Evaluation of Socket Shield Technique With Immediate Implant Placement in the Esthetic Zone

Alveolar Bone Resorption Clinical Trial

Official title:

Evaluation of Socket Shield Technique With Immediate Implant Placement in the Esthetic Zone

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05409950
• Other study ID #: HR-1
• Status: Completed
• Phase: N/A
• Start date: September 16, 2019
• Est. completion date: September 7, 2021

Study information

• Verified date: June 2022
• Source: Egyptian Russian University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: September 7, 2021
• Est. primary completion date: January 6, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 21 Years to 65 Years

Eligibility

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.

Related Conditions & MeSH terms

• Alveolar Bone Resorption
• Bone Resorption

Intervention

Procedure:
• Immediate implant placement using socket shield technique
Evaluation of socket shield technique with immediate implant placement at the esthetic zone in comparison with the conventional immediate implant placement

Locations

Country	Name	City	State
Egypt	Suez canal university	Ismailia

Sponsors (1)

Lead Sponsor	Collaborator
Egyptian Russian University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Implant stability	Using osstell	immediate postoperative
Primary	Implant stability	Using osstell	one month post-operative
Primary	Implant stability	Using osstell	three month post-operative
Primary	Implant stability	Using osstell	six month post-operative
Primary	Horizontal gap	Using cone-beam computed tomography	immediate postoperative
Primary	Horizontal gap	Using cone-beam computed tomography	six month post-operative
Primary	Vertical bone loss	Using cone-beam computed tomography	immediate postoperative
Primary	Vertical bone loss	Using cone-beam computed tomography	six month post-operative
Primary	Bone density	Using cone-beam computed tomography	immediate postoperative
Primary	Bone density	Using cone-beam computed tomography	six month post-operative
Primary	peri-implant probing depth	using periodontal probe	immediate postoperative
Primary	peri-implant probing depth	using periodontal probe	one month post-operative
Primary	peri-implant probing depth	using periodontal probe	three month post-operative
Primary	peri-implant probing depth	using periodontal probe	six month post-operative