Evaluation of Socket Shield Technique With Immediate Implant Placement in the Esthetic Zone

Study Overview
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Brief Summary
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The study was conducted on 20 immediate implant placement sites in the anterior maxillary region. In the study group, 10 implants were inserted using socket shield technique, while in control group, 10 implants were inserted using conventional immediate placement technique. All patients received immediate and 6 months post-operative CBCT to assess horizontal bone loss, vertical bone loss, and measurement of bone density. Implant stability quotients (ISQs) was measured immediately, 1st, 3rd and 6 months post-operatively.

Detailed Description
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Unrestorable tooth extraction with immediate implant placement is considered one of the best treatment options in restoring the esthetics and function. Extraction socket resorption is considered a challenging procedure when it involves the esthetics zone. The preservation of the entire attachment apparatus for complete preservation of the alveolar ridge makes socket shield technique a promising procedure that helps to maintain anatomy, esthetics and function. Socket shield technique, eliminate the negative consequences of bone resorption of the buccal plate of bone; leading to maintaining hard and soft tissue contours and provides a perfect pleasing esthetic result with good function. It is a highly promising technique in terms of maintaining pink and white esthetics through preservation of the interdental papilla during preparation of the interdental socket shield. It is considered a minimally invasive surgical procedure and offers the advantages of immediate implant placement.

Official Title
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Evaluation of Socket Shield Technique With Immediate Implant Placement in the Esthetic Zone

Conditions
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Alveolar Bone Resorption

Intervention / Treatment
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* Procedure: Immediate implant placement using socket shield technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Endodontic or non-endodontic treated un-restorable remaining root/ tooth related to maxillary anterior teeth. Healthy adult patients > 20 years old (ASAI, II) . Adequate oral hygiene. Intact periodontal tissues. Exclusion Criteria: Periapical or periodontal active infection involving the teeth/root to be extracted (as excluded by radiographic examination). Medically compromised patients (ASA III, IV, V). Patients receiving chemotherapy or radiotherapy. Heavy smokers,alcohol or drug abuse. Patients with parafunctional habits such as bruxism, clenching, excessive gum chewing, lip or fingernail biting.

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 65 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
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Study group: implants were inserted using socket shield technique at the esthetic zone<br> | Procedure: Immediate implant placement using socket shield technique<br>* Evaluation of socket shield technique with immediate implant placement at the esthetic zone in comparison with the conventional immediate implant placement<br>|
| No Intervention: Control group: implants were inserted using conventional immediate technique<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Implant stability | Using osstell | immediate postoperative | 
| Implant stability | Using osstell | one month post-operative | 
| Implant stability | Using osstell | three month post-operative | 
| Implant stability | Using osstell | six month post-operative | 
| Horizontal gap | Using cone-beam computed tomography | immediate postoperative | 
| Horizontal gap | Using cone-beam computed tomography | six month post-operative | 
| Vertical bone loss | Using cone-beam computed tomography | immediate postoperative | 
| Vertical bone loss | Using cone-beam computed tomography | six month post-operative | 
| Bone density | Using cone-beam computed tomography | immediate postoperative | 
| Bone density | Using cone-beam computed tomography | six month post-operative | 
| peri-implant probing depth | using periodontal probe | immediate postoperative | 
| peri-implant probing depth | using periodontal probe | one month post-operative | 
| peri-implant probing depth | using periodontal probe | three month post-operative | 
| peri-implant probing depth | using periodontal probe | six month post-operative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Immediate implants, sockets shield technique, esthetic zone