Labial Bone Thickness Around Immediate Implants in the Esthetic Zone Following a Novel Socket Evaluation System

Misr International University

Status: Begins enrollment this month

Conditions: Immediate Implant Placement

Treatments: Procedure: Immediate implants with bone grafts; Procedure: Immediate implant placed without bone grafts or any grafting substitutes in the labial gap

Study type: Observational

Funder types: Other

Identifiers

NCT06648135

IDCE 14

Details and patient eligibility

About

The anterior maxilla is a particularly challenging area for immediate implant placement due to its thin buccal bone walls. These walls are more susceptible to resorption after tooth extraction, which can lead to significant bone loss and inadequate support for an implant. However, Different socket dimension may affect the amount of bone formed labial to the implant, regardless of the garfting procedure.

Full description

Bone formation labial to the immediate implant is not related to the initial thick- ness of the labial plate of bone, rather than the initial labio-palatal socket dimension. this study aims to evaluate the bone formed labial to the implant following a Novel Socket Evaluation System.

Enrollment: 25 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Immedaite implants in anterior maxilla
• thick gingival phenotype
• intact but thin labial plate of bone (≤1mm)
• sufficient apical bone to attain implant primary stability (a minimum of 35 Ncm insertion torque)

Exclusion criteria

• smokers
• pregnant women
• patients with systemic disease
• patients with parafunctional habits such as bruxism or clenching,
• infected socket
• periapical pathosis
• history of radiotherapy or chemotherapy within the past 2 years.

Trial design

25 participants in 2 patient groups

Bone grafts

Description:

Immediate implant placed with bone grafts in the labial gap

Treatment:

Procedure: Immediate implants with bone grafts

No bone grafts

Description:

Immediate implant placed without bone grafts or any grafting substitutes in the labial gap

Treatment:

Procedure: Immediate implant placed without bone grafts or any grafting substitutes in the labial gap