Flapless Immediate Implant Placement With Socket Shield Technique Versus Connective Tissue Graft in Anterior Maxilla

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-02-28

Study Completion Date

2027-05-31

Brief Summary

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The present study aims to compare the dimensional stability of the supra-implant complex following flapless immediate implant placement using two socket management approaches: the connective tissue graft and the socket shield technique. Three-dimensional volumetric analysis and cone-beam computed tomography (CBCT) will be employed to assess and quantify changes in soft and hard tissue thickness and height surrounding the implant site.

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Detailed Description

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The current study will include 28 non-restorable single maxillary anterior teeth indicated for extraction. Patients will be randomly allocated into two equal groups. The test group will undergo immediate implant placement combined with the socket shield technique and a customized healing abutment, whereas the control group will receive immediate implant placement with connective tissue grafting and a customized healing abutment. A pilot surgical guide will be used for both groups. The primary outcome measure will be labio-palatal ridge dimension changes changes. Secondary outcome measures included labial soft-tissue volumetric changes, bone formation labial to the implant, vertical bone level changes and pink esthetic score. All outcomes will be evaluated after a 12-month follow-up period.

Conditions

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Immediate Dental Implant Placement Connective Tissue Graft Socket Shield Technique

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be randomly allocated into two equal groups. The test group will undergo immediate implant placement combined with the socket shield technique and a customized healing abutment, whereas the control group will receive immediate implant placement with connective tissue grafting and a customized healing abutment. A pilot surgical guide will be used for both groups. The primary outcome measure will be labio-palatal ridge dimension changes changes. Secondary outcome measures included labial soft-tissue volumetric changes, bone formation labial to the implant, vertical bone level changes and pink esthetic score. All outcomes will be evaluated after a 12-month follow-up period.

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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IIP+ Socket sheild

The socket shield technique, which preserves a labial root fragment to maintain periodontal ligament support

Group Type EXPERIMENTAL

IIP+Socket Shield

Intervention Type PROCEDURE

The socket shield technique, which preserves a labial root fragment to maintain periodontal ligament support.

IIP+CTG

connective tissue grafting which increases soft-tissue volume

Group Type ACTIVE_COMPARATOR

IIP+CTG

Intervention Type PROCEDURE

connective tissue grafting which increases soft-tissue volume

Interventions

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IIP+Socket Shield

The socket shield technique, which preserves a labial root fragment to maintain periodontal ligament support.

Intervention Type PROCEDURE

IIP+CTG

connective tissue grafting which increases soft-tissue volume

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Initial intact thick gingival biotype
* 2 mm band of keratinized tissue,
* Thin intact labial bone plate (\< 1mm)
* Good apical bone for primary stability
* Patients who had provided an informed consent.

Exclusion Criteria

* Immediate implants with bone grafts or guided bone regeneration procedures
* Uncontrolled diabetes mellitus
* Patients taking IV bisphosphonates for treatment of osteoporosis
* Patients with active infection related at the site of implant
* Patients with untreated active periodontal diseases.

Minimum Eligible Age

21 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes