Soft Tissue Volume Changes in Posterior Socket Sealing Abutment.

Study Overview
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Brief Summary
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The aim is to clinically evaluate the effect of the alveolar sealing technique using a customised abutment on soft tissue volume changes following molar extraction and immediate dental implant placement.

Detailed Description
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A sample of 20 patients in ASAI health status who agree to be involved in the study after giving their consent and who require immediate post-extraction implant treatment in the molar area will be recruited. The soft tissue status before and 6 months after tooth extraction will be recorded by means of a digital impression taken with the same intraoral scanner. The patient will be asked to complete a 7-question questionnaire to inform us about his or her perception of the therapeutic process and the final result. A comparative volume measurement will be made by digitally superimposing the two mesh files obtained before and 6 months after the treatment. Statistical data will be analysed by an external statistician and conclusions will be drawn about the effect of the technique on soft tissue volume as well as the patient's perception of the procedure and its outcome.

Official Title
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Soft Tissue Volume Changes in the Posterior Area With Socket Sealing Abutment. Randomized Controlled Trial.

Conditions
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Dental Implants

Intervention / Treatment
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* Procedure: Immediate dental implant placement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients ASA I Need for molar postextraction immediate implant Exclusion Criteria: When the cortical bone is affected and the alveolus presents bone deficiencies When dental implant may not be placed due to medical conditions

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Customized Abutment<br>Customized abutment will be placed after molar immediate implant placement. | Procedure: Immediate dental implant placement<br>* Placement of one dental implant immediately after tooth extraction.<br>* Other names: Dental implant surgery;|
| Conventional Abutment<br>Conventional abutment will be placed after molar immediate implant placement. | Procedure: Immediate dental implant placement<br>* Placement of one dental implant immediately after tooth extraction.<br>* Other names: Dental implant surgery;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Soft tissue dimensional changes | The changes that occur in the soft tissues in millimetres by comparing the digital impressions before and 6 months after the treatment using specific software. | From 0 to 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patients satisfaction | Patients will be asked about their satisfaction after the treatment in a Numerical Rate Scale form 0 (Not satisfied) to 10 (Very satisfied). | From 0 to 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dental implant, Immediate implants, Custom Abutment, Sealing Socket Abutment