Immediate Dental Implant Installation with and Without Socket Shield Technique in Aesthetic Zone

Not Applicable

• Conditions: Immediate Dental Implants; Thin Labial Plate of Bone Pre-extraction; Hopeless Tooth in Esthetic Zone

• Registration Number: NCT06881095
• Lead Sponsor: Tanta University

Brief Summary

20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation using either the immediate implant with socket shield technique or the conventional immediate dental implant.

the socket shield technique group (study group): 10 patients will have immediate implant placement with the socket shield technique.

* conventional immediate dental implant technique (control group): 10 patients will have immediate implant placement with conventional technique.

Detailed Description

20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation randomized to two groups immediate dental implant with the socket shield technique group (study group): 10 patients will have immediate implant placement with socket shield technique.

* conventional immediate dental implant technique (control group): 10 patients will have immediate implant placement with conventional technique without socket shield technique.

preparation of shield: the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds, Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest.

The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants and the root section was checked for immobility with a sharp probe.

After completion of the previous steps, the tooth root here will be known as the socket- shield (SS). An osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted palatal to the SS.

Study Timeline

• Study Start: 2024-03-25
• Status Verified: 2025-03
• Study First Submitted: 2025-03-11
• Study First Submitted QC: 2025-03-15
• Last Update Submitted: 2025-03-15
• Study First Posted: 2025-03-18
• Last Update Posted: 2025-03-18
• Primary Completion: 2025-05-12
• Study Completion: 2025-06-16

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

• 1. Non restorable maxillary anterior teeth without periapical pathology that may affect the success of dental implants.

2. Interarch space enough for prosthetic rehabilitation. 3. Presence of posterior teeth or prosthesis that maintain occlusal bite. 4. Adult patients. 5. Good oral hygiene.

Exclusion Criteria

• 1. Edentulous anterior maxillary region. 2. Bad oral hygiene. 3. Patients with any relevant systemic diseases that affect soft tissue or bone healing.

4. Patients with parafunctional habits (bruxism and clenching). 5. Uncooperative patients. 6. Heavy smokers.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
labial bone thickness	6 months	1. labial bone thickness measuring thickness of labial bone labial to the implant by (CBCT) Cone beam computed tomography
marginal bone loss	6 months

Secondary Outcome Measures

Name	Time	Method
bone density around dental implant	6 months	bone density around dental implant by Cone beam computed tomography
implant secondary stability	6 months	Secondary implant stability: will be recorded just after uncovery using Resonance frequency analysis (RFA) device \* (Osstell).
implant success	6 months	absence of infection, fistula formation or implant mobility

Trial Locations

Locations (1)

Faculty of Dentistry; 🇪🇬 Tanta, Egypt