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NCT Number: NCT06881095

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

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.

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Key information

Conditions

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

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Dentistry

Tanta, 3111, Egypt

About this study

20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation randomized to two groups immediate dental implant with 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 the previous steps, the tooth root here will be known as the socket- shield (SS). An osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted palatal to the SS.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • 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.

Exclusion criteria

  • 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.

Treatment and study plan

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

Other names: partial extraction therapy

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.

Primary outcomes

  1. labial bone thickness

    Time frame: 6 months

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

  2. marginal bone loss

    Time frame: 6 months

Secondary outcomes

  1. bone density around dental implant

    Time frame: 6 months

    bone density around dental implant by Cone beam computed tomography

  2. implant secondary stability

    Time frame: 6 months

    Secondary implant stability: will be recorded just after uncovery using Resonance frequency analysis (RFA) device * (Osstell).

  3. implant success

    Time frame: 6 months

    absence of infection, fistula formation or implant mobility

Sponsors and collaborators

Lead sponsor

Tanta University

Other

Registry information

Acronym: socket shield

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Mar 18, 2025
Registry last updated
Mar 18, 2025

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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