Immediate Dental Implant Installation With and Without Socket Shield Technique in Aesthetic Zone

NCT06881095 | Enrolling By Invitation DMC

• 1 other identifier: islam123
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation using either the immediate implant with socket shield technique or the conventional immediate dental implant. the socket shield technique group (study group): 10 patients will have immediate implant placement with the socket shield technique.

• conventional immediate dental implant technique (control group): 10 patients will have immediate implant placement with conventional technique.

Conditions

Immediate Dental Implants; Thin Labial Plate of Bone Pre-extraction; Hopeless Tooth in Esthetic Zone

Keywords

socket shield technique; partial extraction therapy; immediate dental implant

Outcome Measures

Primary Outcomes (2)

• labial bone thickness

  1\. labial bone thickness measuring thickness of labial bone labial to the implant by (CBCT) Cone beam computed tomography

  6 months

• marginal bone loss

  6 months

Secondary Outcomes (3)

• bone density around dental implant

  6 months

• implant secondary stability

  6 months

• implant success

  6 months

Study Arms (2)

socket shield technique group (study group)

EXPERIMENTAL

the socket shield technique group (study group): 10 patients will have immediate implant placement with socket shield technique. * conventional immediate dental implant technique (control group): 10 patients will have immediate implant placement with conventional technique without socket shield technique. preparation of shield: the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds, Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest. The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants and the root section was checked for immobility with a sharp probe. After completion of th

Procedure: socket shield technique group (study group)

conventional immediate implant without socket shield technique(control group)

EXPERIMENTAL

conventional immediate implant without socket shield technique: • After administration of local anesthesia, atraumatic tooth extraction by extraction forceps and Periotomes, an osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted and placement of cover screw. However, the soft tissue contour formed after healing may need some modification prior to impression taking. Suturing around the healing abutment, suture will be removed one week post surgically and then healing abutment and final prosthetic loading will be done after 4-6 months.

Procedure: conventional immediate implant without socket shield technique

Interventions

socket shield technique group (study group) PROCEDURE

immediate implant installation with socket shield technique: After administration of local anesthesia, the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds. Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest. The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants, and the root section was checked for immobility with a sharp probe. After completion of the previous steps, the tooth root here will be known as the socket- shield (SS). An osteotomy was then sequentially prepared according to manufacturer

Also known as: partial extraction therapy

socket shield technique group (study group)

conventional immediate implant without socket shield technique PROCEDURE

• After administration of local anesthesia, atraumatic tooth extraction by extraction forceps and Periotomes, an osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted and placement of cover screw. However, the soft tissue contour formed after healing may need some modification prior to impression taking. Suturing around the healing abutment, suture will be removed one week post surgically and then healing abutment and final prosthetic loading will be done after 4-6 months.

conventional immediate implant without socket shield technique(control group)

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• \- 1. Non restorable maxillary anterior teeth without periapical pathology that may affect the success of dental implants.
• \. Interarch space enough for prosthetic rehabilitation. 3. Presence of posterior teeth or prosthesis that maintain occlusal bite. 4. Adult patients. 5. Good oral hygiene.

You may not qualify if:

• \- 1. Edentulous anterior maxillary region. 2. Bad oral hygiene. 3. Patients with any relevant systemic diseases that affect soft tissue or bone healing.
• \. Patients with parafunctional habits (bruxism and clenching). 5. Uncooperative patients. 6. Heavy smokers.

Sponsors & Collaborators

• Tanta University: lead

Study Sites (1)

Faculty of Dentistry

Tanta, 3111, Egypt

Location

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 Officials

• islam ahmed abo elela, master study

  faculty of dentistry tanta university

  PRINCIPAL INVESTIGATOR

• Ibrahim mohammed nowair, professor

  faculty of dentistry tanta university

  PRINCIPAL INVESTIGATOR

• Rafic ramadan bedir, professor

  faculty of dentistry tanta university

  PRINCIPAL INVESTIGATOR

• Wesam Hamed Elsaadany, lecturer

  faculty of dentistry tanta university

  PRINCIPAL INVESTIGATOR

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: master degree( Principal Investigator)

Model Details: non restorable anterior teeth with thin labial plate of bone

Study Record Dates

• First Submitted: March 11, 2025
• First Posted: March 18, 2025
• Study Start: March 25, 2024
• Primary Completion: May 12, 2025
• Study Completion: June 16, 2025
• Last Updated: March 18, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)