Loss of Teeth Due to Extraction
Conditions
Brief summary
immediate implant placement with VST technique versus early implant placement with contour augmentation in fresh extraction sockets in the esthetic zone.
Detailed description
comparing VST technique with immediate implant placement that end up with final crown after 2 months with contour augmentation with early implant placement after 4- 8 weeks of soft tissue healing , then after 3 months final crown delivery both in fresh extraction sockets in the esthetic zone .
Interventions
PROCEDUREimmediate implant
immediate implant placement with VST technique versus early implant placement with contour augmentation technique
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
outcome assessor isnt involved in the intervension
Intervention model description
VST with immediate implant placement versus contour augmentation with early implant placement in fresh extraction sockets in esthetic zone.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Non-restorable maxillary teeth in the esthetic zone Intact adjacent teeth Adequate palatal and apical bone that allows achieving implant primary stability. Compromised sockets type II defect (Nicolas Elian 2007) ≥18 years Systemically healthy patients
Exclusion criteria
Extraction sockets with acute or chronic infection or with adjacent infected teeth Heavy Smokers \> than 10 cigarettes daily Cancer patients undergoing radiotherapy or chemotherapy during or within the last 6 months. Unmotivated patients to maintain adequate oral hygiene to follow up. Patients with physical disabilities that could affect follow up.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Implant survival | 12 months | If there is no pain or tenderness on use, no mobility, no history of exudates and radiographic bone loss is less than 2 mm from initial surgery implant the implant is considered successful |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in the height and thickness of the labial plate of bone | 12 months | will be measured by superimposing CBCT images obtained at the baseline (time of tooth extraction) and those after 12 months postimplant placement. |
| Changes in soft tissue height | 12 months | were identified midfacially and at the apex of the mesial and distal papillae by superimposing the STL (Standard Triangle Language) files of the models, obtained via IOS, at the baseline (of the unrestorable tooth) with those after 12 months of implant insertion |
Countries
Egypt
Contacts
Primary Contactamir elawady, BDS
Backup ContactMohamed Elkhashab, PHD
Outcome results
None listed