Piezotome Atraumatic Tooth Extraction And Immediate Implant Placement In Maxillary Anterior Region

NCT07041879 | Active Not Recruiting

• 1 other identifier: ATE-17-5-25
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Tooth extraction is critical for dental treatment complications followed by immediate implant placement to restore the extracted tooth . The use of devices or instruments such as piezotome and periotome as aids in atraumatic surgical proceduresو conserving both bone and soft tissue, allowing extraction without unnecessary socket expansion. Immediate implant placement into fresh extraction sockets offers some esthetic and functional advantages. the Aim of this study is to compare and evaluate the effectiveness of the piezotome and periotome as aids for atraumatic extraction in immediate implant placement in maxillary anterior teeth.

Conditions

Implant-supported Single Crowns; Piezotome

Keywords

tooth extraction; immediate implant; bone healing; piezotome

Outcome Measures

Primary Outcomes (1)

• Radiographic assessment of the management of the crestal bone width and changes in labial bone thickness.

  A postoperative CBCT will be taken within 24 hours of implant placement followed by a 6-months scan, and values will be compared with the preoperative record. The assessment will be conducted using the tools on the "On Demand 3D App." Software\*. The following criteria will be assessed:

  5 months

Secondary Outcomes (1)

• Clinical Wound Healing

  21 days

Study Arms (2)

Atraumatic extraction with piezotome and subsequently immediate implant placement

ACTIVE COMPARATOR

Patients with maxillary anterior teeth will be atraumatically extracted with piezotome extraction, and subsequently immediate implant placement

Procedure: maxillary anterior teeth atraumatically extracted with piezotome extraction kit, and subsequent immediate implant placement

Atraumatic extraction with periotome and subsequently immediate implant placement

EXPERIMENTAL

Patients with maxillary anterior teeth will be atraumatically extracted with periotome, and subsequently immediate implant placement

Procedure: maxillary anterior teeth atraumatically extracted with periotome, and subsequent immediate implant placment

Interventions

maxillary anterior teeth atraumatically extracted with piezotome extraction kit, and subsequent immediate implant placement PROCEDURE

piezotome extraction kit,

Atraumatic extraction with piezotome and subsequently immediate implant placement

maxillary anterior teeth atraumatically extracted with periotome, and subsequent immediate implant placment PROCEDURE

periotome

Atraumatic extraction with periotome and subsequently immediate implant placement

Eligibility Criteria

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

You may qualify if:

• Patients of both gender with a non-restorable maxillary anterior tooth in the aesthetic zone indicated for extraction and subsequent immediate implant placement. Including those with:
• Severely carious tooth that it cannot be restored.
• Pulpal necrosis or irreversible pulpitis that is not amenable to endodontics.
• Periodontally involved Tooth with grade 2 mobility or above.
• Tooth with root caries that can't be restored.
• Patients with extraction socket Type I, according to Elian's classification

You may not qualify if:

• Patients with extraction socket Type II or III, with defect in the buccal plate
• Patients with deciduous teeth.
• Heavy smokers.
• Medically compromised patients with conditions that would impede implant osteointegration and healing.

Sponsors & Collaborators

• Alexandria University: lead

Study Sites (1)

Faculty of Dentistry, Alexandria University

Alexandria, Alexandria Governorate, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Sequentially numbered, opaque, sealed envelopes (SNOSE) allocation concealment method will be utilized. Each participant included in the study will be given a serial number that will be used in the allocation. These numbers will be written in identical sheets of paper with the group to which each participant is allocated and placed inside opaque envelopes carrying the respective names of participants. A trial independent personnel will be assigned the role of keeping the envelopes and unfolding them only at the time of the operation, so that the participant is allocated to a group which is concealed from the operator
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Patients with maxillary anterior teeth will be atraumatically extracted with piezotome extraction kit, and subsequently immediate implant placement

Study Record Dates

• First Submitted: May 17, 2025
• First Posted: June 27, 2025
• Study Start: October 1, 2024
• Primary Completion: September 30, 2025
• Study Completion: March 30, 2026
• Last Updated: December 16, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)