Clinical trial NCT06658860: Alveolar Ridge Changes Post Tooth Extraction With Socket Shield Without Immediate Implant Placement"
Official title: Dimensional Changes of Alveolar Ridge After Tooth Extraction Using the Socket Shield Technique Without Immediate Implant Placement.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Alveolar Ridge Resorption After Extraction
Keywords: Tooth Extraction
Modified Socket Shield Technique
Lead sponsor: Mansoura University
Sponsor class: OTHER
First posted: 2024-10-26
Enrollment: 80
Sex: ALL
Minimum age (years): 18
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This study followed a parallel-group design. Participants were randomly assigned to two groups: one received the modified socket shield technique and the other received conventional extraction without the socket shield. Both groups were monitored after 6 months to compare alveolar ridge preservation outcomes, with delayed implant placement performed in both groups at 6 months after tooth extraction.
Primary purpose: TREATMENT

Brief summary: This study aimed to evaluate the dimensional changes in the alveolar ridge after tooth extraction using the socket shield technique without immediate implant placement. The changes using CBCT were assessed, focusing on the preservation of the ridge for delayed implant placement. This research could help improve dental implant outcomes by preserving bone and soft tissue structures."

Detailed description: "In this clinical trial, the dimensional changes in the alveolar ridge following tooth extraction were investigated using the socket shield technique. The socket shield technique involved partial retention of the root structure to preserve the surrounding bone and soft tissues. No immediate implant placement was performed, and the ridge changes were assessed at multiple time points through CBCT scans. The study included a specified sample size, and participants underwent a follow-up of 6 months after socket shield preparation. This research aimed to provide insights into how well the socket shield technique preserves ridge dimensions over time, potentially optimizing future implant stability."

Eligibility criteria: Inclusion Criteria:

* Non-restorable teeth in the esthetic region.
* The buccal periodontal tissues were intact.
* Maintaining oral hygiene.

Exclusion Criteria:

* The usual limitations for oral surgery.
* Tooth having a vertical fracture of the root on the facial aspect.
* Tooth having horizontal fracture of the root extending below the level of the bone.
* Caries on the root segment to be maintained.
* Mobility of the tooth.
* Bruxism.

Primary outcomes:
measure: Alveolar Ridge Width Changes
timeFrame: 6 months post-extraction
measure: Bone Plate Height Changes
timeFrame: 6 months post-extraction
Secondary outcomes:
measure: Primary Implant Stability
timeFrame: At the time of implant placement, typically 6 months post-extraction.
Other outcomes:
Locations:
city: Mansoura
country: Egypt
facility: Faculty of Dentistry, Mansoura University
state: Dakahlia
Study officials:
affiliation: Faculty of dentistry, Mansoura university
name: Soaad T Badawi, Lecturer, Oral Surgery, MU
role: PRINCIPAL_INVESTIGATOR
References:
citation: de Oliveira GB, Rebello IMC, Montanha Andrade K, Araujo NS, Dos Santos JN, Cury PR. Evaluation of alveolar process resorption after tooth extraction using the socket shield technique without immediate installation of implants: a randomised controlled clinical trial. Br J Oral Maxillofac Surg. 2021 Dec;59(10):1227-1232. doi: 10.1016/j.bjoms.2021.04.001. Epub 2021 Apr 8.