Socket Shield Technique With or Without Flap Elevation

Kutahya Health Sciences University

Status

Completed

Conditions

Alveolar Bone Resorption

Treatments

Procedure: Immediate implantation with the Socket Shield Technique

Study type

Interventional

Funder types

Other

Identifiers

NCT05492838

Details and patient eligibility

About

It is aimed to compare the bone changes and the amount of marginal bone loss after prosthetic loading around the immediately placed implants using the Socket Shield Technique with or without flap elevation.

Full description

Temporary prostheses will be applied to patients in the flap and flapless surgery group 1 week after the surgical procedure, and permanent prostheses will be placed 3 months later. From this date, clinical controls will be made in the 1st, 3rd, 6th months and 1st year.

During these controls, biological complications (peri-implant mucositis, peri-implantitis), implant failure and survival rates, and complications related to the socket shield (socket shield exposure, infection) will be evaluated. Marginal bone loss around the implants and bone resorption in the horizontal and vertical directions will be compared between the two groups with cone beam computed tomography taken at the 1st year follow-up.

The Oral Health-Related Quality of Life Scale will be applied in the session where the temporary prosthesis is applied 1 week after the surgery, in the 1st month clinical control and in the 3rd and 6th month clinical control after the permanent prosthesis application, in order to evaluate the quality of life related to the surgical and prosthetic application of the patients in both groups, and comparisons between groups will be made.

In addition, intraoral photographs will be taken from the patients for aesthetic evaluation before the surgical procedure, at the 1st, 3rd and 6th month clinical control sessions. Pink Aesthetic Score (PES) and White Aesthetic Score (BES) will be evaluated on the photographs, and a comparison will be made between groups in terms of scores.

Enrollment

12 patients

Sex

All

Ages

18 to 62 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Being systemically healthy (ASA classification I-II)
Being over 18 years old
Not smoking
Having good oral hygiene
Upper incisors and premolars that cannot be restored and have extraction indications
Periodontally healthy, non-mobile teeth
The amount and quality of bone suitable for immediate implant placement

Exclusion criteria

Periodontally unhealthy teeth
Teeth with vertical root fracture on the buccal surface
Teeth with a horizontal fracture below the bone level
Teeth with external and internal resorption affecting the buccal part of the root
Patients who are pregnant or suspected of pregnancy