Effect of Subepithelial Connective Tissue Graft With Socket Shield Technique

N/AActive Not RecruitingNCT06659081

Ain Shams University14 enrolled

Overview

The goal of this clinical trial is to Evaluate of the soft tissue profile changes and labial plate of bone in the anterior esthetic area when using socket shield technique in conjunction with immediate implant and subepithelial connective tissue graft, in comparison to using immediate implant combined by subepithelial connective tissue graft. The main questions it aims to answer is : * does the socket shield technique better preserve gingival contours and connective tissues, resulting in improved esthetic outcomes? * Researchers will compare socket shield combined with immediate implant placement and a subepithelial connective tissue graft to immediate implant placement with just a subepithelial connective tissue graft to see if more favorable soft tissue profile changes and better preservation of the labial plate of bone are obtained. participants will : . subjected to partially extracted socket with immediately placed implant and subepithelial connective tissue graft. .subjected to immediate implant with subepithelial connective tissue graft.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Socket Shield Technique Implant Placement Immediate Implant Placement

Interventions

socket shield techniquePROCEDURE

partial extraction therapy : sectioning the root and keeping part of it in contact with labial plate of bone

subepithelial connective tissue graftPROCEDURE

A connective tissue graft harvesting from maxillary tuberosity area

implant placementPROCEDURE

implant placement

Eligibility

Sex: ALLMin age: 21 YearsMax age: 35 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Medically free * Maxillary esthetic zone extended to the second premolar with healthy roots * Good oral hygiene * Hopeless teeth Exclusion Criteria: * Patients with systemic conditions that can affect bone turnover * Smokers * Pregnant women * Chronic and active periodontal disease * Vertical and horizontal root fracture * Dehiscence or fenestration of the labial plate of bone * Gingival recession

Outcomes

Primary Outcomes

Assessment of soft tissue profile around the implant

\- Scanning of preoperative and postoperative cast , then Volumetric analysis of soft tissue by Superimposing the scans to evaluate the changes in the soft tissues in millimeters.

Time frame: change from baseline at six months

Secondary Outcomes

Assessment of labial plate of bone around the implant

Preoperative CBCT to measure thickness, height and density of existent labial plate of bone in millimeters at baseline. Then, six months later, a CBCT is carried out to measure the difference between these measurements in millimeters.