Immediate Implant With no Graft , Autogenous Graft or Xenograft.

Study Overview
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Brief Summary
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Immediate implant placement with no graft , autogenous graft or xenograft with provisionalization.

Detailed Description
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Immediate implant placement in maxillary esthetic zone without augmenting the jumping gap versus the use of autogenous bone particulates or demineralized bovine bone graft (Randomized Clinical Trial)

Official Title
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Immediate Implant Placement in Maxillary Esthetic Zone Without Augmenting the Jumping Gap Versus the Use of Autogenous Bone Particulates or Demineralized Bovine Bone Graft (Randomized Clinical Trial)

Conditions
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Dental Diseases

Intervention / Treatment
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* Procedure: control group
* Procedure: study group
* Procedure: study group 2


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients with non-restorable teeth Exclusion Criteria: intra oral pathology and systemic conditions that contraindicate dental implants.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: Immediate implant placement in maxillary esthetic zone without augmenting the jumping gap versus the use of autogenous bone particulates or demineralized bovine bone graft.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: control group<br>under local anaesthesia patients hopeless teeth are be extracted. then immediate implant is palced with no graft and immediate temporary prothesis is loaded upon the immediate implants.implant stability is evaluated immediately and 3 months post operatively | Procedure: control group<br>* immediate implant with immediate loading using no graft<br>|
| Active Comparator: study group<br>under local anaesthesia patients hopeless teeth are be extracted. then immediate implant is palced with autogenous bone graft and immediate temporary prothesis is loaded upon the immediate implants.implant stability is evaluated immediately and 3 months post operatively | Procedure: study group<br>* immediate implant with immediate loading using autogenous bone graft<br>|
| Active Comparator: study group 2<br>under local anaesthesia patients hopeless teeth are be extracted. then immediate implant is palced withxenograft and immediate temporary prothesis is loaded upon the immediate implants.implant stability is evaluated immediately and 3 months post operatively | Procedure: study group 2<br>* immediate implant with immediate loading using (Geistlich Bio-Oss®) xenograft<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| evaliuation of labial bone changes | Evaluation the thickness of the facial bony wall by millimeter in the CBCT | 6 month | 
| evaluation of marginal bone changes | evaluation of interproximal bone changes by millimeter in the CBCT | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pink aesthetic score | evaluation of soft tissue changes surround implant by pink aesthetic score | 6 month |