Immediate Implant Placement With Immediate Loading With and Without Connective Tissue Graft

Study Overview
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Brief Summary
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extraction of badely decayed anterior teeth immediate implant placement with immediate temporaization

Detailed Description
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Intra-operative procedure: Local anesthesia will be injected intra-orally at the implant site. Atraumatic extraction of badley decayed teeth in the aesthetic area . For group A : traditional drilling for immediate implant placement . immediate temporization . For group B : traditional drilling for immediate implant placement . immediate temporization . subepithelial connective tissue graft from the palate .

Official Title
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Aesthetic Outcome of Immediate Implant Placement With Immediate Loading With and Without Sub Epithelial Connective Tissue Graft

Conditions
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Pateint With Badely Decayed Anterior Teeth

Intervention / Treatment
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* Procedure: sub epithelial connective tissue graft


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with non-restorable maxillary anterior teeth indicated for implant placement. Both sexes. No intraoral soft and hard tissue pathology. No systemic condition that contraindicate implant placement. Exclusion Criteria: Patients with systemic disease that may affect bone quality. Patients with poor oral hygiene and active periodontal diseases. Heavy smokers more than 20 cigarettes per day.
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: This study will be conducted on patients with badely decayed teeth in aesthetic zone and need immediate fixed restoration . This study is to be conducted in Dental Implant Clinic, Faculty of Dentistry, Cairo University, Egypt. All the patients will be entailed about the study and given their approval to participate on written consent.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: temporization without soft tissue graft<br>Local anesthesia will be injected intra-orally at the implant site. Atraumatic extraction of badley decayed teeth in the aesthetic area traditional drilling for immediate implant placement . immediate temporization . | |
| Active Comparator: temporization with soft tissue graft<br>Local anesthesia will be injected intra-orally at the implant site. Atraumatic extraction of badley decayed teeth in the aesthetic area traditional drilling for immediate implant placement . immediate temporization . subepithelial connective tissue graft from the palate . | Procedure: sub epithelial connective tissue graft<br>* Local anesthesia will be injected intra-orally at the implant site. Atraumatic extraction of badley decayed teeth in the aesthetic area traditional drilling for immediate implant placement . immediate temporization . subepithelial connective tissue graft from the palate<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pink esthetics | evaluation of esthetic outcome using pink esthetic score | every 2 weeks for 3 months |