Clinical trial NCT06881095: Immediate Dental Implant Installation With and Without Socket Shield Technique in Aesthetic Zone
Official title: Immediate Dental Implant Installation With and Without Socket Shield Technique in Aesthetic Zone
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Immediate Dental Implants
Thin Labial Plate of Bone Pre-extraction
Hopeless Tooth in Esthetic Zone
Keywords: socket shield technique
partial extraction therapy
immediate dental implant
Lead sponsor: Tanta University
Sponsor class: OTHER
First posted: 2025-03-18
Enrollment: 24
Sex: ALL
Minimum age (years): 18
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: non restorable anterior teeth with thin labial plate of bone
Primary purpose: TREATMENT

Brief summary: 20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation using either the immediate implant with socket shield technique or the conventional immediate dental implant.

the socket shield technique group (study group): 10 patients will have immediate implant placement with the socket shield technique.

* conventional immediate dental implant technique (control group): 10 patients will have immediate implant placement with conventional technique.

Detailed description: 20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation randomized to two groups immediate dental implant with the socket shield technique group (study group): 10 patients will have immediate implant placement with socket shield technique.

* conventional immediate dental implant technique (control group): 10 patients will have immediate implant placement with conventional technique without socket shield technique.

preparation of shield: the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds, Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest.

The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants and the root section was checked for immobility with a sharp probe.

After completion of the previous steps, the tooth root here will be known as the socket- shield (SS). An osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted palatal to the SS.

Eligibility criteria: Inclusion Criteria:

- 1. Non restorable maxillary anterior teeth without periapical pathology that may affect the success of dental implants.

2. Interarch space enough for prosthetic rehabilitation. 3. Presence of posterior teeth or prosthesis that maintain occlusal bite. 4. Adult patients. 5. Good oral hygiene.

Exclusion Criteria:

- 1. Edentulous anterior maxillary region. 2. Bad oral hygiene. 3. Patients with any relevant systemic diseases that affect soft tissue or bone healing.

4. Patients with parafunctional habits (bruxism and clenching). 5. Uncooperative patients. 6. Heavy smokers.

Primary outcomes:
measure: labial bone thickness
timeFrame: 6 months
measure: marginal bone loss
timeFrame: 6 months
Secondary outcomes:
measure: bone density around dental implant
timeFrame: 6 months
measure: implant secondary stability
timeFrame: 6 months
measure: implant success
timeFrame: 6 months
Other outcomes:
Locations:
city: Tanta
country: Egypt
facility: Faculty of Dentistry
Study officials:
affiliation: faculty of dentistry tanta university
name: islam ahmed abo elela, master study
role: PRINCIPAL_INVESTIGATOR
affiliation: faculty of dentistry tanta university
name: Ibrahim mohammed nowair, professor
role: PRINCIPAL_INVESTIGATOR
affiliation: faculty of dentistry tanta university
name: Rafic ramadan bedir, professor
role: PRINCIPAL_INVESTIGATOR
affiliation: faculty of dentistry tanta university
name: Wesam Hamed Elsaadany, lecturer
role: PRINCIPAL_INVESTIGATOR
References: