: SOCKET SHIELD TECHNIQUE VERSUS EMPTY SOCKET TECHNIQUE

Cairo University (CU)

Status: Unknown

Conditions: Dental Implant Placement; Socket Shield Technique Implant Placement

Treatments: Procedure: implant placement

Study type: Interventional

Funder types: Other

Identifiers

NCT02992366

Cairoshi-con

Details and patient eligibility

About

To evaluate the clinical and radiographic outcomes of socket shield technique compared with conventional immediate implant placement.

Full description

To evaluate the clinical and radiographic outcomes of socket shield technique compared with conventional immediate implant placement.

PICO

• P: patient require immediate dental implant placement for esthetic consideration
• I: socket shield technique
• C: conventional immediate implant placement
• O:

Outcome name Measuring device Measuring unit Primary outcome Vertical and horizontal bone level Cone beam Computer Tomography (CBCT) Millimeter Secondary outcome (a) Pocket probing depth Periodontal probe Millimeter Secondary outcome (b) Labial Alveolar crestal bone height compared with the lingual side Cone beam Computer Tomography (CBCT) Millimeter

Enrollment: 20 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Patients with remaining roots in the esthetic zone with intact periodontal condition indicated for extraction.
2. Physically able to tolerate conventional surgical and restorative procedures
3. Signing of an informed consent form
4. Implant insertion torque > 32 N cm with good primary stability

Exclusion criteria

1. Systemic diseases contraindicating implant placement eg uncontrolled diabetes
2. Severe bruxism
3. Active infection in the teeth to be treated
4. Vertical root fractures with displacement in the teeth of the surgical area

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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20 participants in 2 patient groups

socket shield (A)

Experimental group

Description:

1. Following local anesthetic infiltration opposite to the root to be extracted the root is sectioned in a mesiodistal direction along its long axis as far apical as possible. 2. After sectioning the root into labial and palatal halves, the palatal half is removed with preservation of the labial root section. 3. The labial half is prepared to be Flushing or 1mm above the labial alveolar crest. Then thinned slightly to a concave contour in an apico-coronal and mesiodistal direction. 4. The implant will be inserted in place of the palatal half with the labial surface of the implant facing the labial root shield (root-implant interface) primary closure will not be attempted as the patients will undergo immediate non-functioning provisionization.

Treatment:

Procedure: implant placement

conventional immediate implant (B)

Active Comparator group

Description:

1. Following local anesthetic infiltration opposite to the root to be extracted non traumatic extraction of the tooth or remaining root by periotome. 2. The implant fixture will be inserted in the empty socket by conventional manner. primary closure will not be attempted as the patients will undergo immediate non-functioning provisionization.

Treatment:

Procedure: implant placement