Evaluation of Socket Shield Technique With Immediate Implant Placement in the Esthetic Zone

Not Applicable

Completed

• Conditions: Alveolar Bone Resorption
• Interventions: Procedure: Immediate implant placement using socket shield technique

• Registration Number: NCT05409950
• Lead Sponsor: Egyptian Russian University

Brief Summary

The study was conducted on 20 immediate implant placement sites in the anterior maxillary region. In the study group, 10 implants were inserted using socket shield technique, while in control group, 10 implants were inserted using conventional immediate placement technique. All patients received immediate and 6 months post-operative CBCT to assess horizontal bone loss, vertical bone loss, and measurement of bone density. Implant stability quotients (ISQs) was measured immediately, 1st, 3rd and 6 months post-operatively.

Detailed Description

Unrestorable tooth extraction with immediate implant placement is considered one of the best treatment options in restoring the esthetics and function. Extraction socket resorption is considered a challenging procedure when it involves the esthetics zone. The preservation of the entire attachment apparatus for complete preservation of the alveolar ridge makes socket shield technique a promising procedure that helps to maintain anatomy, esthetics and function. Socket shield technique, eliminate the negative consequences of bone resorption of the buccal plate of bone; leading to maintaining hard and soft tissue contours and provides a perfect pleasing esthetic result with good function. It is a highly promising technique in terms of maintaining pink and white esthetics through preservation of the interdental papilla during preparation of the interdental socket shield. It is considered a minimally invasive surgical procedure and offers the advantages of immediate implant placement.

Study Timeline

• Study Start: 2019-09-16
• Primary Completion: 2021-01-06
• Study Completion: 2021-09-07
• Study First Submitted: 2022-05-24
• Status Verified: 2022-06
• Study First Submitted QC: 2022-06-04
• Last Update Submitted: 2022-06-04
• Study First Posted: 2022-06-08
• Last Update Posted: 2022-06-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

1. Endodontic or non-endodontic treated un-restorable remaining root/ tooth related to maxillary anterior teeth.
2. Healthy adult patients > 20 years old (ASAI, II) .
3. Adequate oral hygiene.
4. Intact periodontal tissues.

Exclusion Criteria

1. Periapical or periodontal active infection involving the teeth/root to be extracted (as excluded by radiographic examination).
2. Medically compromised patients (ASA III, IV, V).
3. Patients receiving chemotherapy or radiotherapy.
4. Heavy smokers,alcohol or drug abuse.
5. Patients with parafunctional habits such as bruxism, clenching, excessive gum chewing, lip or fingernail biting.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Study group: implants were inserted using socket shield technique at the esthetic zone	Immediate implant placement using socket shield technique	-

Primary Outcome Measures

Name	Time	Method
Vertical bone loss	six month post-operative	Using cone-beam computed tomography
Horizontal gap	six month post-operative	Using cone-beam computed tomography
Bone density	six month post-operative	Using cone-beam computed tomography
Implant stability	six month post-operative	Using osstell
peri-implant probing depth	six month post-operative	using periodontal probe

Trial Locations

Locations (1)

Suez canal university; 🇪🇬 Ismailia, Egypt