Vestibular Socket Therapy With and Without Bone Grafting

Study Overview
=================
Brief Summary
-----------------
Management of the jumping gap in the Vestibular Socket Therapy. And to study what is the best technique to manage this gap for optimal esthetic result.

Detailed Description
-----------------
22 patients were randomly assigned to Group 1: Had received implants with the vestibular socket technique accompanied with bone grafting the jumping gap between the implant and the labial membrane. Group 2: Had received implants with the vestibular socket technique, but without bone grafting the jumping gap. Facial bone thickness and height were evaluated using CBCT scans at baseline before tooth extraction and after 6 and 13 months

Official Title
-----------------
Immediate Implant Placement Using Vestibular Socket Therapy With and Without Bone Grafting (Randomized Controlled Clinical Trial)

Conditions
-----------------
Tooth Extraction

Intervention / Treatment
-----------------
* Procedure: vestibular socket technique with bone grafting
* Procedure: vestibular socket technique without bone grafting


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: presence of a hopeless tooth or teeth in the esthetic zone (maxillary anterior area) No active infection Adequate bone palatally and apically Presence of contralateral tooth for the tooth being replaced Exclusion Criteria: Hopeless tooth with acute infection heavy smokers (more than 10 cigarettes per day) pregnant and patients received recent chemotherapy/radiotherapy (during the previous year)

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: vestibular socket technique with bone grafting<br> | Procedure: vestibular socket technique with bone grafting<br>* a vestibular horizontal incision was made then a subperiosteal tunnel was created and a facial bone membrane was placed. The facial gap was filled with a mixture of autogenous bone and deproteinized bovine bone mineral<br>|
| Active Comparator: vestibular socket technique without bone grafting<br> | Procedure: vestibular socket technique without bone grafting<br>* the vestibular incision was done horizontally about 3 to 4 mm apical to the mucogingival junction and extending 5 to 10 mm horizontally. A submucoperiosteal tunnel was created labially from the socket orifice till the vestibular access incision<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Facial bone thickness | using CBCT scans (Carestream 8000D, Carestream Dental) | baseline, 6 months and 13 months | 
| Change in Facial bone height | using CBCT scans (Carestream 8000D, Carestream Dental) | baseline, 6 months and 13 months |