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Dental ImplantsNCT05748379

Atraumatic Zirconia Abutment Versus Customized Composite Healing Abutment in Maxilla or Mandible.

A study testing Kompozite closure and Individual abutment in people with Dental Implants and Humans, run by SIA Adenta at 1 site in Latvia.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

40 patients are included in the study, 20 patients in group 1 (=closure with composite material shaper; test group) and 20 patients in group 2 (=closure with custom-made zirconia oxide abutment; control group). Randomisation envelopes will be used for randomisation. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Kompozite closure and Individual abutment
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
1 siteLatvia
Study dates
28 Feb 2023to 22 May 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females at least 18 years of age or older.
  • One implant per patient.
  • Prior to any study-related activity, the subject must voluntarily sign informed consent, be willing and able to attend scheduled follow-up visits, and agree to the collection and analysis of pseudonymised data.
  • Lateral individual teeth (premolars and molars).
  • Class I extraction socket (intact buccal wall) or class II (1/3 of buccal wall).
  • The gingival contour of the tooth to be extracted - without recession.
Show all 9Show fewer
  • Adjacent anterior teeth have no periodontal loss.
  • There are no implants in the adjacent teeth.
  • Non-traumatic tooth extraction, which results in intact walls of the socket.

Who cannot join

  • Deep occlusion (severe, class II).
  • The patient smokes a lot (more than 10 cigarettes per day).
  • Systemic disease (osteoporosis).
  • No initial stability has been achieved after the implant insertion procedure

Trial locations and contacts

1 site in 1 country.

Latvia1 site
  • Adenta

    Riga, Latvija, LV-1045

Other trials in Latvia

About this study

Official title: Closure of a Guided Immediate Implant Placed in the Extraction Socket With Bone Augmentation in the Lateral Area of the Maxilla or Mandible, With a Temporary Composite Abutment vs With a Custom-made Zirconium Oxide Abutment.

40 patients are included in the study, 20 patients in group 1 (=closure with composite material shaper; test group) and 20 patients in group 2 (=closure with custom-made zirconia oxide abutment; control group).

Randomisation envelopes will be used for randomisation. Device under study: Straumann BLX, Roxolid® , SLActive® dental implants with a diameter of 3.5, 3.75, 4, 4.5 mm are used.

Read more

Allogenic bone botiss maxgraft® cortical granules are used as graft material.

Inclusion criteria:

  1. Males and females at least 18 years of age or older.
  2. One implant per patient.
  3. Prior to any study-related activity, the subject must voluntarily sign informed consent, be willing and able to attend scheduled follow-up visits, and agree to the collection and analysis of pseudonymised data.
  4. Lateral individual teeth (premolars and molars).
  5. Class I extraction socket (intact buccal wall) or class II (1/3 of buccal wall).
  6. The gingival contour of the tooth to be extracted - without recession.
  7. Adjacent anterior teeth have no periodontal loss.
  8. There are no implants in the adjacent teeth.
  9. Non-traumatic tooth extraction, which results in intact walls of the socket.

Exclusion criteria:

  1. Deep occlusion (severe, class II).
  2. The patient smokes a lot (more than 10 cigarettes per day).
  3. Systemic disease (osteoporosis).
  4. No initial stability has been achieved after the implant insertion procedure.
Read the detailed description

General Notes

40 patients are included in the study, 20 patients in group 1 (=closure with composite material shaper; test group) and 20 patients in group 2 (=closure with custom-made zirconia oxide abutment; control group).

Randomisation envelopes will be used for randomisation. Device under study: Straumann BLX, Roxolid® , SLActive® dental implants with a diameter of 3.5, 3.75, 4, 4.5 mm are used.

Allogenic bone botiss maxgraft® cortical granules are used as graft material.

Inclusion criteria:

  1. Males and females at least 18 years of age or older.
  2. One implant per patient.
  3. Prior to any study-related activity, the subject must voluntarily sign informed consent, be willing and able to attend scheduled follow-up visits, and agree to the collection and analysis of pseudonymised data.
  4. Lateral individual teeth (premolars and molars).
  5. Class I extraction socket (intact buccal wall) or class II (1/3 of buccal wall).
  6. The gingival contour of the tooth to be extracted - without recession.
  7. Adjacent anterior teeth have no periodontal loss.
  8. There are no implants in the adjacent teeth.
  9. Non-traumatic tooth extraction, which results in intact walls of the socket.

