Immediate Implant vs.Socket Shield Technique in Esthetic Zone

Study Overview
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Brief Summary
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immediate implant placement versus socket shield approach

Detailed Description
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This study was a randomized controlled clinical trial; patients were randomly allocated to two groups: the study group: ten dental implants were placed in the maxillary esthetic zone, implants were placed using the socket shield technique with immediate loading; and the control group: ten implants were placed immediately with immediate loading. Preoperative and 6 months postoperative CBCT were performed for both groups to assess the dimensional changes in the labial bone plates. Implant stability quotients (ISQs), pink esthetic scores and attachment loss were measured at the time of implant placement and 6 months postoperatively.

Official Title
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Evaluation of Immediate Loaded Implants Placed Using the Socket Shield Technique in the Esthetic Zone

Conditions
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Bone Loss

Intervention / Treatment
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* Procedure: socket sheild


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients of 20-45 years of both sexes. Good oral hygiene Demonstrating non-restorable maxillary anterior single rooted teeth in the esthetic zone with as far diagnosable. Fairly intact buccal periodontal tissues. Patients' acceptance to sign the informed consent. Labial bone plates less than 1.5 mm in thickness or cases with labial root curvatures. Intact root with no mobility in the tooth and no sub-gingival caries. Exclusion Criteria: Patients with systemic diseases that would interfere with the normal healing such as uncontrolled diabetes mellitus. History of radiation therapy to the head and neck. No history of bruxism/ para-functional habits. (119) Teeth with periodontal disease, vertical root fracture, horizontal fracture at or below the bone level, and teeth with local pathologic incidents that affect the labial part of the root as external or internal root resorption were also excluded. Maxillary 1st and 2nd premolars. Pregnant and lactating females.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 45 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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Study group (socket shield) vs. Control group (immediate implants)
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: control group<br>immediate implant placement | Procedure: socket sheild<br>* the socket shield technique, in which a partial root fragment was retained around an immediately placed implant with the aim of avoiding tissue alterations after tooth extraction. Histologic evaluation in a beagle dog showed no resorption of the root fragment and new cementum formed on the implant surface.<br>* Other names: partial extraction therapies;|
| Active Comparator: study group<br>socket shield immediate implant placement | Procedure: socket sheild<br>* the socket shield technique, in which a partial root fragment was retained around an immediately placed implant with the aim of avoiding tissue alterations after tooth extraction. Histologic evaluation in a beagle dog showed no resorption of the root fragment and new cementum formed on the implant surface.<br>* Other names: partial extraction therapies;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| radiographic bone level | vertical and horizontal bone loss | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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socket shield