CClinicalTrials.gg
Not yet recruitingNCT07427602Updated Feb 23, 2026

Immediate Implant Placement and Immediate Restoration With Prefabricated Provisionals

An observational study in Dental Implants, Single-tooth, Immediate Dental Implant Placement and Crown, sponsored by University Medical Center Groningen. Not yet recruiting at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-23.

Sponsored by University Medical Center Groningen · Observational

Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
50
Ages
18 Years and older
Sex
All
01

Study summary

  • Background
  • There is a growing tendency to place a provisional restoration immediately following implant placement. Clinical advantages are shortening of treatment duration and soft tissue guiding during healing resulting in better esthetic outcomes. Provisional restorations can be made either chair-side or in the dental laboratory after implant placement. Nowadays, digital planning makes it possible to fabricate the provisional restoration before implant surgery. The advantage of this technique is that the treatment procedure of placement of the provisional restoration immediately after implant placement is much less time consuming for the patient and due to its machined polished character possibly beneficial for soft tissues.
  • Main research question The aim of this retrospective case series study, with full digital workflow, is to evaluate single tooth implant treatment after immediate implant placement in the maxillary aesthetic region, with respect to registration of possible complications during the time of placement and evaluation of the prefabricated provisional registration and evaluation of clinical and radiographical performance and aesthetic outcome with the definitive restoration after at least 1 year in function.
  • Design (including population, confounders/outcomes) The study design is a retrospective, single-arm observational study for evaluation of 50 patients with a failing tooth in the maxillary aesthetic region, which were treated with an implant-supported provisional and definitive restoration by means of a digital workflow. Outcomes: registration of possible complications during the time of placement and evaluation of the provisional registration and evaluation of clinical and radiographical performance and aesthetic outcome with the definitive restoration.
  • Expected results Satisfying results for patients and professionals (VAS-scores and PES/WES-scores).
Read the detailed description

BACKGROUND

  • Introduction and rationale There is a growing tendency to place a provisional restoration immediately following implant placement. Clinical advantages are shortening of treatment duration and soft tissue guiding during healing resulting in better esthetic outcomes (El Ghoul \& Chidiac, 2012). It was shown that good esthetic results can be achieved with immediate provisionalization of single-tooth implants placed immediately after failing tooth removal (Zuiderveld EG, Meijer HJA, Gareb B, Vissink A, Raghoebar GM, 2024; Donker VJJ, Raghoebar GM, Slagter KW, Hentenaar DFM, Vissink A, Meijer HJA, 2024).

Popularity of immediate implant loading is related to evolving society factors, including more demanding patients and a wish for direct treatment (Huynh-Ba, Oates, \& Williams, 2018). Recent developments in the digital workflow in implant dentistry made treatment planning and fabrication of a provisional restoration before implant placement possible, thus making the treatment more predictable for the clinician and even further shortening the treatment duration. Until date, limited studies have been described investigating immediate provisionalization of single-tooth implants placed immediately after failing tooth removal in the esthetic maxillary zone using a provisional restoration fabricated before implant placement.

  • Research question The aim of this retrospective case series study, with full digital workflow, is to evaluate single tooth implant treatment after immediate implant placement in the maxillary aesthetic region, with respect to registration of possible complications during the time of placement and evaluation of the prefabricated provisional registration and evaluation of clinical and radiographical performance and aesthetic outcome with the definitive restoration after at least 1 year in function.
02

Conditions studied

  • Dental Implants, Single-tooth
  • Immediate Dental Implant Placement
  • Crown

Keywords

  • Immediate implant placement
  • Maxillary esthetic region
  • Prefabricated provisional
03

In context

Lead sponsor

University Medical Center Groningen is the lead sponsor of 609 studies on the registry; 174 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patient is treated with an immediate implant and an immediate prefabricated provisional restoration; the definitive restoration is at least one year in function

Inclusion criteria

  • The patient is 18 years or older;

    • The implant region is an incisor (central or lateral), cuspid or first bicuspid in the maxilla; the adjacent teeth are natural teeth;
    • Patient is treated with an immediate implant and an immediate prefabricated provisional restoration;
    • The definitive restoration is at least one year in function

Exclusion criteria

Exclusion Criteria:

  • Reference intraoral radiograph not available in the medical record
05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
50 participants (estimated)
Patient registry
No

Groups and cohorts

  • immediate implant placement with prefabricated provisional

    patients with immediate implant placement after removal of failing tooth in the maxillary esthetic region and with immediate placement of a prefabricated provisional restoration.

    Device: dental implant with prefabricated provisional restoration

Interventions

  • Devicedental implant with prefabricated provisional restoration

    prefabricated provisional restoration

06

What researchers measure

Primary outcomes

  1. Change in peri-implant marginal bone level

    Comparison between peri-implant bone level at implant placement and follow-up time point in millimeters measured on intraoral radiographs

    Time frame: Through study completion, an average of 1 year

Secondary outcomes

  1. Implant and restoration survival

    Percentage of implants and restorations present at follow-up time point

    Time frame: Through study completion, an average of 1 year

  2. Patient satisfaction

    Patient satisfaction measured on a Visual Analogue Scale. Minimum =0 (extremely dissatisfied); Maximum = 100 (extremely satisfied).

    Time frame: 1 year

  3. Plaque score

    Plaque index from 0 to 3. Minimum = 0 (zero plaque visible); Maximum = 3 (abundant amount of plaque visible)

    Time frame: 1 year

  4. Gingival score

    Health of peri-implant mucosa described by Gingival index from 0 to 3. Minimum = 0 (healthy mucosa); Maximum = 3 (very infected mucosa).

    Time frame: 1 year

  5. Pocket depth

    Probing depth in the peri-implant sulcus in millimeters measured with a periodontal probe.

    Time frame: 1 year

  6. Bleeding score

    Bleeding in peri-implant sulcus after probing measured with a Bleeding index from 0 to 3. Minimum = 0 (no bleeding after probing); Maximum = 3 (abundance amount of bleeding after probing).

    Time frame: 1 year

07

Study locations

1 site
  • University Medical Center Groningen
    Groningen, Provincie Groningen 9700RB, Netherlands
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07427602
Lead sponsor
University Medical Center Groningen
Responsible party
Sponsor
First posted
Feb 23, 2026
Start date
Mar 1, 2026 (estimated)
Primary completion
Nov 1, 2026 (estimated)
Completion
Nov 1, 2026 (estimated)
Last update
Feb 23, 2026

Study contacts

Henny JA Meijer, Professor doctor
Contact
h.j.a.meijer@umcg.nl
+31503616161

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion