Evaluate Marginal B. Loss in Immediate Implant Placement in Maxillary Esthetic Zone Using Socket Shield Versus Xenograft

NCT03394625 | Unknown

• 1 other identifier: Shaalancuimplant
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

Anterior maxilla (Esthetic zone) is very challenging area because of thin buccal plate of bone. After tooth extraction physiological process occur causing alteration of bone and soft tissue so, delayed placement of implant lead to loss of bone height and width. Immediate placement of implant is become essential to preserve the bone and soft tissue from loss. Socket shield technique is a recent technique which is by sectioning the root and extraction of palatal part and leaving buccal part of the root with its attachment of periodontal ligament and vascularization still intact then placing implant in palatal socket. This technique allow preservation of buccal plate of bone and soft tissue with minimum loss allowing better result in esthetic zone.

Conditions

Marginal Bone Loss in Socket Shield Technique

Keywords

Socket Shield; immediate implant; ridge preservation

Outcome Measures

Primary Outcomes (1)

• marginal bone loss

  will be measured from CBCT using Blue-sky software built-in linear measuring tool by millimeters

  4 months

Study Arms (2)

immediate implant placement using socket shield technique

EXPERIMENTAL

Socket shield technique is a recent technique which is by sectioning the root and extraction of palatal part and leaving buccal part of the root with its attachment of periodontal ligament and vascularization still intact then placing implant in palatal socket.

Procedure: Socket shield technique

immediate implant placement using xenograft material

ACTIVE COMPARATOR

placing xenograft material in gap between implant and buccal bone

Procedure: using Xenograft material

Interventions

Socket shield technique PROCEDURE

Socket shield technique is a recent technique which is by sectioning the root and extraction of palatal part and leaving buccal part of the root with its attachment of periodontal ligament and vascularization still intact then placing implant in palatal socket.

immediate implant placement using socket shield technique

using Xenograft material PROCEDURE

placing xenograft material in gap between the implant and the buccal plate of bone

immediate implant placement using xenograft material

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with badly broken teeth in upper esthetic zone with intact periodontal condition indicated for extraction, presence of at least 4 mm of bone beyond the root apex to guarantee implant primary stability, implant placement within the alveoli confines.
• Both sexes.
• No intraoral soft and hard tissue pathology.
• Physically able to tolerate conventional surgical and restorative procedures.
• Signing of an informed consent form.

You may not qualify if:

• Presence of fenestrations or dehiscence of the residual bony walls after extraction.
• Heavy smokers more than 20 cigarettes per day .(24)
• Patients with systemic disease that may affect normal healing e.g. uncontrolled diabetes.
• Psychiatric problems e.g. severe bruxism.
• Disorders to implant are related to history of radiation therapy to the head and neck neoplasia, or bone augmentation to implant site.
• Active infection in the teeth to be treated
• Vertical root fractures with displacement in the teeth of the surgical area

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Cairo, Egypt

RECRUITING

MeSH Terms

Interventions

Immediate Dental Implant Loading

Intervention Hierarchy (Ancestors)

Dental Implantation, Endosseous; Dental Implantation; Oral Surgical Procedures, Preprosthetic; Oral Surgical Procedures; Surgical Procedures, Operative; Prosthesis Implantation; Dentistry; Prosthodontics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: December 27, 2017
• First Posted: January 9, 2018
• Study Start: July 1, 2017
• Primary Completion: November 1, 2018
• Study Completion: December 20, 2018
• Last Updated: September 7, 2018

Record last verified: 2018-09

Locations

EG (1)