Immediate Dental Implant Installation With and Without Socket Shield Technique in Aesthetic Zone

NCT ID: NCT06881095

Last Updated: 2025-03-18

Basic Information

• Recruitment Status: ENROLLING_BY_INVITATION
• Clinical Phase: NA
• Total Enrollment: 24 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-03-25
• Study Completion Date: 2025-06-16

Brief Summary

20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation using either the immediate implant with socket shield technique or the conventional immediate dental implant.

the socket shield technique group (study group): 10 patients will have immediate implant placement with the socket shield technique.

• conventional immediate dental implant technique (control group): 10 patients will have immediate implant placement with conventional technique.

Detailed Description

20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation randomized to two groups immediate dental implant with the socket shield technique group (study group): 10 patients will have immediate implant placement with socket shield technique.

• conventional immediate dental implant technique (control group): 10 patients will have immediate implant placement with conventional technique without socket shield technique.

preparation of shield: the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds, Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest.

The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants and the root section was checked for immobility with a sharp probe.

After completion of the previous steps, the tooth root here will be known as the socket- shield (SS). An osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted palatal to the SS.

Conditions

Immediate Dental Implants; Thin Labial Plate of Bone Pre-extraction; Hopeless Tooth in Esthetic Zone

Study Design

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

Study Groups

socket shield technique group (study group)

the socket shield technique group (study group): 10 patients will have immediate implant placement with socket shield technique.

• conventional immediate dental implant technique (control group): 10 patients will have immediate implant placement with conventional technique without socket shield technique.

preparation of shield: the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds, Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest.

The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants and the root section was checked for immobility with a sharp probe.

After completion of th

Group Type: EXPERIMENTAL

socket shield technique group (study group)

Intervention Type: PROCEDURE

immediate implant installation with socket shield technique: After administration of local anesthesia, the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds.

Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest.

The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants, and the root section was checked for immobility with a sharp probe.

After completion of the previous steps, the tooth root here will be known as the socket- shield (SS). An osteotomy was then sequentially prepared according to manufacturer

conventional immediate implant without socket shield technique(control group)

conventional immediate implant without socket shield technique:

• After administration of local anesthesia, atraumatic tooth extraction by extraction forceps and Periotomes, an osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted and placement of cover screw. However, the soft tissue contour formed after healing may need some modification prior to impression taking. Suturing around the healing abutment, suture will be removed one week post surgically and then healing abutment and final prosthetic loading will be done after 4-6 months.

Group Type: EXPERIMENTAL

conventional immediate implant without socket shield technique

Intervention Type: PROCEDURE

• After administration of local anesthesia, atraumatic tooth extraction by extraction forceps and Periotomes, an osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted and placement of cover screw. However, the soft tissue contour formed after healing may need some modification prior to impression taking. Suturing around the healing abutment, suture will be removed one week post surgically and then healing abutment and final prosthetic loading will be done after 4-6 months.

Interventions

socket shield technique group (study group)

immediate implant installation with socket shield technique: After administration of local anesthesia, the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds.

Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest.

The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants, and the root section was checked for immobility with a sharp probe.

After completion of the previous steps, the tooth root here will be known as the socket- shield (SS). An osteotomy was then sequentially prepared according to manufacturer

Intervention Type: PROCEDURE

conventional immediate implant without socket shield technique

• After administration of local anesthesia, atraumatic tooth extraction by extraction forceps and Periotomes, an osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted and placement of cover screw. However, the soft tissue contour formed after healing may need some modification prior to impression taking. Suturing around the healing abutment, suture will be removed one week post surgically and then healing abutment and final prosthetic loading will be done after 4-6 months.

Intervention Type: PROCEDURE

Other Intervention Names

partial extraction therapy

Eligibility Criteria

Inclusion Criteria

• 1. Non restorable maxillary anterior teeth without periapical pathology that may affect the success of dental implants.

2. Interarch space enough for prosthetic rehabilitation. 3. Presence of posterior teeth or prosthesis that maintain occlusal bite. 4. Adult patients. 5. Good oral hygiene.

Exclusion Criteria

• 1. Edentulous anterior maxillary region. 2. Bad oral hygiene. 3. Patients with any relevant systemic diseases that affect soft tissue or bone healing.

4. Patients with parafunctional habits (bruxism and clenching). 5. Uncooperative patients. 6. Heavy smokers.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Tanta University

OTHER

Sponsor Role: lead

Responsible Party

Islam Ahmed Elsayed

master degree( Principal Investigator)

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

islam ahmed abo elela, master study

Role: PRINCIPAL_INVESTIGATOR

faculty of dentistry tanta university

Ibrahim mohammed nowair, professor

Role: PRINCIPAL_INVESTIGATOR

faculty of dentistry tanta university

Rafic ramadan bedir, professor

Role: PRINCIPAL_INVESTIGATOR

faculty of dentistry tanta university

Wesam Hamed Elsaadany, lecturer

Role: PRINCIPAL_INVESTIGATOR

faculty of dentistry tanta university

Locations

Faculty of Dentistry

Tanta, , Egypt

Countries

Egypt

Other Identifiers

islam123

Identifier Type: -

Identifier Source: org_study_id