Socket Preservation Using Socket-plug Technique With Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket With Buccal Dehiscence.

Socket Preservation Using Socket-plug Technique with Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket with Buccal Dehiscence: A Randomized Controlled Clinical Trial.

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Key information

Conditions

Socket Preservation

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

this randomized controlled clinical trial evaluates the effect of using alloplastic putty bone with socket-plug technique versus ice-cream cone technique regarding dimensional changes in bone width

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

Single or double rooted teeth indicated for extraction.
Systemically free patient
Presence of small buccal dehiscence not exceeding 1/3 of the root.
Maxillary and Mandibular Arches
Non-smoker
Adults or above the age of 21.
Able to tolerate surgical periodontal procedures.
Full mouth plaque and bleeding scores less than 15%.
Compliance with the maintenance program.
Provide informed consent

Exclusion criteria

Systemic conditions/disease that contraindicate surgical procedure.
Patients with presence or history of osteonecrosis of the jaws, with use of bisphosphonates, exposure to head and neck radiation, chemotherapy.
Extraction socket with intact walls with no buccal dehiscence
Patients with large distinct pre-apical pathology
Heavy Smokers more than 10 cigarettes a day
Patients without availability to attend follow-up visits or patients rejecting to sign the informed consent.
Patients with parafunctional habits that produce overload on implant, such as bruxism and clenching.

Treatment and study plan

socket-plug technique with putty bone

Procedure

Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.
Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.
The socket walls are then inspected for the presence of buccal defects.
putty bone is injected into the socket up to the crest of the bone.
Collagen plug or sponge is adapted over the graft to occlude the socket
The plug is then stabilized with absorbable suture material.

Ice cream cone technique

Procedure

Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.
Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.
The socket walls are then inspected for the presence of buccal defects.
A Collagen barrier membrane is then shaped as an ice-cream cone and placed in the extraction socket lining the buccal tissues.
The socket is then filled with particulate bone graft.
The upper part of the membrane is then used to cover the socket.
Absorbable suture is then used to close the socket and stabilize the barrier membrane

Primary outcomes

Quantitative volumetric changes

Time frame: day 0 - month 6

Bone volumetric changes will be measured in millimeter by super-imposition of 3D scans using volume analysis software.

Secondary outcomes

Horizontal alveolar ridge width

Time frame: day 0 - month 6

Buccolingual alveolar ridge width will be measured in millimeter 1, 3, 5 mm bellow alveolar crest in both groups.
Vertical alveolar ridge height

Time frame: day 0 - month 6

Vertical alveolar ridge height will be measured in millimeter from the end of the socket to the alveolar crest in both groups.

Study contacts

Contact information is provided by the study sponsor or research team.

Abdelrahman Medhat

CONTACT

[email protected]

01117909725

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Socket Preservation Using Socket-plug Technique With Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket With Buccal Dehiscence: A Randomized Controlled Clinical Trial.

Important dates

Study start: 2025
Primary completion: 2025
Study completion: 2026
First posted: Oct 23, 2024
Registry last updated: Sep 23, 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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