Vestibular Socket Therapy With Simultaneous Implant Placement Versus Contour Augmentation With Early Implant Placement

Not Applicable

• Conditions: Loss of Teeth Due to Extraction
• Interventions: Procedure: immediate implant

• Registration Number: NCT05005585
• Lead Sponsor: Cairo University

Brief Summary

immediate implant placement with VST technique versus early implant placement with contour augmentation in fresh extraction sockets in the esthetic zone.

Detailed Description

comparing VST technique with immediate implant placement that end up with final crown after 2 months with contour augmentation with early implant placement after 4- 8 weeks of soft tissue healing , then after 3 months final crown delivery both in fresh extraction sockets in the esthetic zone .

Study Timeline

• Study First Submitted: 2021-08-06
• Study First Submitted QC: 2021-08-10
• Study First Posted: 2021-08-13
• Status Verified: 2021-11
• Last Update Submitted: 2021-11-17
• Last Update Posted: 2021-11-18
• Study Start: 2021-12-01
• Primary Completion: 2023-01-01
• Study Completion: 2023-04-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 28

Inclusion Criteria

Non-restorable maxillary teeth in the esthetic zone

Intact adjacent teeth

Adequate palatal and apical bone that allows achieving implant primary stability.

Compromised sockets type II defect (Nicolas Elian 2007)

≥18 years

Systemically healthy patients

Exclusion Criteria

Extraction sockets with acute or chronic infection or with adjacent infected teeth

Heavy Smokers > than 10 cigarettes daily

Cancer patients undergoing radiotherapy or chemotherapy during or within the last 6 months.

Unmotivated patients to maintain adequate oral hygiene to follow up.

Patients with physical disabilities that could affect follow up.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
vestibuler socket therapy	immediate implant	immediate implant placement in esthatic zone with final crown placement after 2 months with VST technique
contour augmentation	immediate implant	Early implant placement in esthatic zone with contour augmentation and final crown after 3 months of implant placement

Primary Outcome Measures

Name	Time	Method
Implant survival	12 months	If there is no pain or tenderness on use, no mobility, no history of exudates and radiographic bone loss is less than 2 mm from initial surgery implant the implant is considered successful

Secondary Outcome Measures

Name	Time	Method
Changes in the height and thickness of the labial plate of bone	12 months	will be measured by superimposing CBCT images obtained at the baseline (time of tooth extraction) and those after 12 months postimplant placement.
Changes in soft tissue height	12 months	were identified midfacially and at the apex of the mesial and distal papillae by superimposing the STL (Standard Triangle Language) files of the models, obtained via IOS, at the baseline (of the unrestorable tooth) with those after 12 months of implant insertion

Trial Locations

Locations (3)

Faculty of dentistry; 🇪🇬 Cairo, Manial, Egypt

Iman AbdelWahab Radi; 🇪🇬 Cairo, Egypt

Faculty of dentistry Cairo university; 🇪🇬 Cairo, Giza, Egypt