Extraction Tooth Socket
Conditions
Brief summary
Alveolar bone resorption and labial bone plate reduction follow teeth extraction due to the deficiency of blood supply, derived from the loss of periodontal ligaments, and hence the socket shield technique with autogenous dentine was introduced to preserve the periodontal ligaments. this study aim to evaluate of socket preservation using alloplast with socket shield versus Autogenous dentin graft with socket shield through radiographic analysis of alveolar bone dimension change and mean bone density in addition to histological and histomorphometric analysis for the quality of the formed bone.
Interventions
PROCEDUREModified socket shield technique with autogenous dentin graft material (in one side)
The crown of the hopeless tooth will be decoronated, the root will then be sectioned, the lingual root fragment will be carefully retrieved, the remaining buccal root fragment will be thinned and concaved, The coronal part of this shield will be beveled to make a lingual slope then Tooth particles will be demineralized using 2% HNO3 (El-Gomhouria CO. Egypt) for 20 minutes to expose the dentin organic matrix.
PROCEDUREModified socket shield technique with alloplast graft material (in contralateral side)
The crown of the hopeless tooth will be decoronated, the root will then be sectioned, the lingual root fragment will be carefully retrieved, the remaining buccal root fragment will be thinned and concaved, The coronal part of this shield will be beveled to make a lingual slope then alloplast graft will be used
Sponsors
Hams Hamed Abdelrahman
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
A single group in a split-mouth design, right and left sides are randomly allocated to the intervention group (16 sides in 8 patients)
Eligibility
Sex/Gender
ALL
Age
20 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* One or more of non-restorable (fractured or decayed) tooth/teeth in the maxillary aesthetic regions (incisors, premolars) in both side * Intact labial periodontal tissues. * Ability to read and sign an informed consent form.
Exclusion criteria
* A medical history that contraindicates oral surgical treatment (uncontrolled/untreated diabetes mellitus, immunocompromised status, radio/chemotherapy of the oral and maxillofacial region, treatment with oral and/or intravenous amino-bisphosponates). * Untreated periodontal disease. * Vertical root fractures on the labial aspect. * Tooth /teeth with horizontal fractures below bone level. * Tooth /teeth with external or internal resorptions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post opertaive edema | after 7 days | This will be assessed in the 1st week postoperatively and measured as follows: None (no inflammation) Mild (intraoral swelling confined to the surgical field) Moderate (extraoral swelling in the surgical zone) Severe (extraoral swelling spreading beyond the surgical zone). |
| change in pain score | 1 week and 3 months | it will be assessed using VAS It rates pain on a scale from 1-10, with 0 representing no pain and 10 very much pain |
| Change in bone density | at baseline and 3 months | it will be assessed using CBCT |
| Change in bone height | at baseline and 3 months | it will be assessed using CBCT |
Countries
Egypt
Outcome results
None listed