Immediate Implants
Conditions
Keywords
xenograft cortical flexible sheet, fresh extraction socket
Brief summary
This article aims to provide a non- staged treatment protocol to placing dental implants in compromised fresh sockets in the aesthetic zone.
Detailed description
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.
Interventions
PROCEDURENon-staged vestibular fresh socket therapy
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
Sponsors
Alexandria University
Nourhan M.Aly
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| radiographic buccal bone thickness | 6 months | 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 |
| radiographic buccal bone height | 6 months | preoperative and follow up CBCTs are superimposed on each other and buccal bone height is measured in relation to implant shoulder level |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| final esthetic outcome of soft tissue | 6 months | 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 |
Countries
Egypt
Outcome results
None listed