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Socket Shield Technique Versus Conventional Immediate Implant Placement in Thin Buccofacial Bone

NCT ID: NCT03264053

Last Updated: 2017-09-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-20

Study Completion Date

2018-12-01

Brief Summary

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Buccal bone is prone to resorb after tooth extraction specially with immediate tooth implantation which could compromise the esthetics of the patient. socket shield technique retains the buccal aspect of the extracted root fragment which may help in preventing the buccal bone from resorbing and prevent esthetics deterioration

Detailed Description

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The alveolar ridge resorbs and collapses following tooth removal which continues to be a major concern for practitioners. Many researchers concluded that buccal aspect of the ridge is more prone to resorption, as it is primarily supplied by the periodontal tissues and ligments of the tooth. Therefore, extraction of the hopeless tooth, may be a reason for buccal cortical plate resorbing at a faster rate than the palatal plate leading to its total degradation. This may lead to dimensional changes in the human ridge and the aesthetic area is highly affected by this process. Several techniques in the litreture were proposed to solve the problem of thin buccal bone resorption with or without immediate implantation in the aesthetic area. Some of these techniques are the guided bone and soft tissue regenraton and bone augmentation but proved to be slight aggressive with high morbidity rate. Recently, several papers were published concerning the socket shield technique explaining how to maintain the ridge width and height. Socket shield technique that was first introduced in 2010 aids at retaining the buccal fragment of root in place and intact thus placing the implant behind the lingual aspect of that fragment so that the periodontal ligments and tissues preserve its vitality and aids in preventing the collapsing of the buccal bone. This would help in improving aesthetics especially during immediate implant placment in the anterior maxillary region.

Conditions

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Crestal Bone Loss

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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SOCKET SHIELD TECHNIQUE

Socket shield is the surgical removal of the frontal aspect of the badly broken root and retaining the lingual aspect so as to prevent crestal bone loss with insertion of the dental implant behind it

Group Type EXPERIMENTAL

Socket shield

Intervention Type DEVICE

Socket shield is the Removal of the lingual portion of the anterior root thus retaining the lingual portion

Conventional immediate implantation

Conventional immediate implantation is the surgical removal of the entire badly broken root

Group Type ACTIVE_COMPARATOR

Conventional immediate implantation

Intervention Type PROCEDURE

Conventional immediate implantation

Interventions

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Socket shield

Socket shield is the Removal of the lingual portion of the anterior root thus retaining the lingual portion

Intervention Type DEVICE

Conventional immediate implantation

Conventional immediate implantation

Intervention Type PROCEDURE

Other Intervention Names

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Implant stability

Eligibility Criteria

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Inclusion Criteria

* • Humans

* Esthetic area (anterior and first premolars)
* Intact labial plate
* Hopeless tooth indicated for extraction and immediate implant placement

Exclusion Criteria

* • Implantation after trauma

* Peri-implantits defects
* Use of barrier membranes(GBR)
* Socket preservation
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Abdullah Abdou Mattar

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Abdullah A Mattar, A.Lecturer

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Locations

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Cairo university

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Abdullah A Mattar, A. Lecturer

Role: CONTACT

[email protected]
00201010022987

Soha A Moustafa, A. Lecturer

Role: CONTACT

[email protected]
00201007918910

Facility Contacts

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Ahmad el khadem, lecturer

Role: primary

[email protected]
00201227520298

Other Identifiers

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CEBD-CU-2017-08-03

Identifier Type: -

Identifier Source: org_study_id