The Vestibular Socket Therapy : A Novel Concept for Immediate Implant Placement in Defective Fresh Extraction Sites

Nourhan M.Aly

Status: Completed

Conditions: Immediate Implants

Treatments: Procedure: Non-staged vestibular fresh socket therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT03987646

nonstaged socket therapy

Details and patient eligibility

About

This article aims to provide a non- staged treatment protocol to placing dental implants in compromised fresh sockets in the aesthetic zone.

Full description

This is a site-specific therapy uses study a slowly resorbing regenerative barrier (shield) to augment any thin or deficient labial plate of bone, enhances the overlying soft tissue quality and quantity at the same time with implant fixture placement using a computer-guided surgical template.

Enrollment: 12 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• A hopeless single tooth in the maxillary anterior region
• Sufficient apical bone to allow adequate anchorage/primary stability of the implant
• had natural teeth present adjacent to the tooth being replaced

Exclusion criteria

• Presence of acute infection
• Impossibility of reaching adequate implant primary stability in the native
• Smokers of > 10 cigarettes
• Antitumor chemotherapy or radiotherapy in the previous year

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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12 participants in 1 patient group

xenograft cortical flexible sheet

Experimental group

Description:

a-traumatic tooth removal , socket lavage and curettage, performing a vestibular access horizontal incision corresponding to the socket 3-4 mm apically from the muccogingival junction , a tunnel is then created from the socket office and extended apically till it connects with the vestibular access incision, a computer guided surgical template is then used to deliver the implant in its optimal position, a slowly resorbable membrane shield is then introduced through the tunnel and stabilized with a membrane tac , it is a sturdy fixable membrane barrier placed above the labial plate

Treatment:

Procedure: Non-staged vestibular fresh socket therapy