Vestibular Socket Therapy (VST) Versus Partial Extraction Therapy

NCT05112796 | Completed

• 1 other identifier: VST_PET_20
• Study Type: interventional
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

The current randomized clinical trial aimed to compare the VST versus Partial Extraction Therapy (PET) for immediate implant placement in the esthetic zone in class I fresh extraction sites. The primary outcome was the assessment of vertical dimensional changes in peri-implant soft tissue margin. The secondary outcome was the assessment of radiographic changes in the thickness of the facial peri-implant tissues.

Conditions

Dental Implants

Outcome Measures

Primary Outcomes (1)

• Changes in the peri-implant facial tissue thickness

  through CBCT images (Carestream 8000D- Carestream Dental) that were taken at baseline and 6 months postoperatively

  at baseline and 6 months

Study Arms (2)

VST technique

EXPERIMENTAL

Procedure: Class I extractions sites received immediate implants using the Vestibular Socket Therapy

PET technique

ACTIVE COMPARATOR

Procedure: class I extractions sites received immediate implants using the Partial Extraction Therapy

Interventions

Class I extractions sites received immediate implants using the Vestibular Socket Therapy PROCEDURE

A 1-cm-long vestibular access incision was made using a 15c blade 3 to 4 mm apical to the mucogingival junction at the related socket. A subperiosteal tunnel was created connecting the socket orifice and the vestibular access incision

VST technique

class I extractions sites received immediate implants using the Partial Extraction Therapy PROCEDURE

the hopeless tooth was decoronated 1 mm coronal to the gingival margin using a diamond bur. Then, the facial root segment was separated from the rest of the root using a Lindemann bur in gentle mesiodistal sweeping strokes from the gingival margin to the apex of the root, aiming to separate the palatal and the labial root segments.

PET technique

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• single hopeless maxillary tooth in the esthetic zone
• non-smokers
• systemically healthy
• Class I extraction sites

You may not qualify if:

• smoking
• Class II and III extraction sites
• hopeless teeth with acute infection or vertical/horizontal root fracture

Sponsors & Collaborators

• Hams Hamed Abdelrahman: lead

Study Sites (1)

Private Practice Clinic

Alexandria, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Assistant lecturer of DPH and Clinical statistician

Study Record Dates

• First Submitted: October 29, 2021
• First Posted: November 9, 2021
• Study Start: January 1, 2020
• Primary Completion: March 24, 2021
• Study Completion: March 24, 2021
• Last Updated: November 9, 2021

Record last verified: 2021-10

Locations

EG (1)