Immediate Implant Placement With Immediate Professionalization in Aesthetic Area

Study Overview
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Brief Summary
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Immediate implant placement with immediate professionalization in the maxillary esthetic zone using mixture of allograft and xenograft vs xenografts to augment the jumping gap

Detailed Description
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Implant placement in fresh extraction sockets in conjunction with appropriate guided bone regeneration has many benefits, which ultimately affect the total treatment plan. The immediate placement of implants provides significant advantages, including fewer surgical procedures, shorter treatment time, and improved esthetics. The goals of osseous replacement are maintenance of contour, elimination of dead space, and reduce postoperative infection, provide good support for dental implant and enhance bony and soft tissue healing. allograft bone has gold standard over other augment techniques including favorable bone quality and minimal bone resorption.

Official Title
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Immediate Implant Placement With Immediate Professionalization in the Maxillary Esthetic Zone Using Mixture of Allograft and Xenograft vs Xenografts to Augment the Jumping Gap

Conditions
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Implant Site Reaction

Intervention / Treatment
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* Other: immediate implant using mixed allograft and xenograft


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult patients with badly broken teeth in upper esthetic zone indicated for extraction, presence of at least 4 mm of bone beyond the root apex to guarantee implant primary stability, implant placement within the alveoli confines. Both sexes. No intraoral soft and hard tissue pathology. No systemic condition that contraindicate implant placement. Exclusion Criteria: Presence of fenestrations or dehiscence of the residual bony Walls after extraction. Heavy smokers more than 20 cigarettes per day .(24) Patients with systemic disease that may affect normal healing. Psychiatric problems Disorders to implant are related to history of radiation therapy to the head and neck neoplasia, or bone augmentation to implant site.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 60 Years

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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: jumping gap area in aesthetic area
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: immediate implant placement with xenograft<br>Immediate implant placement with the use of xenograft as grafting material | Other: immediate implant using mixed allograft and xenograft<br>* immediate implant using mixed allograft and xenograft in anterior area to fill jumping area<br>|
| Experimental: immediate implant using mixed allograft and xenograft<br>Immediate implant placement with using mixture of allograft and xenograft material | Other: immediate implant using mixed allograft and xenograft<br>* immediate implant using mixed allograft and xenograft in anterior area to fill jumping area<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Crestal bone loss | Will be measured using calliper with scale(1-10mm) for evaluation of crestal bone loss around implant which are the lower values represent a better outcome. | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient satisfaction | Will be measured using a satisfaction table chart which divided in 4 paraments with scale from 1-4 include( pain-infection-radiography-successful implant ),the number represent (4 excellent-3 very good -2 good-1 bad) | 1 year |