Alveolar Ridge Changes Post Tooth Extraction With Socket Shield Without Immediate Implant Placement"

NCT ID: NCT06658860

Last Updated: 2024-10-26

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

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-01

Study Completion Date

2024-08-01

Brief Summary

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This study aimed to evaluate the dimensional changes in the alveolar ridge after tooth extraction using the socket shield technique without immediate implant placement. The changes using CBCT were assessed, focusing on the preservation of the ridge for delayed implant placement. This research could help improve dental implant outcomes by preserving bone and soft tissue structures."

Detailed Description

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"In this clinical trial, the dimensional changes in the alveolar ridge following tooth extraction were investigated using the socket shield technique. The socket shield technique involved partial retention of the root structure to preserve the surrounding bone and soft tissues. No immediate implant placement was performed, and the ridge changes were assessed at multiple time points through CBCT scans. The study included a specified sample size, and participants underwent a follow-up of 6 months after socket shield preparation. This research aimed to provide insights into how well the socket shield technique preserves ridge dimensions over time, potentially optimizing future implant stability."

Conditions

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Alveolar Ridge Resorption After Extraction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study followed a parallel-group design. Participants were randomly assigned to two groups: one received the modified socket shield technique and the other received conventional extraction without the socket shield. Both groups were monitored after 6 months to compare alveolar ridge preservation outcomes, with delayed implant placement performed in both groups at 6 months after tooth extraction.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Modified Socket Shield Technique

Participants in this group underwent partial tooth extraction using the modified socket shield technique to preserve the alveolar ridge for delayed implant placement. CBCT scans were used to evaluate ridge preservation over time.

Group Type EXPERIMENTAL

Modified Socket Shield Technique

Intervention Type PROCEDURE

The modified socket shield technique involves partial retention of the buccal aspect of the tooth root during extraction to preserve the surrounding alveolar bone and soft tissue. This technique is used to optimize the condition for delayed implant placement by preventing resorption of the alveolar ridge.

Conventional Tooth Extraction

Participants in this group underwent conventional tooth extraction without the socket shield technique. The alveolar ridge was evaluated using CBCT over the same period as the experimental group for comparison.

Group Type ACTIVE_COMPARATOR

Conventional Tooth Extraction

Intervention Type PROCEDURE

Conventional tooth extraction involves the complete removal of the tooth without the use of the socket shield technique. This arm served as the control group, with alveolar ridge changes observed and compared with those in the experimental arm over time.

Interventions

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Modified Socket Shield Technique

The modified socket shield technique involves partial retention of the buccal aspect of the tooth root during extraction to preserve the surrounding alveolar bone and soft tissue. This technique is used to optimize the condition for delayed implant placement by preventing resorption of the alveolar ridge.

Intervention Type PROCEDURE

Conventional Tooth Extraction

Conventional tooth extraction involves the complete removal of the tooth without the use of the socket shield technique. This arm served as the control group, with alveolar ridge changes observed and compared with those in the experimental arm over time.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Non-restorable teeth in the esthetic region.
* The buccal periodontal tissues were intact.
* Maintaining oral hygiene.

Exclusion Criteria

* The usual limitations for oral surgery.
* Tooth having a vertical fracture of the root on the facial aspect.
* Tooth having horizontal fracture of the root extending below the level of the bone.
* Caries on the root segment to be maintained.
* Mobility of the tooth.
* Bruxism.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Soaad Tolba Mohammed Tolba Badawi

OTHER

Sponsor Role lead

Responsible Party

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Soaad Tolba Mohammed Tolba Badawi

Lecturer of Oral and maxillofacial Surgery, Faculty of dentistry, Mansoura university.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Soaad T Badawi, Lecturer, Oral Surgery, MU

Role: PRINCIPAL_INVESTIGATOR

Faculty of dentistry, Mansoura university

Locations

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Faculty of Dentistry, Mansoura University

Al Mansurah, Dakahlia Governorate, Egypt

Site Status

Countries

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Egypt

References

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de Oliveira GB, Rebello IMC, Montanha Andrade K, Araujo NS, Dos Santos JN, Cury PR. Evaluation of alveolar process resorption after tooth extraction using the socket shield technique without immediate installation of implants: a randomised controlled clinical trial. Br J Oral Maxillofac Surg. 2021 Dec;59(10):1227-1232. doi: 10.1016/j.bjoms.2021.04.001. Epub 2021 Apr 8.

Reference Type BACKGROUND
PMID: 34256958 (View on PubMed)

Other Identifiers

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A27030123

Identifier Type: -

Identifier Source: org_study_id

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