AzTrials
AzTrials

Guided Bone RegenerationNCT06999915

The Effect of IPD on Lateral Bone Augmentation

A study testing Group 1 (Test Group): IP and GBR as an over-contour augmentation beyond IPD in people with Guided Bone Regeneration and Bone Resorption, run by Queen Mary University of London at 1 site in United Kingdom.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Guided Bone Regeneration (GBR) is a widely used technique during dental implant surgery to help rebuild bone around the implant and improve its long-term appearance and stability. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Group 1 (Test Group): IP and GBR as an over-contour augmentation beyond IPD
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
28 participants
Where
1 siteUnited Kingdom
Study dates
24 Jun 2026to 1 Feb 2028
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

  • Adult (>18 years old) patients
  • Good medical and psychological health
  • Engaged patients presenting with a Full Mouth Plaque Score (FMPS) of ≤ 20% within the 6 weeks prior to enrolment
  • Need of a tooth/teeth replacement in the incisor, canine or premolar maxillary region that could be provided with an implant-supported fixed prosthesis
  • A relatively symmetrical maxillary arch
  • A nearly intact contra-lateral alveolar ridge
Show all 12Show fewer
  • At least one neighbouring natural tooth present with healthy periodontal conditions
  • After implant placement, presence of a buccal bone dehiscence/ fenestration or buccal bone plate thickness of ≤ 1.5 mm requiring GBR (Monje et al., 2022; Jensen et al.,2023, Group 1 ITI Consensus Report).
  • At least 4 weeks of post-extraction socket healing and no ridge preservation prior to implant placement.
  • No acute infection at the site; adequate availability of bone apical and palatal to obtain implant primary stability
  • A functional occlusion with a minimum of 4 occlusal units (i.e., pairs of occluding posterior teeth)
  • Willingness to read and sign a copy of the Informed Consent Form (ICF) after reading the Patient Information Sheet (PIS), and after the nature of the study has been fully explained and potential questions fully answered.

Who cannot join

  • Any known systemic disease severely affecting bone metabolism (e.g., Cushing's syndrome, Crohn's disease, rheumatoid arthritis, osteoporosis or diabetes type I and uncontrolled diabetes type II).
  • Self-reported HIV or other severe immunosuppression.
  • Self-reported alcoholism or chronic drug abuse.
  • Heavy smokers ( > 10 cigarettes/day)
  • Patients reporting use of vape/e-cigarettes
  • Self-reported pregnancy or lactation
Show all 14Show fewer
  • Chronic treatment (i.e., 2 weeks or more) with any medication known to affect oral status or bone metabolism (e.g., bisphosphonates, hormone replacement therapy, immunosuppressants) within 1 month before baseline visit.
  • Chronic treatment with anticoagulants (including Aspirin), corticosteroids, immunosuppressants or other medications that may influence blood coagulation/count.
  • Untreated caries lesions in neighbouring teeth and untreated/uncontrolled periodontal disease; If patients require periodontal treatment (non-surgical and/or surgical), this will be arranged outside the study protocol and completed prior to enrolment;
  • Physical handicaps that would interfere with the ability to perform adequate oral hygiene in the area of implant placement.
  • Patients requiring maxillary sinus lift surgery before implant placement or presenting bone dimensions (at any time point of the study) that do not allow implant placement or there is no clinical indication to perform study procedures (i.e. bone augmentation, implant placement).
  • Patients not willing to receive animal-derived biomaterials for GBR.
  • Patients suffering from a known psychological disorder or with limited mental capacity or language skills such that study information could not be understood, informed consent could not be obtained, or simple instructions could not be followed.
  • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or may interfere with the interpretation of trial results and, in the judgement of the investigator, would make the subject inappropriate for entry into this trial.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Nikos Donos, DDS, MS, FHEA, FDSRCSEngl., Ph contact

BHNT.Clinicaloralresearchcentre@nhs.net

United Kingdom1 site, 1 recruiting
  • Barts Health NHS Trust Dental Hospital

    London, E1 1BB

    Miljana Bacevic, DDS, PhD, +44(0)2078823063, BHNT.Clinicaloralresearchcentre@nhs.net

