: SOCKET SHIELD TECHNIQUE VERSUS EMPTY SOCKET TECHNIQUE

Study Overview
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Brief Summary
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To evaluate the clinical and radiographic outcomes of socket shield technique compared with conventional immediate implant placement.

Detailed Description
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To evaluate the clinical and radiographic outcomes of socket shield technique compared with conventional immediate implant placement. PICO P: patient require immediate dental implant placement for esthetic consideration I: socket shield technique C: conventional immediate implant placement O: Outcome name Measuring device Measuring unit Primary outcome Vertical and horizontal bone level Cone beam Computer Tomography (CBCT) Millimeter Secondary outcome (a) Pocket probing depth Periodontal probe Millimeter Secondary outcome (b) Labial Alveolar crestal bone height compared with the lingual side Cone beam Computer Tomography (CBCT) Millimeter

Official Title
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IMMEDIATE IMPLANT PLACEMENT IN THE ESTHETIC ZONE: SOCKET SHIELD TECHNIQUE VERSUS EMPTY SOCKET TECHNIQUE FOR PRESERVATION OF LABIAL ALVEOLAR BONE INTEGRITY

Conditions
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Dental Implant Placement, Socket Shield Technique Implant Placement

Intervention / Treatment
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* Procedure: implant placement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with remaining roots in the esthetic zone with intact periodontal condition indicated for extraction. Physically able to tolerate conventional surgical and restorative procedures Signing of an informed consent form Implant insertion torque > 32 N cm with good primary stability Exclusion Criteria: Systemic diseases contraindicating implant placement eg uncontrolled diabetes Severe bruxism Active infection in the teeth to be treated Vertical root fractures with displacement in the teeth of the surgical area
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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: socket shield (A)<br>Following local anesthetic infiltration opposite to the root to be extracted the root is sectioned in a mesiodistal direction along its long axis as far apical as possible. After sectioning the root into labial and palatal halves, the palatal half is removed with preservation of the labial root section. The labial half is prepared to be Flushing or 1mm above the labial alveolar crest. Then thinned slightly to a concave contour in an apico-coronal and mesiodistal direction. The implant will be inserted in place of the palatal half with the labial surface of the implant facing the labial root shield (root-implant interface) primary closure will not be attempted as the patients will undergo immediate non-functioning provisionization. | Procedure: implant placement<br>* implant placement<br>|
| Active Comparator: conventional immediate implant (B)<br>Following local anesthetic infiltration opposite to the root to be extracted non traumatic extraction of the tooth or remaining root by periotome. The implant fixture will be inserted in the empty socket by conventional manner. primary closure will not be attempted as the patients will undergo immediate non-functioning provisionization. | Procedure: implant placement<br>* implant placement<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Vertical and horizontal bone level |  | 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pocket probing depth |  | 9 months | 
| Labial Alveolar crestal bone height compared with the lingual side |  | 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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socket shield, volumetric tissue alteration, immediate implant