Comparison Between Socket Shield and Conventional Techniques in Immediate Implant Placement.

NCT07761442 | Recruiting DMC

• 1 other identifier: MU-EC Research No.1187
• Study Type: interventional
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this randomized clinical trial is to compare whether immediate implant placement using the socket-shield technique can better preserve bone density, bone level, and peri-implant tissue health compared to conventional immediate implant placement in patients requiring tooth extraction in the maxillary esthetic zone. This study is conducted in systemically healthy adult patients aged 20-60 years who have non-restorable maxillary anterior teeth indicated for immediate implant placement. The main questions this study aims to answer are: Does the socket-shield technique result in better peri-implant bone density and bone level preservation compared to the conventional immediate implant technique? Does the socket-shield technique lead to improved clinical peri-implant parameters, including probing depth, bleeding on probing, keratinized tissue width, and soft tissue thickness? participants will be divided into two groups: (both groups will receive immediate implant placement of a tooth requiring extraction in the maxillary esthetic zone.) First group: will recieve immediate implant using conventional technique. second group: will recieve immediate implant using socket shield technique. Participants will:

• Undergo clinical and radiographic examinations, including cone beam computed tomography (CBCT).
• Receive immediate implant placement using either the conventional technique or the socket-shield technique.
• Be followed up clinically and radiographically for 9 months to assess bone and soft tissue healing.
• Attend regular postoperative and follow-up visits for evaluation of implant stability and peri-implant tissue health.

Conditions

Bone Density; Bone Level; Peri-Implant Tissues; Socket Shield Technique Implant Placement; Immediate Implant Placement; Root Submergence Technique; Single Tooth Lost

Outcome Measures

Primary Outcomes (2)

• Change in Bone Density Around Immediate Implants.

  Assessment of bone mineral density using Gray scale values (GSV) derived from Cone Beam Computed Tomography (CBCT) scans. Measurements will be evaluated at the buccal bone adjacent to the retained root fragment (Socket Shield Group) and adjacent to the implant surface (Conventional Immediate Placement Group). The change will be calculated by subtracting the baseline value from the 9-month follow-up value. Unit of Measure: Gray scale values Time Frame: Baseline to 9 months post-implant placement Measure Description: Bone density measured using average gray values extracted from CBCT DICOM files at the buccal aspect of the implant site. Gray scale values reflect the radiographic attenuation/pixel intensity of the surrounding bone.

  At baseline of implant placement then after 9 months

• Change in Marginal Bone Level Around Immediate Implants.

  * Linear measurement of the distance from the implant platform to the first bone-to-implant contact point to assess crestal bone stability. * Unit of measure : Millimeters (mm).

  At baseline of implant placement then after 9 months.

Secondary Outcomes (5)

• Change in Probing Depth (PD)

  3 months, 6 months, and 9 months post-surgery.

• Modified Gingival Index (MGI)

  3 months, 6 months, and 9 months post-surgery.

• Modified Plaque Index (MPI)

  3 months, 6 months, and 9 months post-surgery.

• Gingival Thickness (GT)

  Baseline, 3 months, 6 months, and 9 months post-surgery.

• Width of Keratinized Tissue (KTW)

  Baseline, 3 months, 6 months, and 9 months post-surgery.

Study Arms (2)

GROUP I

ACTIVE COMPARATOR

Immediate Implant Placement Using Conventional Technique

Procedure: Conventional Technique

GROUP II

EXPERIMENTAL

Immediate Implant Placement Using Socket-Shield Technique

Procedure: Socket-Shield Technique

Interventions

Conventional Technique PROCEDURE

Immediate Implant Placement Using Conventional Technique

GROUP I

Socket-Shield Technique PROCEDURE

Immediate Implant Placement Using Socket-Shield Technique

GROUP II

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients aged between 20 and 60 years of both genders
• All participants should be systemically healthy, as assessed using the dental modification of the Cornell Medical Index.
• Gingival and periodontal health to be confirmed according to the criteria outlined in the new classification system proposed by Caton et al. (2018).
• Presence of non-restorable teeth due to trauma, complicated crowns or root fractures.
• Presence of extensive destructive caries making the tooth unsalvageable, particularly in esthetic zones.
• Clinical indication for immediate implant placement, especially in cases where minimizing post-extraction bone resorption and soft tissue collapse is critical.
• Availability of adequate interocclusal space to accommodate the necessary prosthetic components without occlusal interference.

You may not qualify if:

• (for socket-shield technique)
• Pregnant female.
• Patients with parafunctional habits (e.g., bruxism, clenching).
• Smokers.
• Teeth with clinical mobility.
• Teeth with root fractures extending below the alveolar bone level.
• Periodontal ligament space widening.
• Signs of internal or external root resorption.
• Current or previous periodontal disease

Sponsors & Collaborators

• Minia University: lead

Study Sites (1)

Minia University

Minya, Egypt

RECRUITING

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

Central Study Contacts

Omar I Wahedi

CONTACT

+201064769520; wahdi3031@gmail.com

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: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 15, 2025
• First Posted: August 12, 2026
• Study Start: October 20, 2025
• Primary Completion (Estimated): October 1, 2026
• Study Completion (Estimated): November 1, 2026
• Last Updated: August 12, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)