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Completed

NCT Number: NCT05409950

Evaluation of Socket Shield Technique With Immediate Implant Placement in the Esthetic Zone

The study was conducted on 20 immediate implant placement sites in the anterior maxillary region. In the study group, 10 implants were inserted using socket shield technique, while in control group, 10 implants were inserted using conventional immediate placement technique. All patients received immediate and 6 months post-operative CBCT to assess horizontal bone loss, vertical bone loss, and measurement of bone density. Implant stability quotients (ISQs) was measured immediately, 1st, 3rd and 6 months post-operatively.

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Key information

Conditions

Alveolar Bone Resorption

Age range

21 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Suez canal university

Ismailia, Egypt

About this study

Unrestorable tooth extraction with immediate implant placement is considered one of the best treatment options in restoring the esthetics and function. Extraction socket resorption is considered a challenging procedure when it involves the esthetics zone. The preservation of the entire attachment apparatus for complete preservation of the alveolar ridge makes socket shield technique a promising procedure that helps to maintain anatomy, esthetics and function. Socket shield technique, eliminate the negative consequences of bone resorption of the buccal plate of bone; leading to maintaining hard and soft tissue contours and provides a perfect pleasing esthetic result with good function. It is a highly promising technique in terms of maintaining pink and white esthetics through preservation of the interdental papilla during preparation of the interdental socket shield. It is considered a minimally invasive surgical procedure and offers the advantages of immediate implant placement.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Endodontic or non-endodontic treated un-restorable remaining root/ tooth related to maxillary anterior teeth.
  • Healthy adult patients > 20 years old (ASAI, II) .
  • Adequate oral hygiene.
  • Intact periodontal tissues.

Exclusion criteria

  • Periapical or periodontal active infection involving the teeth/root to be extracted (as excluded by radiographic examination).
  • Medically compromised patients (ASA III, IV, V).
  • Patients receiving chemotherapy or radiotherapy.
  • Heavy smokers,alcohol or drug abuse.
  • Patients with parafunctional habits such as bruxism, clenching, excessive gum chewing, lip or fingernail biting.

Treatment and study plan

Immediate implant placement using socket shield technique

Procedure

Evaluation of socket shield technique with immediate implant placement at the esthetic zone in comparison with the conventional immediate implant placement

Primary outcomes

  1. Implant stability

    Time frame: immediate postoperative

    Using osstell

  2. Implant stability

    Time frame: one month post-operative

    Using osstell

  3. Implant stability

    Time frame: three month post-operative

    Using osstell

  4. Implant stability

    Time frame: six month post-operative

    Using osstell

  5. Horizontal gap

    Time frame: immediate postoperative

    Using cone-beam computed tomography

  6. Horizontal gap

    Time frame: six month post-operative

    Using cone-beam computed tomography

  7. Vertical bone loss

    Time frame: immediate postoperative

    Using cone-beam computed tomography

  8. Vertical bone loss

    Time frame: six month post-operative

    Using cone-beam computed tomography

  9. Bone density

    Time frame: immediate postoperative

    Using cone-beam computed tomography

  10. Bone density

    Time frame: six month post-operative

    Using cone-beam computed tomography

  11. peri-implant probing depth

    Time frame: immediate postoperative

    using periodontal probe

  12. peri-implant probing depth

    Time frame: one month post-operative

    using periodontal probe

  13. peri-implant probing depth

    Time frame: three month post-operative

    using periodontal probe

  14. peri-implant probing depth

    Time frame: six month post-operative

    using periodontal probe

Sponsors and collaborators

Lead sponsor

Egyptian Russian University

Network

Registry information

Important dates

Study start
2019
Primary completion
2021
Study completion
2021
First posted
Jun 8, 2022
Registry last updated
Jun 8, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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