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

Nourhan M.Aly12 enrolled

Overview

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

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.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Immediate Implants

Interventions

Non-staged vestibular fresh socket therapyPROCEDURE

a slowly resorbable membrane shield is placed above the labial plate of bone so that when the thin labial plate started its resorption process the shield remains till a complete gap fill occurred thus leading to a thicker labial plate of bone or it preserves the socket architecture until a complete bone fill occurred inside the socket

Eligibility

Sex: ALLMin age: 18 YearsMax age: 50 Years

Medical Language ↔ Plain English

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

Locations (1)

Private Practice Clinic

Alexandria, Egypt

Outcomes

Primary Outcomes

radiographic buccal bone thickness

preoperative and follow up CBCTs are superimposed on each other and buccal bone thickness is measure at 3 similar points on both CBCTs and then a mean is calculated

Time frame: 6 months

radiographic buccal bone height

preoperative and follow up CBCTs are superimposed on each other and buccal bone height is measured in relation to implant shoulder level

Time frame: 6 months

Secondary Outcomes

final esthetic outcome of soft tissue

Pink esthetic score. based on subjective assessment of mesial papilla, distal papilla, midfacial level, midfacial contour, alveolar process deficiency, soft tissue color and texture. each item is given a score between 0 and 2, where 0 is the worst and 2 is the best outcome. Then, a final score ranging between 0-14 is calculated

Time frame: 6 months

Data from ClinicalTrials.gov

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