Evaluation of Implant Placement in Preserved Socket Using Socket Shield Technique With Autogenous Dentin Graft Versus Preserved Socket Using Socket Shield With Alloplast (Controlled Clinical and Radiographic Study)
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Enrollment
- 8
- Locations
- 1
- Primary Endpoint
- change in bone height
Study Overview
Brief Summary
Alveolar bone resorption and labial bone plate reduction follow teeth extraction due to the deficiency of blood supply, derived from the loss of periodontal ligaments, and hence the socket shield technique with Bone graft was introduced to preserve the periodontal ligaments related perfusion and preserve socket dimensions for new bone formation.
This study aims to compare implants placed in two differently preserved sockets, the first one preserved using Socket Shield technique with Autogenous Dentin Graft while the other socket preserved using socket shield technique with Alloplastic bone graft material
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 20 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •One or more of non-restorable (fractured or decayed) tooth/teeth in the upper aesthetic regions (incisors, premolars).
- •Intact labial/buccal periodontal tissues.
- •Sufficient bone volume to allow placement of an implant.
- •Non-Smoker
- •Ability to read and sign an informed consent form
Exclusion Criteria
- •A medical history that contraindicates oral surgical treatment (uncontrolled/untreated diabetes mellitus, immunocompromised status,current radio/chemotherapy of the oral and maxillofacial region, treatment with oral and/or intravenous amino-bisphosponates).
- •Untreated periodontal disease. [15,18]
- •Vertical root fractures on the buccal aspect. [26]
- •Tooth /teeth with horizontal fractures below bone level. [26]
- •Tooth /teeth with external or internal resorptions.
Arms & Interventions
Study group
patients will receive the implant in the previously preserved socket using Socket shield technique with Alloplastic graft material
Intervention: socket shield technique with autogenous dentin graft (Procedure)
Control group
patients will receive the implant in the previously preserved socket shield with Autogenous dentin graft
Intervention: socket shield technique with alloplast graft (Procedure)
Outcomes
Primary Outcomes
change in bone height
Time Frame: at baseline and 3 months
it will be measured using CBCT
Change in implant stability
Time Frame: immeditely and at 3 months
it will be measured using Osstell ISQ, or Implant Stability Quotient, is a scale from 1 to 100 and is a measure of the stability of an implant. High stability means \>70 ISQ, between 60-69 is medium stability and \< 60 ISQ is considered as low stability.
change in bone density
Time Frame: at baseline and 3 months
it will be measured using CBCT
change in Labio/Bucco-Palatal width
Time Frame: at baseline and 3 months
it will be measured using CBCT
Secondary Outcomes
No secondary outcomes reported
Investigators
Hams Hamed Abdelrahman
Assistant lecturer of DPH and Clinical statistician
Alexandria University