Soft and Hard Tissue Changes Following Placement of Implants Immediately after Extraction of teeth

Not yet recruiting

Brief Summary: This is a randomized controlled clinical trial comparing the dimensional alterations in hard and soft tissues following placement of implants immediately after extraction with and without socket shield and following placement of implants in socket preserved sites. A total of 75 patients will be recruited 25 in each group. The hard tissue changes will be evaluated using cbct at baseline 3,6 and 12 months. The soft tissue changes will be evaluated using the Pink Esthetic Scores at baseline 3,6 and 12 months. The purpose of the study is to find out the best possible technique for placement of implants immediately following extraction of teeth. The results of the study will be published after the completion of the trial.

Recruitment & Eligibility

Inclusion Criteria

1.Systemically healthy adults who present with hopeless teeth indicated for extraction with type-1 extraction socket and are willing for implant placement.
2.Tooth indicated for extraction should be periodontally healthy.
3.Non smoker.

Exclusion Criteria

1.Systemically unhealthy 2.Teeth with present / past periodontal disease 3.Teeth with vertical root fractures on the buccal aspect 4.Teeth with horizontal fractures at / below bone level 5.Teeth with external / internal resorption of buccal part of root 6.Patients who are pregnant, intending to conceive or breast feeding 7.Received systematic corticosteroids, Immunosuppressive agents, radiation therapy, chemotherapy in past 2 months.
8.Subjects under Bisphosphonate therapy.
9.Subjects with allergies or sensitivity to alginate, latex.
10.Subjects participating in other clinical interventional studies.

Primary Outcome Measures

Name	Time	Method
To assess the dimensional alterations in bone level (buccal plate) radiographically (CBCT) and clinically by transgingival probing as measured using indexed stents at baseline,3, 6 and 12 months.	To assess the dimensional alterations in bone level (buccal plate) radiographically (CBCT) and clinically by transgingival probing as measured using indexed stents at baseline,3, 6 and 12 months.

Secondary Outcome Measures

Name	Time	Method
To evaluate the soft tissue around the implant using the Pink Esthetic Score (PES), implant mobility and signs of peri â€“ implantitis. Assessment of pain threshold and patient satisfaction using Visual Analogue Scale (VAS).	baseline,3,6 and 12 months.

Locations (1): Sri Ramachandra Dental College and Hospital
🇮🇳
Thiruvallur, TAMIL NADU, India
Sri Ramachandra Dental College and Hospital
🇮🇳Thiruvallur, TAMIL NADU, India
Prof SMuthukumar
Principal investigator
9884118681
muthukumars@sriramachandra.edu.in