Alveolar Ridge Changes Post Tooth Extraction With Socket Shield Without Immediate Implant Placement"

NCT06658860 | Completed

• 1 other identifier: A27030123
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to evaluate the dimensional changes in the alveolar ridge after tooth extraction using the socket shield technique without immediate implant placement. The changes using CBCT were assessed, focusing on the preservation of the ridge for delayed implant placement. This research could help improve dental implant outcomes by preserving bone and soft tissue structures."

Conditions

Alveolar Ridge Resorption After Extraction

Keywords

Tooth Extraction; Modified Socket Shield Technique

Outcome Measures

Primary Outcomes (2)

• Alveolar Ridge Width Changes

  This outcome measure assesses changes in the alveolar ridge width following tooth extraction using either the modified socket shield technique or conventional extraction. Measurements were obtained through CBCT imaging at baseline and 6 months post-extraction. Unit of Measure: Millimeters (mm)

  6 months post-extraction

• Bone Plate Height Changes

  This outcome measure assesses changes in the bone plate height following tooth extraction using either the modified socket shield technique or conventional extraction. Measurements were obtained through CBCT imaging at baseline and 6 months post-extraction. Unit of Measure: Millimeters (mm)

  6 months post-extraction

Secondary Outcomes (1)

• Primary Implant Stability

  At the time of implant placement, typically 6 months post-extraction.

Study Arms (2)

Modified Socket Shield Technique

EXPERIMENTAL

Participants in this group underwent partial tooth extraction using the modified socket shield technique to preserve the alveolar ridge for delayed implant placement. CBCT scans were used to evaluate ridge preservation over time.

Procedure: Modified Socket Shield Technique

Conventional Tooth Extraction

ACTIVE COMPARATOR

Participants in this group underwent conventional tooth extraction without the socket shield technique. The alveolar ridge was evaluated using CBCT over the same period as the experimental group for comparison.

Procedure: Conventional Tooth Extraction

Interventions

Modified Socket Shield Technique PROCEDURE

The modified socket shield technique involves partial retention of the buccal aspect of the tooth root during extraction to preserve the surrounding alveolar bone and soft tissue. This technique is used to optimize the condition for delayed implant placement by preventing resorption of the alveolar ridge.

Modified Socket Shield Technique

Conventional Tooth Extraction PROCEDURE

Conventional tooth extraction involves the complete removal of the tooth without the use of the socket shield technique. This arm served as the control group, with alveolar ridge changes observed and compared with those in the experimental arm over time.

Conventional Tooth Extraction

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Non-restorable teeth in the esthetic region.
• The buccal periodontal tissues were intact.
• Maintaining oral hygiene.

You may not qualify if:

• The usual limitations for oral surgery.
• Tooth having a vertical fracture of the root on the facial aspect.
• Tooth having horizontal fracture of the root extending below the level of the bone.
• Caries on the root segment to be maintained.
• Mobility of the tooth.
• Bruxism.

Sponsors & Collaborators

• Soaad Tolba Mohammed Tolba Badawi: lead

Study Sites (1)

Faculty of Dentistry, Mansoura University

Al Mansurah, Dakahlia Governorate, 35511, Egypt

Location

Related Publications (1)

• de Oliveira GB, Rebello IMC, Montanha Andrade K, Araujo NS, Dos Santos JN, Cury PR. Evaluation of alveolar process resorption after tooth extraction using the socket shield technique without immediate installation of implants: a randomised controlled clinical trial. Br J Oral Maxillofac Surg. 2021 Dec;59(10):1227-1232. doi: 10.1016/j.bjoms.2021.04.001. Epub 2021 Apr 8.

  PMID: 34256958 BACKGROUND

Study Officials

• Soaad T Badawi, Lecturer, Oral Surgery, MU

  Faculty of dentistry, Mansoura university

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer of Oral and maxillofacial Surgery, Faculty of dentistry, Mansoura university.

Model Details: This study followed a parallel-group design. Participants were randomly assigned to two groups: one received the modified socket shield technique and the other received conventional extraction without the socket shield. Both groups were monitored after 6 months to compare alveolar ridge preservation outcomes, with delayed implant placement performed in both groups at 6 months after tooth extraction.

Study Record Dates

• First Submitted: October 22, 2024
• First Posted: October 26, 2024
• Study Start: February 1, 2023
• Primary Completion: July 1, 2024
• Study Completion: August 1, 2024
• Last Updated: October 26, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)