protocolSection identificationModule nctId: NCT06263842, orgStudyIdInfo id: KFSIRB200-132, briefTitle: Elamrousy Novel Approach of Socket Shield Technique, statusModule overallStatus: RECRUITING, startDateStruct date: 2024-02-10, primaryCompletionDateStruct date: 2025-02-10, completionDateStruct date: 2025-02-20, studyFirstPostDateStruct date: 2024-02-16, lastUpdatePostDateStruct date: 2024-03-12, sponsorCollaboratorsModule leadSponsor name: Kafrelsheikh University, class: OTHER, descriptionModule briefSummary: The current trial aim was to evaluate clinically and radiographically the changes around dental implants inserted immediately in maxillary anterior esthetic zone using a novel combination of autogenous whole tooth graft (AWTG) with socket shield approach (SSA) and compared this approach to socket shield technique with xenograft.The present study included 63 patients, aged 20 to 45, with teeth that needed to be extracted. After Kafrelsheikh University research ethics committee approval, patients were randomized into 3 groups: group I patients underwent immediate implantation using socket shield protocol, while group II patients underwent the same procedure, but the shield/fixture jumping gap was grafted by xenograft. finally group III was grafted by AWTG that was created using the decoronated crown and the extracted palatal portion of the tooth; and then placed in the peri-implant gap defect., conditionsModule conditions: Implant Complication, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: The present study included 63 participants, aged 20 to 45, with teeth that needed to be extracted. After Kafrelsheikh University research ethics committee approval, patients were randomized into 3 groups: group I patients underwent immediate implantation using SSA protocol without grafting, while group II was grafted by xenograft, but group II was grafted with AWTG was created using the decoronated crown and the extracted palatal portion of the tooth; and then placed in the peri-implant gap defect. Clinically, pink aesthetic score (PES), midfacial mucosal alterations (MFMA), stability quotient of dental implants (SQDI) were observed at baseline, six and twelve months after implantation. Moreover, baseline, 6- and 12-months alterations of radiographic horizontal buccolingual ridge width (HBLRW), facial marginal bone level (FMBL), peri-implant Density of bone (PIDB) and peri-implant vertical bone defect depth (PIVBDD) changes were assessed using cone beam computed tomography (CBCT)., primaryPurpose: TREATMENT, maskingInfo masking: DOUBLE, maskingDescription: neither participant nor the outcome assessor know the group distribution, whoMasked: PARTICIPANT, whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 63, type: ESTIMATED, armsInterventionsModule interventions name: modified Elamrousy approach for socket shield technique, interventions name: conventional socket shield, interventions name: combined socket shild with xenograft, outcomesModule primaryOutcomes measure: Stability Quotient of dental implant (SQDI), primaryOutcomes measure: pink esthetic score (PES), primaryOutcomes measure: Midfacial Mucosal Alterations, secondaryOutcomes measure: facial marginal bone level (FMBL), eligibilityModule sex: ALL, minimumAge: 25 Years, maximumAge: 40 Years, stdAges: ADULT, contactsLocationsModule locations facility: Walid Elamrousy, status: RECRUITING, city: Kafr Ash Shaykh, zip: 76130, country: Egypt, contacts name: walid elamrousy, phd, role: CONTACT, phone: +201005724781, email: Waled_Hammed@den.kfs.edu.eg, contacts name: mostafa fayed, bachelor, role: CONTACT, phone: +201063376252, geoPoint lat: 31.11174, lon: 30.93991, hasResults: False