    Tanja Zivanovic, DDS, MS, +44(0)2078823063, BHNT.Clinicaloralresearchcentre@nhs.net

    Recruiting

Other trials in United Kingdom

About this study

Official title: Influence of Individual Phenotypical Dimension (IPD) on Hard Tissue Stability Following Lateral Bone Augmentation: a Two-centre Clinical Study

Guided Bone Regeneration (GBR) is a widely used technique during dental implant surgery to help rebuild bone around the implant and improve its long-term appearance and stability. This study investigates whether the amount of bone that regrows depends on a person's original bone shape, known as the Individual Phenotypical Dimension (IPD). The aim is to compare the bone stability and overall results between two approaches: adding bone only up to the original bone line (IPD) or adding bone beyond it (over-contour augmentation). Over the course of a year, the study will assess not only bone and soft tissue healing, but also gum blood flow, implant success, and patient satisfaction.

There will be two treatment groups in this study - one group will receive bone grafting just up to their natural bone shape, while the other group will receive a slightly larger graft that extends about 3 mm beyond it. Throughout the study CBCT scans will be taken to assess bone changes around the implant area in order to measure how the bone shape and thickness change over time after surgery.

Read the detailed description

This is a two-centre, prospective, non-inferiority clinical trial with two parallel study groups aimed at radiographically comparing the differences in hard tissue (lateral augmentation) stability following different GBR treatment protocols (contour augmentation or over-contour augmentation). The study consists of 12 visits over a period of approximately 16 to 18 months.

The study will take place at the Centre for Oral Clinical Research (COCR), at the Institute of Dentistry, Faculty of Medicine and Dentistry, Queen Mary University of London under The Royal London Dental Hospital, Barts Health NHS Trust, United Kingdom (leading centre) and at Implant Research Centre \& Department of Periodontology, School of Dental Medicine, University of Belgrade, Serbia, according to local guidelines and procedures/interventions detailed below.

Being tested
Group 1 (Test Group): IP and GBR as an over-contour augmentation beyond IPD, Group 2 (Control Group): IP and GBR as a contour augmentation up to IPD
Medical subject headings
Bone Resorption

What participants receive

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

  • Group 1 (Test Group): IP and GBR as an over-contour augmentation beyond IPDProcedure or surgery

    In this group, a bone level implant (Straumann BLC, SLActive®, Roxolid, Straumann AG, Switzerland) will be placed in an ideal 3D prosthetically guided position to allow for a screw-retained restoration, following the manufacturer's protocol. Guided bone regeneration (GBR) will be performed simultaneously with the implant placement with the aim to re-establish the original bone contour as defined by IPD. A bovine bone mineral graft (Bio-Oss collagen®, Geistlich, Wolhusen, Switzerland) will be placed on the buccal aspect of the implant and covered with a collagen membrane (Bio-Gide®, Geistlich, Wolhusen). In the test group, bone augmentation will be performed by adding biomaterial 3 mm beyond the Individual Phenotypical Dimension (IPD) to achieve over-contour augmentation. IPD will be clinically defined during surgery by connecting the most labially prominent points of adjacent ridges at the level of the bone zenith of neighboring teeth.

  • Group 2 (Control Group): IP and GBR as a contour augmentation up to IPDProcedure or surgery

    In this group, a bone level implant (Straumann BLC, SLActive®, Roxolid, Straumann AG, Switzerland) will be placed in an ideal 3D prosthetically guided position to allow for a screw-retained restoration, following the manufacturer's protocol. Guided bone regeneration (GBR) will be performed simultaneously with the implant placement with the aim to re-establish the original bone contour as defined by IPD. A bovine bone mineral graft (Bio-Oss collagen®, Geistlich, Wolhusen, Switzerland) will be placed on the buccal aspect of the implant and covered with a collagen membrane (Bio-Gide®, Geistlich, Wolhusen). In the control group, bone augmentation will be performed by adding biomaterial up to the IPD line in order to achieve a contour augmentation with bone grafting remaining within the boundaries defined by the IPD. IPD will be clinically defined during surgery by connecting the most labially prominent points of adjacent ridges at the level of the bone zenith of neighboring teeth

