Maxillary Anterior Teeth Replacement With Immediate Dental Implants Utilizing Vestibular Socket Therapy Versus Ice Cream Cone Technique
试验速览
- 阶段
- 不适用
- 入组人数
- 16
- 试验地点
- 1
- 主要终点
- Bone changes
研究概览
简要总结
The aim of the study will be to evaluate maxillary anterior teeth replacement with immediate dental implant utilizing vestibular socket therapy versus ice cream cone technique both clinically and radiographically.
详细描述
Tooth loss is the endpoint of oral diseases, such as dental caries and periodontitis, and reflects the utilization of dental services during a lifetime .
The incidence of tooth loss has significantly declined at the global levels. However, tooth loss and oral diseases are still a major public health concern worldwide.
In the anterior region, the common reason for tooth loss is due to traumatic injury or congenital anomaly, loss of a single tooth may cause functional and esthetic deficits to the patient. Tooth extraction usually accompanies alveolar ridge resorption along with loss of preexisting tissue morphology.
There is a new developed a post-extraction fresh socket classification system as follows: Type 1: The facial soft tissue and buccal plate of bone are at normal levels in relation to the cement enamel junction of the pre-extracted tooth and remain intact post extraction.
Type 2: Facial soft tissue is present, but the buccal plate is partially missing following extraction of the tooth. Type 3: The facial soft tissue and the buccal plate of the bone are both markedly reduced after tooth extraction. This classification enabled ordering and classifying of post-extraction sockets.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age more than 18 - 40 years.
- •Patients with missing single tooth or teeth in the esthetic zone.
- •Patients with buccal wall defect Type 2 A, B sockets (thin labial plate of bone less than 0.5 mm, presence of dehiscence or fenestration).
- •Good oral hygiene.
- •Patients willing to be present during the study follow-up intervals.
- •Patients free from any systemic diseases that may contraindicate implant placement .
- •Crown height space of at least 8 mm.
- •Patients without any para-functional habits (bruxism and clenching).
排除标准
- •Smoking people.
- •Alcohol or drug abuse.
- •Patients with poor oral hygiene or progressive periodontal disease .
研究组 & 干预措施
Group A :immediate dental Implants cases with ice-cream cone technique in type 2 socket
immediately placed implants in which the socket defect will be treated utilizing ice cream cone technique by Dennis Tarnow using collagen membrane , allograft bone graft and custom healing abutments
干预措施: Group A : ice cream cone technique (Other)
Group B : immediate dental Implants cases with the vestibular socket therapy in type 2 socket
8 immediately placed implants in which the socket defect will be treated utilizing vestibular socket therapy technique using cortical lamina , allograft , bone tacks for fixation and custom healing abutment
干预措施: Group B : the vestibular socket therapy (Other)
结局指标
主要结局
Bone changes
时间窗: 12 months
bone changes in volume by cone-beam computed tomography (CBCT )radiographically .
次要结局
- soft tissue changes(12 months)