Evaluation of Soft and Hard Tissue Changes After Immediate Implant Placement With Sticky Tooth Versus Autogenous Tooth Graft In Cases With Labial Plate Dehiscence: A 1-Year Randomized Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Immediate Implant
- Sponsor
- Halla Gamal Mohammed Esmail
- Enrollment
- 36
- Primary Endpoint
- Radiographic width of bone labial to the implant
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
Evaluation of Soft and Hard Tissue Changes After Immediate Implant Placement With Sticky Tooth Versus Autogenous Tooth Graft for management of Cases With Labial Plate Dehiscence
Detailed Description
In patients with labial plate dehiscence in the esthetic zone, there is no difference between the use of tooth-derived granules in combination with platelet-rich fibrin ("sticky tooth") and autogenous tooth graft in conjunction with immediate implant placement in enhancing the amount of bone labial to the implant
Investigators
Halla Gamal Mohammed Esmail
Dentist
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Non-restorable teeth in the esthetic zone with a defect of labial bone.
- •Teeth with no acute inflammation.
- •Patients are free from any systemic condition that may affect the healing.
- •Availability of bone apical and palatal to the socket to provide primary stability
- •Good oral health.
- •Willingness to sign the informed consent form.
Exclusion Criteria
- •Heavy smoker (\> 10 cigarettes/day)
- •Pregnant females
- •Contraindication for Implant surgery.
- •Patients with poor oral hygiene.
- •Acute inflammation in the site of implantation and adjacent tissue.
- •A history of radiotherapy in the head or neck region.
- •Patients with systemic diseases like uncontrolled diabetes mellitus, coagulation disorders, alcohol or drug abuse not suitable for implantation
Outcomes
Primary Outcomes
Radiographic width of bone labial to the implant
Time Frame: 1 year
Amount of bone labial to the implant will be measured perpendicular to the vertical line of the implant surface at the implant neck level or the top of the buccal bone (which is regarded as 0 mm), 3 mm and 6 mm apical to the implant neck Each measurement will be recorded at different times
Secondary Outcomes
- Width of the Keratinized Tissue(1 year)
- Implant stability(6 months)
- Radiographic vertical bone changes(1 year)
- Midfacial recession(1 year)
- Gingival Thickness(1 year)
- Radiographic horizontal bucco-palatal bone changes(1 year)
- Esthetic evaluation (The pink esthetic score)(1 year)
- Post-Operative Pain(7 days)
- Post-Operative patient's Satisfaction(1 year)
- Post-operative swelling(7 days)