Evaluation of Immediate Implant Placement Using the Socket Shield Technique in Maxillary Esthetic Zone (Clinical and Radiographic Study)
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 8
- 试验地点
- 1
- 主要终点
- Change in pain scores
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
Socket shield and immediate implant
干预措施: Socket shield concept and immediate implant placement (Procedure)
结局指标
主要结局
Change in pain scores
时间窗: baseline, 7, 14, and 21 days
Pain will be evaluated, using visual analogue scale (VAS) as follows: (0-1= None, 2-4= Mild, 5-7= Moderate, 8-10= Severe) (Figure 1)
Change in implant stability
时间窗: baseline and 6 months
The base line primary Implant Stability Quotient (ISQ) will be measured at the time of implant placement, while the secondary stability quotient will be measured after 6months during the prosthetic phase preparation.
次要结局
- Change in post operative healing(baseline, 7, 14, and 21 days)
- change in crestal alveolar process width(baseline and 6 months)
- change in labial bone thickness(baseline and 6 months)
研究者
Hams Hamed Abdelrahman
Lecturer of Dental Public Health and biostatistical consultanat
Alexandria University