Evaluation the Accuracy of Immediate Implant Placement Using SocketFit Static Surgical Guide Versus Conventional Static Surgical Guide in Anterior Esthetic Zone
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 26
- 试验地点
- 1
- 主要终点
- Coronal deviation
研究概览
简要总结
This study compares two types of surgical guides used during immediate dental implant placement in the upper front teeth. One guide is a conventional static surgical guide, while the other is a modified SocketFit static surgical guide designed to improve stability after tooth extraction. The purpose of the study is to determine whether the SocketFit guide improves the accuracy of implant placement.The findings may help improve the precision and predictability of immediate dental implant treatment in the anterior esthetic zone.
详细描述
Immediate implant placement in the anterior esthetic zone is a predictable treatment option that reduces treatment time and preserves peri-implant soft and hard tissues. Static computer-guided surgery has improved the accuracy of implant placement; however, guide stability may be compromised immediately after tooth extraction because of complex morphology and angulation of post-extraction sockets, as well as variations in bone density.These factors can lead to surgical drill displacement, causing the implant to deviate from its intended trajectory.Therefore, The SocketFit static surgical guide incorporates a socket-engaging extension designed to enhance guide seating and stability during osteotomy preparation. Limited evidence is available regarding the accuracy of this modified guide compared with the conventional tooth-supported static surgical guide. Therefore, this study aims to evaluate the accuracy of immediate implant placement using the SocketFit static surgical guide versus the conventional static surgical guide in the anterior esthetic zone. Accuracy will be assessed by comparing the planned and actual implant positions using postoperative Cone Beam Computed Tomography (CBCT) superimposition, evaluating coronal, apical, angular, and depth deviations.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients in good health with absence of any relevant medical condition that contraindicates dental implant placement e.g. blood coagulation disorder.
- •Optimal compliance is evidenced by no missed treatment appointments and a positive attitude toward oral hygiene.
- •Extraction socket type I according to Ellian et al criteria with adequate native/apical bone to achieve primary implant stability and intact buccal plate of bone.
- •Thick mucosal phenotype.
- •Probing depth ≤ 3 mm at mid-buccal aspect of failing tooth.
- •Age ranged from 18- 35 years old of both genders.
排除标准
- •Patients subjected to irradiation in the head and neck area.
- •Bisphosphonate therapy.
- •Females who are pregnant or trying to conceive, and nursing mothers.
- •Smokers and uncontrolled diabetic patients.
研究组 & 干预措施
SocketFit Static Surgical Guide
Participants will undergo immediate implant placement in the anterior esthetic zone using the SocketFit static surgical guide. The guide incorporates a socket-engaging extension designed to enhance guide stability and drilling accuracy following atraumatic tooth extraction. Implant placement will be performed according to the planned digital workflow.
干预措施: SocketFit Static Surgical Guide (Device)
Conventional Static Surgical Guide
Participants allocated to the control group will undergo immediate implant placement in the anterior esthetic zone using a conventional tooth-supported static surgical guide designed through the standard digital workflow. Following atraumatic tooth extraction, the guide will be seated on the remaining teeth to direct sequential osteotomy preparation and implant placement according to the preoperative virtual implant plan. All other surgical procedures, implant system, drilling protocol, and postoperative management will be identical to those used in the experimental group.
干预措施: Conventional Static Surgical Guide (Device)
结局指标
主要结局
Coronal deviation
时间窗: Immediately after implant placement following digital superimposition of the planned and actual implant positions.
The linear distance (mm) between the planned and actual implant positions at the coronal platform, measured by digital superimposition of the preoperative implant plan and postoperative Cone Beam Computed Tomography (CBCT) data.
apical deviation
时间窗: Immediately after implant placement following digital superimposition of the planned and actual implant positions.
The linear distance (mm) between the planned and actual implant positions at the implant apex, measured using digital superimposition of the preoperative implant plan and postoperative Cone Beam Computed Tomography (CBCT) data.
depth(vertical) deviation
时间窗: Immediately after implant placement following digital superimposition of the planned and actual implant positions.
The vertical difference (mm) between the planned and actual implant positions along the implant long axis, measured using digital superimposition of the preoperative implant plan and postoperative Cone Beam Computed Tomography (CBCT) data.
angular deviation
时间窗: Immediately after implant placement following digital superimposition of the planned and actual implant positions.
The angular difference (degrees) between the long axes of the planned and actual implant positions, measured using digital superimposition of the preoperative implant plan and postoperative Cone Beam Computed Tomography (CBCT) data.
次要结局
未报告次要终点
研究者
Aliaa Saeed Kishk
Resident at Department of Oral Medicine Periodontology Diagnosis and Radiology Faculty of Dentistry Tanta University
Tanta University