Vestibular Socket Therapy With Simultaneous Implant Placement Versus Contour Augmentation With Early Implant Placement

Study Overview
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Brief Summary
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immediate implant placement with VST technique versus early implant placement with contour augmentation in fresh extraction sockets in the esthetic zone.

Detailed Description
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comparing VST technique with immediate implant placement that end up with final crown after 2 months with contour augmentation with early implant placement after 4- 8 weeks of soft tissue healing , then after 3 months final crown delivery both in fresh extraction sockets in the esthetic zone .

Official Title
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Vestibular Socket Therapy With Simultaneous Implant Placement Versus Contour Augmentation With Early Implant Placement in Fresh Extraction Sockets : A Randomized Clinical Trial

Conditions
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Loss of Teeth Due to Extraction

Intervention / Treatment
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* Procedure: immediate implant


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Non-restorable maxillary teeth in the esthetic zone Intact adjacent teeth Adequate palatal and apical bone that allows achieving implant primary stability. Compromised sockets type II defect (Nicolas Elian 2007) ≥18 years Systemically healthy patients Exclusion Criteria: Extraction sockets with acute or chronic infection or with adjacent infected teeth Heavy Smokers > than 10 cigarettes daily Cancer patients undergoing radiotherapy or chemotherapy during or within the last 6 months. Unmotivated patients to maintain adequate oral hygiene to follow up. Patients with physical disabilities that could affect follow up.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

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: VST with immediate implant placement versus contour augmentation with early implant placement in fresh extraction sockets in esthetic zone.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: vestibuler socket therapy<br>immediate implant placement in esthatic zone with final crown placement after 2 months with VST technique | Procedure: immediate implant<br>* immediate implant placement with VST technique versus early implant placement with contour augmentation technique<br>|
| Experimental: contour augmentation<br>Early implant placement in esthatic zone with contour augmentation and final crown after 3 months of implant placement | Procedure: immediate implant<br>* immediate implant placement with VST technique versus early implant placement with contour augmentation technique<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Implant survival | If there is no pain or tenderness on use, no mobility, no history of exudates and radiographic bone loss is less than 2 mm from initial surgery implant the implant is considered successful | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in the height and thickness of the labial plate of bone | will be measured by superimposing CBCT images obtained at the baseline (time of tooth extraction) and those after 12 months postimplant placement. | 12 months | 
| Changes in soft tissue height | were identified midfacially and at the apex of the mesial and distal papillae by superimposing the STL (Standard Triangle Language) files of the models, obtained via IOS, at the baseline (of the unrestorable tooth) with those after 12 months of implant insertion | 12 months |