Health TrialsbyHealthPanel

Immediate Implant Placement Using the Socket Shield Technique in Maxillary Esthetic Zone

ConditionsSocket Shield TechniqueMaxillary Esthetic Zone
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-40
SponsorHams Hamed Abdelrahman

About this trial

Immediate implant placement in the esthetic zone is an approach that helps preserve soft and hard tissue architecture. However, post extraction bone resorption is still a significant challenge. The socket shield technique (SST) has emerged as a promising way for preserving the buccal plate, potentially improving implant stability and reducing radiographic bone loss. The aim of the present study is to evaluate the clinical and radiographic outcomes of the socket shield technique in the maxillary esthetic zone by assessing implant stability, radiographic bone loss as well as esthetic outcome over a specified follow-up period.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with a non-restorable maxillary tooth in the aesthetic zone indicated for extraction and subsequent immediate implant placement.

Patients with extraction socket Type I.

A good standard of oral hygiene.

Disqualifiers

Patients with extraction socket Type II or III, with defect in the buccal plate.

Absence of at least 2 mm bone apical to the extraction socket, necessary to obtain adequate primary stability for the implant assessed by pre-operative radiographic evaluation.

The presence of any local factor that may interfere with extraction as tooth ankylosis.

Patients with deciduous teeth.

Trial design

Design model

Single group

Treatments tested in this trial

  • Socket shield concept and immediate implant placement

    Procedure/Surgery

    Tooth Sectioning: The tooth will be sectioned mesiodistally using a fissure bur, preserving the buccal segment. Palatal fragment extraction: carefully after sectioning the tooth , the palatal fragment is luxated and extracted with the most important factor is taking care of the buccal part not to become loose , the extraction is done using a periotome to be minimally invasive and to preserve the bone from major damage. Shield Preparation: The buccal fragment is reduced to bone level using a round bur, a beveled edge is created using a diamond football bur, and the shield is thinned to maintain structural integrity. Implant Site Preparation: Sequential osteotomy performed under copious irrigation, ensuring primary stability. Implant Placement: A Megagen implant is inserted

Treatment groups

8 Participants
are divided into 1 treatment group
Group A: Socket shield and immediate implantExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in pain scores

Pain will be evaluated, using visual analogue scale (VAS) as follows: (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe) (Figure 1)

Time frame
baseline, 7, 14, and 21 days
2

Change in implant stability

The base line primary Implant Stability Quotient (ISQ) will be measured at the time of implant placement, while the secondary stability quotient will be measured after 6months during the prosthetic phase preparation.

Time frame
baseline and 6 months

Secondary outcomes

1

Change in post operative healing

The wound healing will be assessed based on Landry Wound Healing Index. The Landry Index uses a numerical score based on the assessment of four given parameters (Erythema., Edema, Wound Margin Adaptation, and Presence of Exudate). Each parameter is given a score depending on its severity, and the total score determine an overall evaluation of wound healing

Time frame
baseline, 7, 14, and 21 days
2

change in crestal alveolar process width

The width of the crestal alveolar process will be assessed by determination of the dimensional changes of Bucco-palatal ridge in the 6 months' scan. Measurements will be taken from the preoperative records and compared to those taken in the 6 month ones.

Time frame
baseline and 6 months
3

change in labial bone thickness

the assessment of the thickness labial plate of bone in the scan performed after 6 months and comparing it with the preoperative CBCT scans.

Time frame
baseline and 6 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Hams Hamed Abdelrahman

Lead sponsor

Alexandria University

Sponsor institution

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: