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Piezotome Atraumatic Tooth Extraction And Immediate Implant Placement In Maxillary Anterior Region

NCT ID: NCT07041879

Last Updated: 2025-12-16

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-01

Study Completion Date

2026-03-30

Brief Summary

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Tooth extraction is critical for dental treatment complications followed by immediate implant placement to restore the extracted tooth . The use of devices or instruments such as piezotome and periotome as aids in atraumatic surgical proceduresÙˆ conserving both bone and soft tissue, allowing extraction without unnecessary socket expansion. Immediate implant placement into fresh extraction sockets offers some esthetic and functional advantages.

the Aim of this study is to compare and evaluate the effectiveness of the piezotome and periotome as aids for atraumatic extraction in immediate implant placement in maxillary anterior teeth.

Detailed Description

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30 patients with non-restorable maxillary anterior teeth will be included. Teeth will be extracted using an atraumatic tooth extraction using piezotome and periotome as aids in atraumatic surgical procedures. After that an immediate implant will be placed into the fresh extraction socket . patients will be recalled for follow-up 3months after implant placement to evaluate pain by VAS and evaluate bone healing using CBCT.

Conditions

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Piezotome Implant-supported Single Crowns

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients with maxillary anterior teeth will be atraumatically extracted with piezotome extraction kit, and subsequently immediate implant placement
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Sequentially numbered, opaque, sealed envelopes (SNOSE) allocation concealment method will be utilized. Each participant included in the study will be given a serial number that will be used in the allocation. These numbers will be written in identical sheets of paper with the group to which each participant is allocated and placed inside opaque envelopes carrying the respective names of participants. A trial independent personnel will be assigned the role of keeping the envelopes and unfolding them only at the time of the operation, so that the participant is allocated to a group which is concealed from the operator

Study Groups

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Atraumatic extraction with piezotome and subsequently immediate implant placement

Patients with maxillary anterior teeth will be atraumatically extracted with piezotome extraction, and subsequently immediate implant placement

Group Type ACTIVE_COMPARATOR

maxillary anterior teeth atraumatically extracted with piezotome extraction kit, and subsequent immediate implant placement

Intervention Type PROCEDURE

piezotome extraction kit,

Atraumatic extraction with periotome and subsequently immediate implant placement

Patients with maxillary anterior teeth will be atraumatically extracted with periotome, and subsequently immediate implant placement

Group Type EXPERIMENTAL

maxillary anterior teeth atraumatically extracted with periotome, and subsequent immediate implant placment

Intervention Type PROCEDURE

periotome

Interventions

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maxillary anterior teeth atraumatically extracted with piezotome extraction kit, and subsequent immediate implant placement

piezotome extraction kit,

Intervention Type PROCEDURE

maxillary anterior teeth atraumatically extracted with periotome, and subsequent immediate implant placment

periotome

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Patients of both gender with a non-restorable maxillary anterior tooth in the aesthetic zone indicated for extraction and subsequent immediate implant placement. Including those with:

1. Severely carious tooth that it cannot be restored.
2. Pulpal necrosis or irreversible pulpitis that is not amenable to endodontics.
3. Periodontally involved Tooth with grade 2 mobility or above.
4. Tooth with root caries that can't be restored.
2. Patients with extraction socket Type I, according to Elian's classification

Exclusion Criteria

1. Patients with extraction socket Type II or III, with defect in the buccal plate
2. Patients with deciduous teeth.
3. Heavy smokers.
4. Medically compromised patients with conditions that would impede implant osteointegration and healing.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexandria University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Faculty of Dentistry, Alexandria University

Alexandria, Alexandria Governorate, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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ATE-17-5-25

Identifier Type: -

Identifier Source: org_study_id