Clinical trial NCT05409950: Evaluation of Socket Shield Technique With Immediate Implant Placement in the Esthetic Zone
Official title: Evaluation of Socket Shield Technique With Immediate Implant Placement in the Esthetic Zone
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Alveolar Bone Resorption
Keywords: Immediate implants, sockets shield technique, esthetic zone
Lead sponsor: Egyptian Russian University
Sponsor class: NETWORK
First posted: 2022-06-08
Enrollment: 20
Sex: ALL
Minimum age (years): 21
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

1. Endodontic or non-endodontic treated un-restorable remaining root/ tooth related to maxillary anterior teeth.
2. Healthy adult patients \> 20 years old (ASAI, II) .
3. Adequate oral hygiene.
4. Intact periodontal tissues.

Exclusion Criteria:

1. Periapical or periodontal active infection involving the teeth/root to be extracted (as excluded by radiographic examination).
2. Medically compromised patients (ASA III, IV, V).
3. Patients receiving chemotherapy or radiotherapy.
4. Heavy smokers,alcohol or drug abuse.
5. Patients with parafunctional habits such as bruxism, clenching, excessive gum chewing, lip or fingernail biting.

Primary outcomes:
measure: Implant stability
timeFrame: immediate postoperative
measure: Implant stability
timeFrame: one month post-operative
measure: Implant stability
timeFrame: three month post-operative
measure: Implant stability
timeFrame: six month post-operative
measure: Horizontal gap
timeFrame: immediate postoperative
measure: Horizontal gap
timeFrame: six month post-operative
measure: Vertical bone loss
timeFrame: immediate postoperative
measure: Vertical bone loss
timeFrame: six month post-operative
measure: Bone density
timeFrame: immediate postoperative
measure: Bone density
timeFrame: six month post-operative
measure: peri-implant probing depth
timeFrame: immediate postoperative
measure: peri-implant probing depth
timeFrame: one month post-operative
measure: peri-implant probing depth
timeFrame: three month post-operative
measure: peri-implant probing depth
timeFrame: six month post-operative
Secondary outcomes:
Other outcomes:
Locations:
city: Ismailia
country: Egypt
facility: Suez canal university
Study officials:
References: