Immediate and Delayed Implant Placement Using Socket Shield Technique and Autogenous Dentin Graft

Hams Hamed Abdelrahman22 enrolled

Overview

One of the techniques that have been proposed to reduce the amount of bone resorption in anterior maxilla is the "socket shield (SS) ". This technique includes preservation of the facial segment of a root to be extracted and immediate implant placement. A technique of socket shield with delayed implantation using autogenous dentin graft for socket preservation, as an alternative to autogenous bone grafts, has shown predictable clinical and histological outcomes.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Dental Implant Tooth Loss Socket Shield

Interventions

Immediate implantOTHER

Immediate Implant with Socket Shield Group

Delayed implantOTHER

Delayed Implant with Socket preserved with socket Shield and dentin graft Group

Eligibility

Sex: ALLMin age: 18 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with badly destructed or non-restorable maxillary anterior teeth when the Labial cortical plate is still intact, and the thickness was found to be \<2mm in CBCT. * Patients with health status according to American Society of Anesthesiology (ASA) I and II. * Patients who agree to participate in the study. Exclusion Criteria: * Patients presenting with any systemic pathology or health condition that would inhibit the osseointegration process of the implants. * Perforated labial cortical plate seen in CBCT. * Patients undergoing radiation therapy or history of radiation within the last two years. * Drug or alcohol abuse

Locations (1)

Alexandria Faculty of Dentistry

Alexandria, Egypt

Outcomes

Primary Outcomes

Change in implant stability

The stability of each implant will be measured using the Osstell device. The ISQ value will be measured immediately at the time of surgery and after three months

Time frame: Baseline and 3 months

Secondary Outcomes

change in thickness of the facial cortical plate

patients will be subjected to CBCT scans

Time frame: Baseline and 3 months

Change in bone density

patients will be subjected to CBCT scans

Time frame: Baseline and 3 months

Data from ClinicalTrials.gov

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