Investigate New Surgical Techniques to Improve Esthetics and Patient Satisfaction at Implant Sites

NCT04101552 | Unknown DMC

• 1 other identifier: PER-6-3-2
• Study Type: interventional
• Target: 10
• Locations: 0 countries
• Sites: N/A

Brief Summary

Many techniques have been proposed to prevent or rather minimize the labial bone resorption following extraction including guided bone regeneration techniques that has been attempted for many years now to preserve the alveolar ridge dimensions . Immediate implant placement, flapless implant placement, palataly positioned implants and even platform switching. However none of these methods were able to completely preserve the coronal part of the facial bone wall, and since the main reason of bone loss following extraction is the loss of the periodontal ligament, it seemed logical that root retention may affect the resorption process,The reason the root retention technique works in its different applications is due to the maintenance of the periodontal attachment including cementum, periodontal ligaments and bundle bone, this principle was used by Hurzeler in 2010 in a technique called socket shied technique.

Conditions

Fractured Tooth

Outcome Measures

Primary Outcomes (1)

• Marginal bone loss

  Will be measured using linear measurements from CBCT

  • Amount of bone loss will be measured after 6 month using linear measurement from CBCT

Secondary Outcomes (1)

• secondary stability

  will be measured intraoperative and 3 months after surgery

Other Outcomes (1)

• pink esthetic score

  Pink esthetics will be measured using pink esthetic index chart After 6 months.

Study Arms (1)

grafted versus graft less socket shield technique

EXPERIMENTAL

Procedure: socket shield technique with xenophobic graft particulate and without the use of graft

Interventions

socket shield technique with xenophobic graft particulate and without the use of graft PROCEDURE

the jumping gap between the implant and the shield is grafted by xenograft particulate and the control group is not grafted

grafted versus graft less socket shield technique

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with non-restorable maxillary anterior teeth in the esthetic zone indicated for implant placement.
• Both sexes.
• No intraoral soft and hard tissue pathology
• No systemic condition that contraindicate implant placement

You may not qualify if:

• Heavy smokers more than 20 cigarettes per day.
• Patients with systemic disease that may affect normal healing.
• Uncontrolled diabetic patients.
• Pregnant patients.
• Teeth with Large pulpal pathosis as cysts, large periapical granulomas
• Disorders to implant are related to history of radiation therapy to the head and neck neoplasia, or bone augmentation to implant site.
• Immunodeficiency pathology, stress situation (socially or professionally), emotional instability, and unrealistic aesthetic demands.
• Psychiatric problems.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Tooth Fractures

Interventions

Immediate Dental Implant Loading

Condition Hierarchy (Ancestors)

Tooth Injuries; Tooth Diseases; Stomatognathic Diseases; Wounds and Injuries

Intervention Hierarchy (Ancestors)

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

Central Study Contacts

Poosy H. Mohamed, principal investigator

CONTACT

01098008064; pussy_hany@yahoo.com

Mohamed A. Abdelrasoul, lecturer

CONTACT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: September 22, 2019
• First Posted: September 24, 2019
• Study Start: September 20, 2019
• Primary Completion: February 20, 2020
• Study Completion: August 20, 2020
• Last Updated: September 24, 2019

Record last verified: 2019-09