Vestibular Socket Therapy With and Without Bone Grafting

Immediate Implant Placement Using Vestibular Socket Therapy With and Without Bone Grafting (Randomized Controlled Clinical Trial)

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04930497

Enrollment

Registered

2021-06-18

Start date

2019-11-20

Completion date

2021-01-30

Last updated

2021-07-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Tooth Extraction

Brief summary

Management of the jumping gap in the Vestibular Socket Therapy. And to study what is the best technique to manage this gap for optimal esthetic result.

Detailed description

22 patients were randomly assigned to Group 1: Had received implants with the vestibular socket technique accompanied with bone grafting the jumping gap between the implant and the labial membrane. Group 2: Had received implants with the vestibular socket technique, but without bone grafting the jumping gap. Facial bone thickness and height were evaluated using CBCT scans at baseline before tooth extraction and after 6 and 13 months

Interventions

PROCEDUREvestibular socket technique with bone grafting

a vestibular horizontal incision was made then a subperiosteal tunnel was created and a facial bone membrane was placed. The facial gap was filled with a mixture of autogenous bone and deproteinized bovine bone mineral

PROCEDUREvestibular socket technique without bone grafting

the vestibular incision was done horizontally about 3 to 4 mm apical to the mucogingival junction and extending 5 to 10 mm horizontally. A submucoperiosteal tunnel was created labially from the socket orifice till the vestibular access incision

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

OTHER

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to 50 Years

Healthy volunteers

Inclusion criteria

* presence of a hopeless tooth or teeth in the esthetic zone (maxillary anterior area) * No active infection * Adequate bone palatally and apically * Presence of contralateral tooth for the tooth being replaced

Exclusion criteria

* Hopeless tooth with acute infection * heavy smokers (more than 10 cigarettes per day) * pregnant and patients received recent chemotherapy/radiotherapy (during the previous year)

Design outcomes

Primary

Measure	Time frame	Description
Change in Facial bone thickness	baseline, 6 months and 13 months	using CBCT scans (Carestream 8000D, Carestream Dental)
Change in Facial bone height	baseline, 6 months and 13 months	using CBCT scans (Carestream 8000D, Carestream Dental)

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026