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CTRI Number  CTRI/2024/01/061312 [Registered on: 10/01/2024] Trial Registered Prospectively
Last Modified On: 04/01/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Study of tissue healing of implants placed immediately after removal of teeth in esthetic zone using Sohns Poncho technique vs the conventional technique  
Scientific Title of Study   Comparative Evaluation of Tissue Healing By using Sohn’s Poncho Technique vs Conventional Technique In Immediate Dental Implants Placed In Esthetic Zone – A Randomised Controlled Trial  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Korambeth Shreeya Manojkumar 
Designation  Post graduate student 
Affiliation  Government dental college and hospital, Nagpur 
Address  Department no. 202, second floor, Government dental college and hospital, Hanuman Nagar, Nagpur MAHARASHTRA 440003 India

Nagpur
MAHARASHTRA
440003
India 
Phone  9833315754  
Fax    
Email  shreeyak88@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vaibhav Karemore 
Designation  Associate professor 
Affiliation  Government dental college and hospital, Nagpur 
Address  Department no. 202, second floor, Government dental college and hospital, Hanuman Nagar, Nagpur MAHARASHTRA 440003 India

Nagpur
MAHARASHTRA
440003
India 
Phone  9011098882  
Fax    
Email  drperiodon@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Korambeth Shreeya Manojkumar 
Designation  Post graduate student 
Affiliation  Government dental college and hospital, Nagpur 
Address  Department no. 202, second floor, Government dental college and hospital, Hanuman Nagar, Nagpur MAHARASHTRA 440003 India

Nagpur
MAHARASHTRA
440003
India 
Phone  9833315754  
Fax    
Email  shreeyak88@gmail.com  
 
Source of Monetary or Material Support  
Government dental college and hospital, Haunman Nagar, Medical square, Nagpur-440003  
 
Primary Sponsor  
Name  Dr. Korambeth Shreeya Manojkumar  
Address  Department no. 202, department of periodontology, second floor, Government dental college and hospital , Medical square, Hanuman Nagar, Nagpur-440003 
Type of Sponsor  Other [Self sponsor] 
 
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 Korambeth Shreeya Manojkumar   Government dental college and hospital Nagpur  Department no.202, department of periodontology, Medical square, Hanuman nagar, Nagpur MAHARASHTRA
Nagpur
MAHARASHTRA 
9833315754

shreeyak88@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K089||Disorder of teeth and supporting structures, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional technique   Patients with immediate dental implants placed using conventional technique in esthetic zone with 6 months follow up period 
Intervention  Sohn’s Poncho technique  Patients receiving immediate dental implants placed using Sohn’s Poncho technique in esthetic zone with 6 months follow up period 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  a)Systemically healthy patients requiring and opting dental
implants for replacement of missing teeth in anterior
esthetic zone
b) Patients above 18yrs of age
c) Good oral hygiene and periodontal status  
 
ExclusionCriteria 
Details  1)Patient with systemic disease that contraindicates the surgery immunocompromised patients
2)Pregnant or lactating females
3)History of radiotherapy smokers parafunctional habits acute and chronic infection
4)Noncompliant patients
5)Active pathology associated with site of interest 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Evaluation of soft tissue healing around immediate dental implants placed in esthetic zone   assessment at 3 and 6 months post implant placement  
 
Secondary Outcome  
Outcome  TimePoints 
Evaluation of hard tissue healing around immediate dental implants placed in esthetic zone   Assessment post implant placement and post 6 months 
 
Target Sample Size   Total Sample Size="38"
Sample Size from India="38" 
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 3 
Date of First Enrollment (India)   15/01/2024 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
In the past few decades, Implant therapy has evolved as a successful treatment for edentulism whether partial or complete. Replacement of missing tooth with implants has added advantages over other options such as removable partial denture or fixed partial denture which include preservation of alveolar crest and elimination of need to restore neighbouring teeth along with advantage of improved esthetics and functions. The original protocol suggested placement of implants after a healing period of 3-6 months following tooth extraction. Conventional loading protocols have prolonged healing periods which is troublesome to the patient because of functional and esthetic reasons.  Dental implants can also be placed immediately after tooth extraction. Immediate implants allow placement of the implant at the same visit at which the tooth is extracted, which helps to reduce the number of surgical procedures and hence the overall treatment time. They also help to preserve alveolar width and height.  When an implant is placed in a fresh extraction socket, a gap may occur between the implant surface and the bony socket wall. While delayed implants offers the time required for soft tissue to grow into the extraction socket making their attachment to implants more predictable, immediate implants poses a significant risk of bacterial contamination because of insufficient soft tissue volume. PRF (platelet rich fibrin) has been recently indicated as an aid for promoting hard and soft tissue regeneration. It is a second generation of platelet derivative enriched with platelets, leukocytes and growth factors . It also contains all the molecular and cellular elements required for optimal healing. Sohn’s poncho technique is a surgical method that utilizes the healing capacity of PRF (platelet rich fibrin) or CGF(concentrated growth factor) membranes through stabilizing the membrane with help of healing or prosthetic abutment at implant site in order to perform minimally invasive GBR (guided bone regeneration) procedure.. After extensive search of literature no study was found comparing Sohn’s Poncho technique with the conventional technique of immediate dental implant placement in esthetic zone. Thus, this study aims to establish a comparison and highlight the merit (if any) of any one technique. Primary hypothesis: There is statistically significant difference in tissue healing of immediate dental implants placed using Sohn’s Poncho technique and conventional technique in esthetic zone.
Null Hypothesis: There is no statistically significant difference in tissue healing of immediate dental implants placed using Sohn’s Poncho technique and conventional technique in esthetic zone

 
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