Immediate Implant Placement Using the Socket Shield Technique in Maxillary Esthetic Zone

NCT07082634 | Not Yet Recruiting

• 1 other identifier: 2025-H-0176-D-M-0796
• Study Type: interventional
• Target: 8
• Locations: 1 country
• Sites: 1

Brief Summary

Immediate implant placement in the esthetic zone is an approach that helps preserve soft and hard tissue architecture. However, post extraction bone resorption is still a significant challenge. The socket shield technique (SST) has emerged as a promising way for preserving the buccal plate, potentially improving implant stability and reducing radiographic bone loss. The aim of the present study is to evaluate the clinical and radiographic outcomes of the socket shield technique in the maxillary esthetic zone by assessing implant stability, radiographic bone loss as well as esthetic outcome over a specified follow-up period.

Conditions

Socket Shield Technique; Maxillary Esthetic Zone

Outcome Measures

Primary Outcomes (2)

• Change in pain scores

  Pain will be evaluated, using visual analogue scale (VAS) as follows: (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe) (Figure 1)

  baseline, 7, 14, and 21 days

• Change in implant stability

  The base line primary Implant Stability Quotient (ISQ) will be measured at the time of implant placement, while the secondary stability quotient will be measured after 6months during the prosthetic phase preparation.

  baseline and 6 months

Secondary Outcomes (3)

• Change in post operative healing

  baseline, 7, 14, and 21 days

• change in crestal alveolar process width

  baseline and 6 months

• change in labial bone thickness

  baseline and 6 months

Study Arms (1)

Socket shield and immediate implant

EXPERIMENTAL

Procedure: Socket shield concept and immediate implant placement

Interventions

Socket shield concept and immediate implant placement PROCEDURE

Tooth Sectioning: The tooth will be sectioned mesiodistally using a fissure bur, preserving the buccal segment. Palatal fragment extraction: carefully after sectioning the tooth , the palatal fragment is luxated and extracted with the most important factor is taking care of the buccal part not to become loose , the extraction is done using a periotome to be minimally invasive and to preserve the bone from major damage. Shield Preparation: The buccal fragment is reduced to bone level using a round bur, a beveled edge is created using a diamond football bur, and the shield is thinned to maintain structural integrity. Implant Site Preparation: Sequential osteotomy performed under copious irrigation, ensuring primary stability. Implant Placement: A Megagen implant is inserted

Socket shield and immediate implant

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with a non-restorable maxillary tooth in the aesthetic zone indicated for extraction and subsequent immediate implant placement.
• Patients with extraction socket Type I.
• A good standard of oral hygiene.

You may not qualify if:

• Patients with extraction socket Type II or III, with defect in the buccal plate.
• Absence of at least 2 mm bone apical to the extraction socket, necessary to obtain adequate primary stability for the implant assessed by pre-operative radiographic evaluation.
• The presence of any local factor that may interfere with extraction as tooth ankylosis.
• Patients with deciduous teeth.
• Patients with bruxism
• Heavy smokers.
• Systemic conditions that are considered as a contraindication for placement of implant or those that may interfere with wound healing and immunocompromised conditions and uncontrolled autoimmune diseases.
• History of oral or intravenous bisphosphonate therapy or any treatments with other medications that may interfere with bone metabolism within the past 12 months.
• Patients receiving radiotherapy or chemotheraphy.
• Patient with active infection or chronic infection with severe bone loss.

Sponsors & Collaborators

• Hams Hamed Abdelrahman: lead

Study Sites (1)

Beirut Arab University

Beirut, 11-5020, Lebanon

Location

Central Study Contacts

Mohamed M Issa, BDS

CONTACT

+961 76 476 204; mohamadmarwanissa@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer of Dental Public Health and biostatistical consultanat

Study Record Dates

• First Submitted: July 15, 2025
• First Posted: July 24, 2025
• Study Start: September 1, 2025
• Primary Completion (Estimated): June 1, 2026
• Study Completion (Estimated): June 1, 2026
• Last Updated: July 24, 2025

Record last verified: 2025-07

Locations

LE (1)