Subepithelial Connective Tissue Graft Versus Socket Shield Technique In Immediately Placed Implants In Maxillary Esthetic Region: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 33
- 试验地点
- 1
- 主要终点
- Clinical success of SECT graft in immediate implant placement
研究概览
简要总结
The purposes of study are:
- To assess the efficacy of immediate implant placement in preserving hard and soft tissue around implants clinically and radiographically.
- To assess the efficacy of immediate implant placement combined with subepithelial connective tissue graft in preserving hard and soft tissue around implants clinically and radiographically.
- To assess the efficacy of implants installed immediately using Socket Shield Technique in preserving hard and soft tissue around implants clinically and radiographically.
- To compare immediate implant placement versus implants installed immediately using Socket Shield Technique in preserving hard and soft tissue around implants clinically and radiographically.
详细描述
Patient's selection:
Patients in this study will be selected from the outpatient clinic of Oral Medicine and Periodontology department, Faculty of Dentistry, Mansoura University.
Patients participating in this study will sign an informed consent demonstrating the purpose of this study, treatment procedure, probable risks and benefits from this treatment procedure. The study proposal will be reviewed by the faculty's Research Ethics Committee.
All the selected patients will receive full mouth scaling, preoperative periapical x-ray and cone beam computed.
Surgical procedures:
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
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Male/female patients, age: >18 years.
- •Healthy periodontium with gingival biotype at least 2mm.
- •Extraction socket with four intact walls.
- •Adequate native bone to achieve good primary stability.
- •No untreated carious lesions.
- •Missing anterior (incisor/canine) with healthy adjacent teeth bilaterally.
- •Useless broken single-tooth with only lingual root fracture caused by trauma.
排除标准
- •History of systemic disease (excluding well-controlled diabetes).
- •Recent infectious diseases or surgical treatment within 30 days.
- •Smokers (≥10 cigarettes a day).
- •Pregnancy or lactation.
- •Patients on regular medications affecting periodontal healing (e.g., phenytoin, dihydropyridines, calcium antagonists, and cyclosporine) or anticoagulant therapy with warfarin, clopidogrel, ticlopidine, and aspirin.
- •Presence of pathological lesions around the surgical area.
- •Severe mental disorders or uncooperative patients.
研究组 & 干预措施
Classic immediate implant
Include 11 implants (Nucleoss T6®) , maximum two per patient, will be placed immediately after atraumatic extraction.
干预措施: Classic Immediate implant (Procedure)
Immediate implant combined with subepithelial connective tissue graft
Include 11 implants, maximum two per patient will be placed immediately after atraumatic extraction and subepithelial connective tissue graft will be harvested and placed.
干预措施: Immediate implant combined with subepithelial connective tissue graft (Procedure)
Immediate implant using socket shield technique
include 11 implants, maximum two per patient will be placed immediately using Socket Shield Technique.
干预措施: Immediate dental implant placement using socket shield technique (Procedure)
结局指标
主要结局
Clinical success of SECT graft in immediate implant placement
时间窗: 12 months
Implant placement with SECT graft, including: shortened treatment time and minimizes alveolar bone loss.
Clinical success of socket shield technique in immediate implant placement
时间窗: 12 months
Implant placement using socket shield technique, including: shortened treatment time and minimizes alveolar bone loss.
Clinical success of socket shield technique in immediate implant placement
时间窗: 6 months
Implant placement using socket shield technique, including: shortened treatment time and minimizes alveolar bone loss.
Clinical success of SECT graft in immediate implant placement
时间窗: 6 months
Implant placement with SECT graft, including: shortened treatment time and minimizes alveolar bone loss.
次要结局
未报告次要终点
研究者
Hesham Mohammed
PhD researcher in oral medicine and periodontology department
Mansoura University