The Vestibular Socket Therapy : A Novel Concept for Immediate Implant Placement in Defective Fresh Extraction Sites
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 12
- 试验地点
- 1
- 主要终点
- radiographic buccal bone thickness
研究概览
简要总结
This article aims to provide a non- staged treatment protocol to placing dental implants in compromised fresh sockets in the aesthetic zone.
详细描述
This is a site-specific therapy uses study a slowly resorbing regenerative barrier (shield) to augment any thin or deficient labial plate of bone, enhances the overlying soft tissue quality and quantity at the same time with implant fixture placement using a computer-guided surgical template.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A hopeless single tooth in the maxillary anterior region
- •Sufficient apical bone to allow adequate anchorage/primary stability of the implant
- •had natural teeth present adjacent to the tooth being replaced
排除标准
- •Presence of acute infection
- •Impossibility of reaching adequate implant primary stability in the native
- •Smokers of > 10 cigarettes
- •Antitumor chemotherapy or radiotherapy in the previous year
研究组 & 干预措施
xenograft cortical flexible sheet
a-traumatic tooth removal , socket lavage and curettage, performing a vestibular access horizontal incision corresponding to the socket 3-4 mm apically from the muccogingival junction , a tunnel is then created from the socket office and extended apically till it connects with the vestibular access incision, a computer guided surgical template is then used to deliver the implant in its optimal position, a slowly resorbable membrane shield is then introduced through the tunnel and stabilized with a membrane tac , it is a sturdy fixable membrane barrier placed above the labial plate
干预措施: Non-staged vestibular fresh socket therapy (Procedure)
结局指标
主要结局
radiographic buccal bone thickness
时间窗: 6 months
preoperative and follow up CBCTs are superimposed on each other and buccal bone thickness is measure at 3 similar points on both CBCTs and then a mean is calculated
radiographic buccal bone height
时间窗: 6 months
preoperative and follow up CBCTs are superimposed on each other and buccal bone height is measured in relation to implant shoulder level
次要结局
- final esthetic outcome of soft tissue(6 months)
研究者
Nourhan M.Aly
Instructor of Dental Public Health
University of Alexandria