Socket Preservation Using Socket Shield Technique Comparison of Socket Preservation Using Socket Shield Technique With Autogenous Dentin Graft Versus Alloplast Graft Material

Not Applicable

Completed

• Conditions: Extraction Tooth Socket
• Interventions: Procedure: Modified socket shield technique with alloplast graft material (in contralateral side); Procedure: Modified socket shield technique with autogenous dentin graft material (in one side)

• Registration Number: NCT05047887
• Lead Sponsor: Hams Hamed Abdelrahman

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 autogenous dentine was introduced to preserve the periodontal ligaments.

this study aim to evaluate of socket preservation using alloplast with socket shield versus Autogenous dentin graft with socket shield through radiographic analysis of alveolar bone dimension change and mean bone density in addition to histological and histomorphometric analysis for the quality of the formed bone.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-12-28
• Primary Completion: 2021-09-01
• Study Completion: 2021-09-01
• Study First Submitted: 2021-09-06
• Study First Submitted QC: 2021-09-14
• Study First Posted: 2021-09-17
• Status Verified: 2022-12
• Last Update Submitted: 2022-12-21
• Last Update Posted: 2022-12-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 8

Inclusion Criteria

• One or more of non-restorable (fractured or decayed) tooth/teeth in the maxillary aesthetic regions (incisors, premolars) in both side
• Intact labial periodontal tissues.
• 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, radio/chemotherapy of the oral and maxillofacial region, treatment with oral and/or intravenous amino-bisphosponates).
• Untreated periodontal disease.
• Vertical root fractures on the labial aspect.
• Tooth /teeth with horizontal fractures below bone level.
• Tooth /teeth with external or internal resorptions.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Control group (in contrlateral side)	Modified socket shield technique with alloplast graft material (in contralateral side)	Modified socket shield technique with alloplast
Study group (in one side)	Modified socket shield technique with autogenous dentin graft material (in one side)	Modified socket shield technique with autogenous dentin graft

Primary Outcome Measures

Name	Time	Method
post opertaive edema	after 7 days	This will be assessed in the 1st week postoperatively and measured as follows: None (no inflammation) Mild (intraoral swelling confined to the surgical field) Moderate (extraoral swelling in the surgical zone) Severe (extraoral swelling spreading beyond the surgical zone).
change in pain score	1 week and 3 months	it will be assessed using VAS It rates pain on a scale from 1-10, with 0 representing "no pain" and 10 "very much pain
Change in bone density	at baseline and 3 months	it will be assessed using CBCT
Change in bone height	at baseline and 3 months	it will be assessed using CBCT

Trial Locations

Locations (1)

Outpatient Clinic of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University; 🇪🇬 Alexandria, Egypt