Exclusion criteria:

  1. Deep occlusion (severe, class II).
  2. The patient smokes a lot (more than 10 cigarettes per day).
  3. Systemic disease (osteoporosis).
  4. No initial stability has been achieved after the implant insertion procedure. 4.2. Surgical Procedures and Recovery Phase (see Annexes No. 1 and 2)

Group 1. Immediate implant placement and temporary closure of tapered implants with a custom-made composite shaper after tooth extraction with bone augmentation by using allogeneic bone.

  1. Non-traumatic extraction.
  2. Palatal position of tapered implant for premolars and centred position for molars (more commonly - in the septum) 3-4 mm below the buccal gum line or 1-2 mm below the bony protuberance.
  3. For premolars, the implant is placed palatally 2-3 mm to the buccal bone wall, for molars 2-3 mm to the buccal and lingual wall.
  4. Implant insertion.
  5. "Jump distance" sealing with allogeneic bone.
  6. Temporary closure with a composite shaper.
  7. Cone beam computed tomography with Carestream machine.
  8. Taking a photo.
  9. Scan with 3Shape TRIOS4 scanner.

After 3 months, a cone beam computed tomography is performed to evaluate changes in the crestal bone, the temporary restoration is screwed off and the presence/absence of bleeding is recorded. A digital impression is taken for a zirconium oxide crown made on Ti base and to assess soft tissue changes.

The change in the buccal vertical bone level will be measured as the difference between the former and the new vertical distance from implant platform to the buccal alveolar crest.

While the change in the buccal horizontal bone dimension will be measured as the difference between the former and the new horizontal distance between the implant and the outer surface of the buccal plate. Both measurements will be taken using CBCT, one immediately after the surgery and the other one 3 month later.

Intraoral scans with 3Shape Trios4 dental scanner will be taken to compare soft tissue stability. Measurements will be taken before, immediately after the surgery and 3 month later. By using STL files it will be possible to compare soft tissue stability.

Group 2. Immediate implant placement and temporary closure of tapered implant with a custom-made zirconium oxide abutment after tooth extraction with bone augmentation by using allogeneic bone.

  1. Non-traumatic extraction.
  2. Palatal position of tapered implant for premolars and centred position for molars (more commonly - in the septum) 3-4 mm below the buccal gum line or 1-2 mm below the bony protuberance.
  3. For premolars, the implant is placed palatally 2-3 mm to the buccal bone wall, for molars 2-3 mm to the buccal and lingual wall.
  4. Implant insertion.
  5. "Jump distance" sealing with allogeneic bone.
  6. Closure with a zirconium oxide abutment.
  7. Cone beam computed tomography with Carestream machine.
  8. Taking a photo.
  9. Scan with 3Shape TRIOS4 scanner.

After 3 months, a cone beam computed tomography is performed to evaluate changes in the crestal bone, the custom-made abutment is screwed off and the presence/absence of bleeding is recorded. A digital impression is taken for a zirconium oxide crown and to assess soft tissue changes.

The change in the buccal vertical bone level will be measured as the difference between the former and the new vertical distance from implant platform to the buccal alveolar crest.

While the change in the buccal horizontal bone dimension will be measured as the difference between the former and the new horizontal distance between the implant and the outer surface of the buccal plate. Both measurements will be taken using CBCT, one immediately after the surgery and the other one 3 month later.

Intraoral scans with 3Shape Trios4 dental scanner will be taken to compare soft tissue stability. Measurements will be taken before, immediately after the surgery and 3 month later. By using STL files it will be possible to compare soft tissue stability.

Evaluation Phase

T1 (Basic): After the performance of final restoration: X-ray, photograph, scan, PD, BOP, RI.

T2: Follow-up after 3 months: X-ray, photograph, scan, PD, BOP, RI. T3: Follow-up after a year: X-ray, photograph, scan, PD, BOP, RI.

Being tested
Kompozite closure, Individual abutment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Kompozite closureProcedure or surgery

    Immediate implant placement and temporary closure of tapered implants with a custom-made composite shaper.

