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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Immediate implant surgery applied with the Socket Shield Technique
Kutahya Health Sciences University
Kütahya, Turkey (Türkiye)
Change from baseline marginal bone loss at 12 months
Measurement of marginal bone loss change between baseline and 12th month by cone beam computed tomography
Time frame: Baseline, 12th month
Change of peri-implant pocket depth between baseline and follow-up periods
Clinical measurement of change in peri-implant pocket depth between follow-up periods using probe
Time frame: Baseline, 1st month, 3rd month, 6th month, 12th month
Change of modified plaque index between baseline and follow-up periods
Clinical measurement of change in modified plaque index between follow-up periods using probe
Time frame: Baseline, 1st month, 3rd month, 6th month, 12th month
Change of modified bleeding index between baseline and follow-up periods
Clinical measurement of change in modified bleeding index between follow-up periods using probe
Time frame: Baseline, 1st month, 3rd month, 6th month, 12th month
Change in the width of keratinized mucosa between follow-up periods
Clinical measurement of change in the keratinized mucosa width between follow-up periods using probe
Time frame: Baseline, 1st month, 3rd month, 6th month, 12th month
Change in the mucosal recession between follow-up periods
Clinical measurement of change in the mucosal recession between follow-up periods using probe
Time frame: Baseline, 1st month, 3rd month, 6th month, 12th month
Change in the mucosal thickness between follow-up periods
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Clinical measurement of change in the mucosal thickness between follow-up periods using spreader
Time frame: Baseline, 1st month, 3rd month, 6th month, 12th month
Visual analog scale
On a scale of 0-10, with 0 indicating the worst and 10 indicating the best choice
Time frame: Baseline, 1st week, 1st month, 3rd month, 6th month, 12th month
Oral health impact profile questionnaire
A questionnaire consisting of 14 items
Time frame: Baseline, 1st week, 1st month, 3rd month, 6th month, 12th month
Pink aesthetic score
An index with a minimum score of 0 and a maximum score of 14
Time frame: Baseline, 1st week, 1st month, 3rd month, 6th month, 12th month
White aesthetic score
An index with a minimum score of 0 and a maximum score of 10
Time frame: Baseline, 1st week, 1st month, 3rd month, 6th month, 12th month