Piezotome Atraumatic Tooth Extraction And Immediate Implant Placement In Maxillary Anterior Region

Alexandria University

Status: Enrolling

Conditions: Implant-supported Single Crowns; Piezotome

Treatments: Procedure: maxillary anterior teeth atraumatically extracted with piezotome extraction kit, and subsequent immediate implant placement; Procedure: maxillary anterior teeth atraumatically extracted with periotome, and subsequent immediate implant placment

Study type: Interventional

Funder types: Other

Identifiers

NCT07041879

ATE-17-5-25

Details and patient eligibility

About

Tooth extraction is critical for dental treatment complications followed by immediate implant placement to restore the extracted tooth . The use of devices or instruments such as piezotome and periotome as aids in atraumatic surgical proceduresو conserving both bone and soft tissue, allowing extraction without unnecessary socket expansion. Immediate implant placement into fresh extraction sockets offers some esthetic and functional advantages.

the Aim of this study is to compare and evaluate the effectiveness of the piezotome and periotome as aids for atraumatic extraction in immediate implant placement in maxillary anterior teeth.

Full description

30 patients with non-restorable maxillary anterior teeth will be included. Teeth will be extracted using an atraumatic tooth extraction using piezotome and periotome as aids in atraumatic surgical procedures. After that an immediate implant will be placed into the fresh extraction socket . patients will be recalled for follow-up 3months after implant placement to evaluate pain by VAS and evaluate bone healing using CBCT.

Enrollment: 30 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patients of both gender with a non-restorable maxillary anterior tooth in the aesthetic zone indicated for extraction and subsequent immediate implant placement. Including those with:

   1. Severely carious tooth that it cannot be restored.
   2. Pulpal necrosis or irreversible pulpitis that is not amenable to endodontics.
   3. Periodontally involved Tooth with grade 2 mobility or above.
   4. Tooth with root caries that can't be restored.

2. Patients with extraction socket Type I, according to Elian's classification

Exclusion criteria

1. Patients with extraction socket Type II or III, with defect in the buccal plate
2. Patients with deciduous teeth.
3. Heavy smokers.
4. Medically compromised patients with conditions that would impede implant osteointegration and healing.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Atraumatic extraction with piezotome and subsequently immediate implant placement

Active Comparator group

Description:

Patients with maxillary anterior teeth will be atraumatically extracted with piezotome extraction, and subsequently immediate implant placement

Treatment:

Procedure: maxillary anterior teeth atraumatically extracted with piezotome extraction kit, and subsequent immediate implant placement

Atraumatic extraction with periotome and subsequently immediate implant placement

Experimental group

Description:

Patients with maxillary anterior teeth will be atraumatically extracted with periotome, and subsequently immediate implant placement

Treatment:

Procedure: maxillary anterior teeth atraumatically extracted with periotome, and subsequent immediate implant placment