Socket Preservation Using Socket-plug Technique With Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket With Buccal Dehiscence.

NCT ID: NCT06655766

Last Updated: 2025-09-23

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-10-30
• Study Completion Date: 2026-02-01

Brief Summary

Socket Preservation Using Socket-plug Technique with Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket with Buccal Dehiscence: A Randomized Controlled Clinical Trial.

Detailed Description

this randomized controlled clinical trial evaluates the effect of using alloplastic putty bone with socket-plug technique versus ice-cream cone technique regarding dimensional changes in bone width

Conditions

Socket Preservation

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Socket-plug technique with putty bone

• Patients will be anesthetized at the surgical site by infiltration, using Articaine Hydrochloride 4%.
• Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.
• Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.
• The socket walls are then inspected for the presence of buccal defects.
• putty bone is injected into the socket up to the crest of the bone.
• Collagen plug or sponge is adapted over the graft to occlude the socket
• The plug is then stabilized with absorbable suture material.

Group Type: EXPERIMENTAL

socket-plug technique with putty bone

Intervention Type: PROCEDURE

• Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.
• Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.
• The socket walls are then inspected for the presence of buccal defects.
• putty bone is injected into the socket up to the crest of the bone.
• Collagen plug or sponge is adapted over the graft to occlude the socket
• The plug is then stabilized with absorbable suture material.

Ice cream cone technique

• Patients will be anesthetized at the surgical site by infiltration, using Articaine Hydrochloride 4%.
• Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.
• Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.
• The socket walls are then inspected for the presence of buccal defects.
• A Collagen barrier membrane is then shaped as an ice-cream cone and placed in the extraction socket lining the buccal tissues.
• The socket is then filled with particulate bone graft.
• The upper part of the membrane is then used to cover the socket.
• Absorbable suture is then used to close the socket and stabilize the barrier membrane

Group Type: ACTIVE_COMPARATOR

Ice cream cone technique

Intervention Type: PROCEDURE

• Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.
• Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.
• The socket walls are then inspected for the presence of buccal defects.
• A Collagen barrier membrane is then shaped as an ice-cream cone and placed in the extraction socket lining the buccal tissues.
• The socket is then filled with particulate bone graft.
• The upper part of the membrane is then used to cover the socket.
• Absorbable suture is then used to close the socket and stabilize the barrier membrane

Interventions

socket-plug technique with putty bone

• Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.
• Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.
• The socket walls are then inspected for the presence of buccal defects.
• putty bone is injected into the socket up to the crest of the bone.
• Collagen plug or sponge is adapted over the graft to occlude the socket
• The plug is then stabilized with absorbable suture material.

Intervention Type: PROCEDURE

Ice cream cone technique

• Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.
• Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.
• The socket walls are then inspected for the presence of buccal defects.
• A Collagen barrier membrane is then shaped as an ice-cream cone and placed in the extraction socket lining the buccal tissues.
• The socket is then filled with particulate bone graft.
• The upper part of the membrane is then used to cover the socket.
• Absorbable suture is then used to close the socket and stabilize the barrier membrane

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Single or double rooted teeth indicated for extraction.
• Systemically free patient
• Presence of small buccal dehiscence not exceeding 1/3 of the root.
• Maxillary and Mandibular Arches
• Non-smoker
• Adults or above the age of 21.
• Able to tolerate surgical periodontal procedures.
• Full mouth plaque and bleeding scores less than 15%.
• Compliance with the maintenance program.
• Provide informed consent

Exclusion Criteria

• Systemic conditions/disease that contraindicate surgical procedure.
• Patients with presence or history of osteonecrosis of the jaws, with use of bisphosphonates, exposure to head and neck radiation, chemotherapy.
• Extraction socket with intact walls with no buccal dehiscence
• Patients with large distinct pre-apical pathology
• Heavy Smokers more than 10 cigarettes a day
• Patients without availability to attend follow-up visits or patients rejecting to sign the informed consent.
• Patients with parafunctional habits that produce overload on implant, such as bruxism and clenching.

• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Abdelrahman Medhat

Teaching assistant

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Abdelrahman Medhat

Role: CONTACT

abdelrahman.medhat@dentistry.cu.edu.eg

01117909725

Other Identifiers

PER6-3-1 ..

Identifier Type: -

Identifier Source: org_study_id