Immediate Dental Implant Installation with and Without Socket Shield Technique in Aesthetic Zone
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- labial bone thickness
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Non restorable maxillary anterior teeth without periapical pathology that may affect the success of dental implants.
- •Interarch space enough for prosthetic rehabilitation.
- •Presence of posterior teeth or prosthesis that maintain occlusal bite.
- •Adult patients.
- •Good oral hygiene.
排除标准
- •Edentulous anterior maxillary region.
- •Bad oral hygiene.
- •Patients with any relevant systemic diseases that affect soft tissue or bone healing.
- •Patients with parafunctional habits (bruxism and clenching).
- •Uncooperative patients.
- •Heavy smokers.
研究组 & 干预措施
socket shield technique group (study group)
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 th
干预措施: socket shield technique group (study group) (Procedure)
conventional immediate implant without socket shield technique(control group)
conventional immediate implant without socket shield technique:
• After administration of local anesthesia, atraumatic tooth extraction by extraction forceps and Periotomes, an osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted and placement of cover screw. However, the soft tissue contour formed after healing may need some modification prior to impression taking. Suturing around the healing abutment, suture will be removed one week post surgically and then healing abutment and final prosthetic loading will be done after 4-6 months.
干预措施: conventional immediate implant without socket shield technique (Procedure)
结局指标
主要结局
labial bone thickness
时间窗: 6 months
1. labial bone thickness measuring thickness of labial bone labial to the implant by (CBCT) Cone beam computed tomography
marginal bone loss
时间窗: 6 months
次要结局
- bone density around dental implant(6 months)
- implant secondary stability(6 months)
- implant success(6 months)
研究者
Islam Ahmed Elsayed
master degree( Principal Investigator)
Tanta University