Piezotome Atraumatic Tooth Extraction And Immediate Implant Placement In Maxillary Anterior Region

N/AActive Not RecruitingNCT07041879

Alexandria University30 enrolled

Overview

Tooth extraction is critical for dental treatment complications followed by immediate implant placement to restore the extracted tooth . The use of devices or instruments such as piezotome and periotome as aids in atraumatic surgical proceduresو conserving both bone and soft tissue, allowing extraction without unnecessary socket expansion. Immediate implant placement into fresh extraction sockets offers some esthetic and functional advantages. the Aim of this study is to compare and evaluate the effectiveness of the piezotome and periotome as aids for atraumatic extraction in immediate implant placement in maxillary anterior teeth.

30 patients with non-restorable maxillary anterior teeth will be included. Teeth will be extracted using an atraumatic tooth extraction using piezotome and periotome as aids in atraumatic surgical procedures. After that an immediate implant will be placed into the fresh extraction socket . patients will be recalled for follow-up 3months after implant placement to evaluate pain by VAS and evaluate bone healing using CBCT.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Piezotome Implant-supported Single Crowns

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients of both gender with a non-restorable maxillary anterior tooth in the aesthetic zone indicated for extraction and subsequent immediate implant placement. Including those with: 1. Severely carious tooth that it cannot be restored. 2. Pulpal necrosis or irreversible pulpitis that is not amenable to endodontics. 3. Periodontally involved Tooth with grade 2 mobility or above. 4. Tooth with root caries that can't be restored. 2. Patients with extraction socket Type I, according to Elian's classification Exclusion Criteria: 1. Patients with extraction socket Type II or III, with defect in the buccal plate 2. Patients with deciduous teeth. 3. Heavy smokers. 4. Medically compromised patients with conditions that would impede implant osteointegration and healing.

Outcomes

Primary Outcomes

Radiographic assessment of the management of the crestal bone width and changes in labial bone thickness.

A postoperative CBCT will be taken within 24 hours of implant placement followed by a 6-months scan, and values will be compared with the preoperative record. The assessment will be conducted using the tools on the "On Demand 3D App." Software\*. The following criteria will be assessed:

Time frame: 5 months

Secondary Outcomes

Clinical Wound Healing

All patients will be recalled for a clinical follow-up period at 7, 14, and 21 days postoperative for the assessment of Wound healing using the Pink Esthetic Score (PES)

Time frame: 21 days