Immediate Implant Placement in Type ii Socket by Vestibular Socket Therapy Using Collagen Membrane

Alexandria University

Status: Completed

Conditions: Vestibular Socket Therapy; Immediate Implant; Type II Socket

Treatments: Procedure: vestibular socket therapy; Procedure: open flap surgery

Study type: Interventional

Funder types: Other

Identifiers

NCT07337837

0809-12/2023

Details and patient eligibility

About

Background: Immediate implant placement has become a routine and regular clinical practice. When the labial bone plate develops a dehiscence-type defect, delayed implant placement was recommended to give suitable amount of time for soft tissue thickening. However, it has a number of drawbacks, including a lengthy treatment period, the requirement for two surgical procedures, and a potential loss of facial contour. When immediate implant is placed with flap elevation and guided bone regeneration in type II socket, labial bone augmentation results were satisfactory, but in terms of soft tissue, it led to midfacial recession and loss of soft tissue contour, resulting in a compromised final esthetic result. To reduce these drawbacks, implant can be immediately placed by vestibular socket therapy using collagen membrane.

Aim of this study: To compare labial bone augmentation in immediate implant placement in type II extraction sockets by using collagen membrane placed by two different modalities.

Enrollment: 18 patients

Sex: All

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients of both sexes with a single maxillary tooth (second bicuspid to second bicuspid) indicate for extraction due to fracture, badly decayed or endodontic lesionswith expected labial bone defect

Exclusion criteria

• Pregnancy.
• Patients with any systematic disease that could complicate the surgical phase or affect osseointegration as osteoporosis and uncontrolled diabetes mellitus.
• Periodontal disease or gingival recession.
• Heavy smokers (more than 30 cigarette / day).
• Patients with poor oral hygiene

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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18 participants in 2 patient groups

Study group

Experimental group

Treatment:

Procedure: vestibular socket therapy

Control Group

Active Comparator group

Treatment:

Procedure: open flap surgery