Evaluation of Immediate Implant Placement In The Esthetic Zone Using the Bone Shielding Concept Versus Dual Zone Therapy

Cairo University (CU)

Status

Completed

Conditions

Esthetic Zone

Dual Zone Technique

Immediate Implants

the Bone Shielding Concept

Alveolar Bone Loss

Treatments

Procedure: Immediate implant placement with the bone shielding concept

Procedure: immediate implant placement with The Dual-Zone Therapeutic Concept

Study type

Interventional

Funder types

Other

Identifiers

NCT05381467

AAN.1

Details and patient eligibility

About

Immediate implant placement has proven to be a successful treatment procedure that is preferred by patients because of being less traumatic, more time-efficient. Nowadays, the main goal of a successful immediate implant treatment has ceased to be gaining stability and osseointegration, but achieving long-term dimensional stability has become the optimal challenge. Various soft tissue and hard tissue augmentation techniques have been investigated in order to maintain the ridge dimensions following extraction and immediate implant placement.

Full description

It has been noted that the different augmentation procedures aid in decreasing the dimensional changes occurring after immediate implant placement in the esthetic zone. Even though immediate implant placement is a predictable procedure, however, labial bone resorption following tooth extraction is inevitable. The available surgical techniques present do not entirely prevent dimensional variations of the peri-implant hard and soft tissues over time. Furthermore, substantial evidence showed that immediate implant placement failed to halt the resorption of the thin buccal bony plate with subsequent gingival recession, particularly in patients with thin gingival phenotype

Enrollment

24 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

adult (>18 years) patients having a single non-adjacent hopeless maxillary tooth in the esthetic zone
type I socket (intact but thin labial plate of bone and intact overlying soft tissues)
adequate palatal bone
≥3 mm apical bone to engage the immediately placed implants
optimum primary stability (a minimum of 30 Ncm insertion torque) following tooth extraction.

Exclusion criteria

smokers
pregnant women
patients with systemic diseases
periodontal disease, gingival recession
infected sockets
periapical pathosis and history of chemotherapy or radiotherapy within the past 2 years.