|---|
| D003758 | Dental Implantation, Endosseous |
| D003757 | Dental Implantation |
| D013516 | Oral Surgical Procedures, Preprosthetic |
| D019647 | Oral Surgical Procedures |
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| Immediate implant | Procedure | Place a dental implant immediately after tooth extraction. |
|
|
| D013514 | Surgical Procedures, Operative |
| D019919 | Prosthesis Implantation |
| D003813 | Dentistry |
| D011476 | Prosthodontics |