Study groups in NCT06999915
Study groupRoleWhat they receive
Group 1 (Test Group): IP and GBR as an over-contour augmentation beyond IPDExperimentalImplant placement and simultaneous guided bone regeneration (GBR) beyond Individual Phenotypical Dimension (IPD). In this group, lateral bone augmentation will be performed as an over-contour augmentation of 3 mm beyond IPD.
Receives: Procedure: Group 1 (Test Group): IP and GBR as an over-contour augmentation beyond IPD
Group 2 (Control Group): IP and GBR as a contour augmentation up to IPDActive comparatorImplant placement and simultaneous guided bone regeneration (GBR) up to IPD. In this group, lateral bone augmentation will be performed up to IPD
Receives: Procedure: Group 2 (Control Group): IP and GBR as a contour augmentation up to IPD

What is being measured

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

  1. Linear dimensional (LD) changes of the buccal aspect of the augmented alveolar ridge

    The primary objective is to compare radiographically the differences in the hard tissue stability (linear dimensional changes of the augmented ridge) following guided bone regeneration (GBR) simultaneous to implant placement (IP), when lateral bone augmentation is performed up to Individual Phenotypical Dimension (IPD) (control group) or as an over-contour augmentation beyond IPD (test group).

    Measured: baseline, immediately after implant placement (IP) and 12 months after implant loading (IL)

Secondary outcomes (17)
  1. Cross-sectional area changes of the buccal aspect of the augmented ridge

    Cross-sectional area changes of the buccal aspect of the augmented ridge across the whole length of the implant (mm) (ROI) from the time of implant placement (IP) to 12 months after implant loading (IL), assessed by superimposing and comparing CBCT data from different visits.

    Measured: baseline, immediately after IP and 12 months after IL

  2. Blood flow changes

    Blood flow changes at baseline, immediately after, and at 1, 3, 7, 15, 30 days after IP

    Measured: baseline, immediately after, and at 1, 3, 7, 15, 30 days after IP

  3. Soft tissue volume changes

    Soft tissue volume changes at baseline, immediately after, and at 1, 3, 7, 15, 30 days after IP, immediately after IL, 6 and 12 months after IL

    Measured: baseline, immediately after, and at 1, 3, 7, 15, 30 days after IP, immediately after IL, 6 and 12 months after IL

  4. Extra-oral 3D geometric changes

    Extra-oral 3D geometric changes assessed with a facial chairside scanner at baseline, immediately after, 1, 3, 7, 15 and 30 days after IP

    Measured: baseline, immediately after, 1, 3, 7, 15 and 30 days after IP

  5. Full mouth plaque score (FMPS)

    FMPS will be recorded as a percentage of total surfaces (6 sites per tooth/implant), which reveal the presence of plaque. A binary score will be assigned to each surface (1 for plaque present, 0 for absent).

    Measured: baseline, 6 and 12 months after IL

  6. Full mouth bleeding score (FMBS)

    FMBS will be recorded as percentage of total surfaces (6 aspects per tooth/implant), which reveal the presence of bleeding within 10 - 30 seconds following periodontal probing. A binary score will be assigned to each surface (1 for bleeding present, 0 for bleeding absent).

