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CTRI Number  CTRI/2020/09/027694 [Registered on: 10/09/2020] Trial Registered Prospectively
Last Modified On: 02/09/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Single Arm Study 
Public Title of Study   Influence of bone quantity in determining Implant success in upper front teeth region 
Scientific Title of Study   Role of palatal bone in determining the success in Immediate Implant Positioning and Provisionalization in maxillary anterior region- A clinical trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr N S MAMATHA 
Designation  PROFESSOR 
Affiliation  RAJARAJESWARI DENTAL COLLEGE AND HOSPITAL 
Address  14 RAJARAJESWARI DENTAL COLLEGE AND HOSPITAL RAMOHALLI CROSS KUMBALAGODU BANGALORE

Bangalore
KARNATAKA
560074
India 
Phone  9880194412  
Fax  918028437468  
Email  drmamathans@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr N S MAMATHA 
Designation  PROFESSOR 
Affiliation  RAJARAJESWARI DENTAL COLLEGE AND HOSPITAL 
Address  14 RAJARAJESWARI DENTAL COLLEGE AND HOSPITAL RAMOHALLI CROSS KUMBALAGODU BANGALORE

Bangalore
KARNATAKA
560074
India 
Phone  9880194412  
Fax  918028437468  
Email  drmamathans@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr N S MAMATHA 
Designation  PROFESSOR 
Affiliation  RAJARAJESWARI DENTAL COLLEGE AND HOSPITAL 
Address  14 RAJARAJESWARI DENTAL COLLEGE AND HOSPITAL RAMOHALLI CROSS KUMBALAGODU BANGALORE

Bangalore
KARNATAKA
560074
India 
Phone  9880194412  
Fax  918028437468  
Email  drmamathans@gmail.com  
 
Source of Monetary or Material Support  
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES 
 
Primary Sponsor  
Name  RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES 
Address  Rajiv Gandhi University of Health Sciences Karnataka 4th T Block Jayanagar Bengaluru 560 041 Karnataka India  
Type of Sponsor  Other [Autonomous State Health University] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR MAMATHA N S  RAJARAJESWARI DENTAL COLLEGE AND HOSPITAL  14 RAMOHALLI CROSS MYSORE ROAD KUMBALAGODU
Bangalore
KARNATAKA 
9880194412
918437468
drmamathans@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RRDCHET  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Z463||Encounter for fitting and adjustment of dental prosthetic device,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Immediate implant positioning and provisionalization in maxillary anterior region  Sample size: 30 Allocation: Non randomized Masking: Single (Outcome Assessor) Masking description: The radiographic measurements will be done by the Maxillofacial Radiologist than Maxillofacial Surgeon Primary Purpose: Immediate implant positioning and provisionalization Actual study start date: January 2021 Actual primary completion date: December 2022  
Comparator Agent  NOT APPLICABLE   NOT APPLICABLE  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1. Patient with age group of 20-45 years with no significant medical history.
2. Tooth fractured secondary to trauma with intact alveolar bone
3. Grossly decayed tooth with no active infection
4. Endodontic failures with no acute infection and periapical pathology.
5. Presence of residual root/root fracture with intact labial bone.
6. Non restorable tooth
 
 
ExclusionCriteria 
Details  1. Patients with uncontrolled periodontal disease, smokers, current alcohol or drug abuse, systemic conditions and medication that would interfere with wound healing or osseointegration, history of radiotherapy in the head and neck region, History of Chemotherapy, long term steroids.
2. Presence of active infections, dentoalveolar fracture.
3. Inadequate width/height of available bone
4. Patients with parafunctional habits.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
ISQ 50 TORQUE 20Ncm PALATAL BONE AND LABIAL BONE THICKNESS  DAY 1 AT 4 AND 12 MONTHS 
 
Secondary Outcome  
Outcome  TimePoints 
AESTHETIC OUTCOME
MORPHOLOGICAL ASSESSMENT OF LABIAL BONE  
12 MONTHS 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   01/10/2020 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The study is designed with a aim of evaluating the thickness of the palatal bone and buccolingual angulation of the maxillary anterior teeth in 3 dimensional positioning of the immediate implant placement and provisionalization. With these objectives,

Ø  To determine the correlation between the angulation of the tooth and angulation of the implant in achieving primary stability

Ø  To evaluating the response of the labial cortical plate at 12 months interval.

Ø  To measure the torque value, primary stability and secondary implant stability.

Ø  To evaluate the horizontal and vertical dimensional changes in the facial bone following immediate implant placement and provisionalization in maxillary anterior region.

Ø  To evaluate the aesthetic outcome.

The subject selection will be done according to the inclusion and exclusion criteria, 30 subjects will be selected, pre-operative assessment tooth indicated for IIPP and Virtual implant position and prosthesis is planned and this is executed with guided surgery. Immediate provisional restoration will be given and after 4 months definitive prosthesis will be delivered. According to the number of recalls, dates per subject and study duration will be day 1, after 1 week,  4 months and after 12 months. This proposed study will allow surgeon to accurately position the implant of ideal size in maxillary anterior region engaging the palatal bone thereby reducing the surgical time, increases the bone implant contact, maintains the soft tissue contour and provides the prosthetic replacement in esthetically demand zone. 
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