  • Individual abutmentProcedure or surgery

    Immediate implant placement and temporary closure of tapered implant with a custom-made zirconium oxide abutment.

Study groups in NCT05748379
Study groupRoleWhat they receive
Kompozite closureOtherImmediate implant placement and temporary closure of tapered implants with a custom-made composite shaper after tooth extraction with bone augmentation by using allogeneic bone.
Receives: Procedure: Kompozite closure
Individual abutmentOtherImmediate implant placement and temporary closure of tapered implant with a custom-made zirconium oxide abutment after tooth extraction with bone augmentation by using allogeneic bone.
Receives: Procedure: Individual abutment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Stability of crestal bone

    To compare crystal bone stability CBCT will be taken before surgery. , immediately after surgery, after 3 month and a follow up after 1 year.

    The change in the buccal vertical bone level will be measured as the difference between the former and the new vertical distance from implant platform to the buccal alveolar crest.

    While the change in the buccal horizontal bone dimension will be measured as the difference between the former and the new horizontal distance between the implant and the outer surface of the buccal plate. Both measurements will be taken using CBCT, one immediately after the surgery and the other one 3 month later

    Measured: Before surgery, immediately after surgery, 3 moth, 1 year follow up

  2. The changes of stability of soft tissue

    Recession (REC) state of the gingival/mucosa border - registered by means of a periodontal probe from the incisal edge to the border of the medial, zenith and distal zones.

    There are taken scans with 3Shape Trios4 before surgery, immediately after, then 3 month and 1 year follow up to compare soft tissue stability

    Measured: Before surgery, immediately after surgery, 3 month, 1 year follow up

  3. The change of position of implant using surgical guide

    To compare implant position accuracy using surgical guide, the following two things will be compared: DICOM after the surgery witch contains information on the implant position in the bone and the STL file witch contains information on implant position before the surgery.

    There are taken cone beam computer tomography before and immediately after surgery, then 3 month and 1 year follow up.

    Measured: Before surgery and immediately after surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Feb 2023
  2. Study start28 Feb 2023
  3. Primary completion22 May 2024
  4. Study completion22 May 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
44 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05748379
Sponsor's protocol ID
SIAAdenta
Status last verified
May 2025
First submitted
11 Jan 2023
Last updated
14 May 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Alexopoulou M, Lambert F, Knafo B, Popelut A, Vandenberghe B, Finelle G. Immediate implant in the posterior region combined with alveolar ridge preservation and sealing socket abutment: A retrospective 3D radiographic analysis. Clin Implant Dent Relat Res. 2021 Feb;23(1):61-72. doi: 10.1111/cid.12974. Epub 2021 Jan 13.

    PubMed 33438320
  • Sanz-Martin I, Permuy M, Vignoletti F, Nunez J, Munoz F, Sanz M. A novel methodological approach using superimposed Micro-CT and STL images to analyze hard and soft tissue volume in immediate and delayed implants with different cervical designs. Clin Oral Implants Res. 2018 Oct;29(10):986-995. doi: 10.1111/clr.13365. Epub 2018 Sep 23.

    PubMed 30246362
  • Guidetti LG, Monnazzi MS, Piveta AC, Gabrielli MA, Gabrielli MF, Pereira Filho VA. Evaluation of single implants placed in the posterior mandibular area under immediate loading: a prospective study. Int J Oral Maxillofac Surg. 2015 Nov;44(11):1411-5. doi: 10.1016/j.ijom.2015.06.021. Epub 2015 Jul 18.

    PubMed 26194771
  • Gnusins V, Akhondi S, Zvirblis T, Pala K, Gallucci GO, Puisys A. Chairside vs Prefabricated Sealing Socket Abutments for Posterior Immediate Implants: A Randomized Clinical Trial. Clin Implant Dent Relat Res. 2025 Aug;27(4):e70076. doi: 10.1111/cid.70076.

    PubMed 40692347

Questions about this trial

What is this clinical trial studying?

A study testing Kompozite closure and Individual abutment in people with Dental Implants and Humans, run by SIA Adenta at 1 site in Latvia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 14 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Latvia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Stability of crestal bone (time frame: Before surgery, immediately after surgery, 3 moth, 1 year follow up). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05748379, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 May 2025.

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