    Measured: baseline, 6 and 12 months after IL

  7. Probing pocket depth (PPD)

    PPD will be measured in mm using a University of North Carolina (UNC-15) periodontal probe at six sites per tooth/ implant (i.e., mesiobuccal, buccal, distobuccal, mesiolingual, lingual, and distolingual)

    Measured: baseline, 6 and 12 months after IL

  8. Gingival recession (REC)

    REC will be measured in mm using a University of North Carolina (UNC-15) periodontal probe at six sites per tooth/ implant (i.e., mesiobuccal, buccal, distobuccal, mesiolingual, lingual, and distolingual)

    Measured: baseline, 6 and 12 months after IL

  9. Clinical attachment level (CAL)

    CAL will be calculated considering the values for PPD and REC in mm

    Measured: baseline, 6 and 12 months after IL

  10. Suppuration

    Suppuration will be recorded as percentage of total surfaces (6 aspects per tooth/implant), which reveal the presence of suppuration following periodontal probing. A binary score will be assigned to each surface (1 for suppuration present, 0 for suppuration absent)

    Measured: baseline, 6 and 12 months after IL

  11. Implant success/survival

    Implant success will be based on well-defined criteria by Albrektsson et al. (1986) and survival defined as any dental implant which remained in situ (ITI consensus 2004) 6 and 12 months after IL. Modified success criteria will be applied to incorporate the aesthetic outcomes in success rates

    Measured: 6 and 12 months after IL

  12. Changes in the pink esthetic score (PES)

    Changes in the pink esthetic score (PES) from loading to 6 and 12 months after loading.

    PES is a cumulative score, where seven variables are evaluated using a 0-1-2 scoring system, with the scores 14 and 0 being the best and the worst outcomes, respectively

    Measured: immediately after IL, 6 and 12 months after IL

  13. Changes in the white esthetic score (WES)

    Changes in the white esthetic score (WES) from loading to 6 and 12 months after loading.

    The WES is a cumulative score where five subgroups are assessed using a 0-1-2 scoring system, with the scores 10 and 0 being the best and the worst outcomes, respectively

    Measured: immediately after IL, 6 and 12 months after IL

  14. Early healing index

    Visual assessment of gingival healing and recording of wound healing (Wachtel et al., 2003) will be assessed during follow-ups at 1, 3, 7 and 15 days after the surgical intervention.

    Measured: 1, 3, 7, 15 days after IP

  15. Patient satisfaction

    Each patient will be asked to rate their functional and aesthetic satisfaction regarding the overall implant treatment using a subjective outcome questionnaire immediately after IL, 6 and 12 after IL. The questionnaire includes seven questions to be answered in a 5-level Likert scale (poor; fair; good; very good; excellent) (Fava, Lin, Zahran, \& Jokstad, 2015).

    Measured: immediately after IL, 6 and 12 after IL

  16. Life impact questionnaire

    Numerical rating scale (NRS) ranging from 0-10 will be complemented with a questionnaire to assess post-surgical pain and swelling at 1, 3, 7 and 15 days.

    Measured: 1, 3, 7 and 15 days after IP

  17. Patients' aesthetic satisfaction

    A visual analogue scale (VAS) rating the overall patients' aesthetic perception of final restoration will also be recorded on the day of the implant loading with monolithic zirconia screw-retained crowns to 6 and 12 months after IL (Aitken, 1969). The scale will range from 0 (very poor aesthetics) to 10 (excellent aesthetics) and the subject can indicate the degree of satisfaction by marking vertically across the VAS scale.

    Measured: immediately after IL, 6 and 12 months after IL

Timeline

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

  1. First posted31 May 2025
  2. Study start24 Jun 2026
  3. Primary completion1 Feb 2028 (estimated)
  4. Study completion1 Feb 2028 (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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
28 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06999915
Sponsor's protocol ID
IRAS Project ID: 358068
Status last verified
Sep 2026
First submitted
9 May 2025
Last updated
23 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Group 1 (Test Group): IP and GBR as an over-contour augmentation beyond IPD in people with Guided Bone Regeneration and Bone Resorption, run by Queen Mary University of London at 1 site in United Kingdom.

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 12 inclusion and 14 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: looking for participants now, as of the sponsor's last update on 23 Sep 2026. 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 United Kingdom. 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?

Contact Miljana Bacevic, DDS, PhD (02078828641, BHNT.Clinicaloralresearchcentre@nhs.net), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Linear dimensional (LD) changes of the buccal aspect of the augmented alveolar ridge (time frame: baseline, immediately after implant placement (IP) and 12 months after implant loading (IL)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Sep 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in