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NCT Number: NCT07041879

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

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.

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This study is active but is not currently recruiting participants.

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Key information

Conditions

Piezotome Implant-supported Single Crowns

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Dentistry, Alexandria University

Alexandria, Alexandria Governorate, Egypt

About this study

30 patients with non-restorable maxillary anterior teeth will be included. Teeth will be extracted using an atraumatic tooth extraction using piezotome and periotome as aids in atraumatic surgical procedures. After that an immediate implant will be placed into the fresh extraction socket . patients will be recalled for follow-up 3months after implant placement to evaluate pain by VAS and evaluate bone healing using CBCT.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 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

Exclusion criteria

  • 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.

Treatment and study plan

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

Procedure

piezotome extraction kit,

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

Procedure

periotome

Primary outcomes

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

    Time frame: 5 months

    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:

Secondary outcomes

  1. Clinical Wound Healing

    Time frame: 21 days

    All patients will be recalled for a clinical follow-up period at 7, 14, and 21 days postoperative for the assessment of Wound healing using the Pink Esthetic Score (PES)

Sponsors and collaborators

Lead sponsor

Alexandria University

Other

Registry information

Official study title

Piezotome Atraumatic Tooth Extraction And Immediate Implant Placement In Maxillary Anterior Region: Randomized Clinical Trial

Important dates

Study start
2024
Primary completion
2025
Study completion
2026
First posted
Jun 27, 2025
Registry last updated
Dec 16, 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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