Socket Preservation Using Socket-plug Technique With Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket With Buccal Dehiscence.

NCT06655766 | Not Yet Recruiting

• 1 other identifier: PER6-3-1 ..
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

Socket Preservation Using Socket-plug Technique with Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket with Buccal Dehiscence: A Randomized Controlled Clinical Trial.

Conditions

Socket Preservation

Outcome Measures

Primary Outcomes (1)

• Quantitative volumetric changes

  Bone volumetric changes will be measured in millimeter by super-imposition of 3D scans using volume analysis software.

  day 0 - month 6

Secondary Outcomes (2)

• Horizontal alveolar ridge width

  day 0 - month 6

• Vertical alveolar ridge height

  day 0 - month 6

Study Arms (2)

Socket-plug technique with putty bone

EXPERIMENTAL

* Patients will be anesthetized at the surgical site by infiltration, using Articaine Hydrochloride 4%. * Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap. * Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue. * The socket walls are then inspected for the presence of buccal defects. * putty bone is injected into the socket up to the crest of the bone. * Collagen plug or sponge is adapted over the graft to occlude the socket * The plug is then stabilized with absorbable suture material.

Procedure: socket-plug technique with putty bone

Ice cream cone technique

ACTIVE COMPARATOR

* Patients will be anesthetized at the surgical site by infiltration, using Articaine Hydrochloride 4%. * Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap. * Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue. * The socket walls are then inspected for the presence of buccal defects. * A Collagen barrier membrane is then shaped as an ice-cream cone and placed in the extraction socket lining the buccal tissues. * The socket is then filled with particulate bone graft. * The upper part of the membrane is then used to cover the socket. * Absorbable suture is then used to close the socket and stabilize the barrier membrane

Procedure: Ice cream cone technique

Interventions

socket-plug technique with putty bone PROCEDURE

* Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap. * Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue. * The socket walls are then inspected for the presence of buccal defects. * putty bone is injected into the socket up to the crest of the bone. * Collagen plug or sponge is adapted over the graft to occlude the socket * The plug is then stabilized with absorbable suture material.

Socket-plug technique with putty bone

Ice cream cone technique PROCEDURE

* Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap. * Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue. * The socket walls are then inspected for the presence of buccal defects. * A Collagen barrier membrane is then shaped as an ice-cream cone and placed in the extraction socket lining the buccal tissues. * The socket is then filled with particulate bone graft. * The upper part of the membrane is then used to cover the socket. * Absorbable suture is then used to close the socket and stabilize the barrier membrane

Ice cream cone technique

Eligibility Criteria

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

You may qualify if:

• Single or double rooted teeth indicated for extraction.
• Systemically free patient
• Presence of small buccal dehiscence not exceeding 1/3 of the root.
• Maxillary and Mandibular Arches
• Non-smoker
• Adults or above the age of 21.
• Able to tolerate surgical periodontal procedures.
• Full mouth plaque and bleeding scores less than 15%.
• Compliance with the maintenance program.
• Provide informed consent

You may not qualify if:

• Systemic conditions/disease that contraindicate surgical procedure.
• Patients with presence or history of osteonecrosis of the jaws, with use of bisphosphonates, exposure to head and neck radiation, chemotherapy.
• Extraction socket with intact walls with no buccal dehiscence
• Patients with large distinct pre-apical pathology
• Heavy Smokers more than 10 cigarettes a day
• Patients without availability to attend follow-up visits or patients rejecting to sign the informed consent.
• Patients with parafunctional habits that produce overload on implant, such as bruxism and clenching.

Sponsors & Collaborators

• Cairo University: lead

Central Study Contacts

Abdelrahman Medhat

CONTACT

01117909725; abdelrahman.medhat@dentistry.cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Teaching assistant

Study Record Dates

• First Submitted: October 20, 2024
• First Posted: October 23, 2024
• Study Start: October 30, 2025
• Primary Completion: November 13, 2025
• Study Completion: February 1, 2026
• Last Updated: September 23, 2025

Record last verified: 2025-09