Immediate Implant Placement Using the Socket Shield Technique in Maxillary Esthetic Zone

NCT ID: NCT07082634

Last Updated: 2025-07-24

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 8 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-09-01
• Study Completion Date: 2026-06-01

Brief Summary

Immediate implant placement in the esthetic zone is an approach that helps preserve soft and hard tissue architecture. However, post extraction bone resorption is still a significant challenge. The socket shield technique (SST) has emerged as a promising way for preserving the buccal plate, potentially improving implant stability and reducing radiographic bone loss. The aim of the present study is to evaluate the clinical and radiographic outcomes of the socket shield technique in the maxillary esthetic zone by assessing implant stability, radiographic bone loss as well as esthetic outcome over a specified follow-up period.

Conditions

Socket Shield Technique; Maxillary Esthetic Zone

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Socket shield and immediate implant

Group Type: EXPERIMENTAL

Socket shield concept and immediate implant placement

Intervention Type: PROCEDURE

Tooth Sectioning: The tooth will be sectioned mesiodistally using a fissure bur, preserving the buccal segment.

Palatal fragment extraction: carefully after sectioning the tooth , the palatal fragment is luxated and extracted with the most important factor is taking care of the buccal part not to become loose , the extraction is done using a periotome to be minimally invasive and to preserve the bone from major damage.

Shield Preparation: The buccal fragment is reduced to bone level using a round bur, a beveled edge is created using a diamond football bur, and the shield is thinned to maintain structural integrity.

Implant Site Preparation: Sequential osteotomy performed under copious irrigation, ensuring primary stability.

Implant Placement: A Megagen implant is inserted

Interventions

Socket shield concept and immediate implant placement

Tooth Sectioning: The tooth will be sectioned mesiodistally using a fissure bur, preserving the buccal segment.

Palatal fragment extraction: carefully after sectioning the tooth , the palatal fragment is luxated and extracted with the most important factor is taking care of the buccal part not to become loose , the extraction is done using a periotome to be minimally invasive and to preserve the bone from major damage.

Shield Preparation: The buccal fragment is reduced to bone level using a round bur, a beveled edge is created using a diamond football bur, and the shield is thinned to maintain structural integrity.

Implant Site Preparation: Sequential osteotomy performed under copious irrigation, ensuring primary stability.

Implant Placement: A Megagen implant is inserted

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Patients with a non-restorable maxillary tooth in the aesthetic zone indicated for extraction and subsequent immediate implant placement.
• Patients with extraction socket Type I.
• A good standard of oral hygiene.

Exclusion Criteria

• Patients with extraction socket Type II or III, with defect in the buccal plate.
• Absence of at least 2 mm bone apical to the extraction socket, necessary to obtain adequate primary stability for the implant assessed by pre-operative radiographic evaluation.
• The presence of any local factor that may interfere with extraction as tooth ankylosis.
• Patients with deciduous teeth.
• Patients with bruxism
• Heavy smokers.
• Systemic conditions that are considered as a contraindication for placement of implant or those that may interfere with wound healing and immunocompromised conditions and uncontrolled autoimmune diseases.
• History of oral or intravenous bisphosphonate therapy or any treatments with other medications that may interfere with bone metabolism within the past 12 months.
• Patients receiving radiotherapy or chemotheraphy.
• Patient with active infection or chronic infection with severe bone loss.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Hams Hamed Abdelrahman

OTHER

Sponsor Role: lead

Responsible Party

Hams Hamed Abdelrahman

Lecturer of Dental Public Health and biostatistical consultanat

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Beirut Arab University

Beirut, , Lebanon

Countries

Lebanon

Central Contacts

Mohamed M Issa, BDS

Role: CONTACT

mohamadmarwanissa@gmail.com

+961 76 476 204

Facility Contacts

Mohamed M Issa, BDS

Role: primary

mohamadmarwanissa@gmail.com

+961 76 476 204

Other Identifiers

2025-H-0176-D-M-0796

Identifier Type: -

Identifier Source: org_study_id