Vestibular Socket Therapy (VST) Versus Partial Extraction Therapy

Dental Implants Clinical Trial

Official title:

Vestibular Socket Therapy (VST) Versus Partial Extraction Therapy (PET) for Treating Fresh Extraction Sites With Thin Labial Plate of Bone With Immediate Implant Placement in the Esthetic Zone: A Randomized Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05112796
• Other study ID #: VST_PET_20
• Status: Completed
• Phase: N/A
• Start date: January 1, 2020
• Est. completion date: March 24, 2021

Study information

• Verified date: October 2021
• Source: Alexandria University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The current randomized clinical trial aimed to compare the VST versus Partial Extraction Therapy (PET) for immediate implant placement in the esthetic zone in class I fresh extraction sites. The primary outcome was the assessment of vertical dimensional changes in peri-implant soft tissue margin. The secondary outcome was the assessment of radiographic changes in the thickness of the facial peri-implant tissues.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 16
• Est. completion date: March 24, 2021
• Est. primary completion date: March 24, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• single hopeless maxillary tooth in the esthetic zone
• non-smokers
• systemically healthy
• Class I extraction sites

Exclusion Criteria:

• smoking
• Class II and III extraction sites
• hopeless teeth with acute infection or vertical/horizontal root fracture

Related Conditions & MeSH terms

• Dental Implants

Intervention

Procedure:
• Class I extractions sites received immediate implants using the Vestibular Socket Therapy
A 1-cm-long vestibular access incision was made using a 15c blade 3 to 4 mm apical to the mucogingival junction at the related socket. A subperiosteal tunnel was created connecting the socket orifice and the vestibular access incision
• class I extractions sites received immediate implants using the Partial Extraction Therapy
the hopeless tooth was decoronated 1 mm coronal to the gingival margin using a diamond bur. Then, the facial root segment was separated from the rest of the root using a Lindemann bur in gentle mesiodistal sweeping strokes from the gingival margin to the apex of the root, aiming to separate the palatal and the labial root segments.

Locations

Country	Name	City	State
Egypt	Private Practice Clinic	Alexandria

Sponsors (1)

Lead Sponsor	Collaborator
Hams Hamed Abdelrahman

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Changes in the peri-implant facial tissue thickness	through CBCT images (Carestream 8000D- Carestream Dental) that were taken at baseline and 6 months postoperatively	at baseline and 6 months