Immediate And Delayed Implant Placement Using Socket Shield Technique And Autogenous Dentin Graft (A Randomized Clinical Trial)
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Dental Implant
- Sponsor
- Hams Hamed Abdelrahman
- Enrollment
- 22
- Locations
- 1
- Primary Endpoint
- Change in implant stability
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
One of the techniques that have been proposed to reduce the amount of bone resorption in anterior maxilla is the "socket shield (SS) ". This technique includes preservation of the facial segment of a root to be extracted and immediate implant placement. A technique of socket shield with delayed implantation using autogenous dentin graft for socket preservation, as an alternative to autogenous bone grafts, has shown predictable clinical and histological outcomes.
Investigators
Hams Hamed Abdelrahman
Assistant Lecturer of Dental Public Health and biostatistical consultanat
Alexandria University
Eligibility Criteria
Inclusion Criteria
- •Patients with badly destructed or non-restorable maxillary anterior teeth when the Labial cortical plate is still intact, and the thickness was found to be \<2mm in CBCT.
- •Patients with health status according to American Society of Anesthesiology (ASA) I and II.
- •Patients who agree to participate in the study.
Exclusion Criteria
- •Patients presenting with any systemic pathology or health condition that would inhibit the osseointegration process of the implants.
- •Perforated labial cortical plate seen in CBCT.
- •Patients undergoing radiation therapy or history of radiation within the last two years.
- •Drug or alcohol abuse
Outcomes
Primary Outcomes
Change in implant stability
Time Frame: Baseline and 3 months
The stability of each implant will be measured using the Osstell device. The ISQ value will be measured immediately at the time of surgery and after three months
Secondary Outcomes
- Change in bone density(Baseline and 3 months)
- change in thickness of the facial cortical plate(Baseline and 3 months)