Anterior Aesthetic Zone, Connective Tissue Graft
Conditions
Brief summary
The aim of this study is to evaluate and compare the Vestibular Socket Therapy (VST) technique using fascia lata membrane versus connective tissue graft both with xenogenic lamina membrane in immediate implants of anterior aesthetic zone.
Interventions
PROCEDURETest
immediate implant and VST with fascia lata membrane + xenogenic lamina membrane and particulate bone graft composed of autogenous cortical chips harvested from the surgical site
PROCEDUREControl
immediate implant and VST with connective tissue graft + xenogenic lamina membrane and particulate bone graft composed of autogenous cortical chips harvested from the surgical site
Sponsors
Hams Hamed Abdelrahman
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Class II socket according to Elian et al, described as facial soft tissue is present but the buccal plate is partially missing following extraction of the tooth in the maxillary anterior region. * Thin gingival phenotype. * Bone quality ranges from D2-D3 as gained from preoperative cone-beam computed tomography. * Presence of at least 3 mm of keratinized gingiva. * Optimal compliance as evidenced by no missing treatment appointments and a positive attitude towards oral hygiene
Exclusion criteria
* Medically compromised patients and systemic conditions precluding implant and periodontal surgery. * Smokers, diabetics, pregnant or lactating women. * History of chemotherapy, radiotherapy in head and/or neck region. * Bisphosphonate therapy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in peri-implant mucosal level | at baseline, 6 months and 12 months | The changes in peri-implant mucosal level will be assessed by superimposition of scanning files of different intervals to monitor the changes in surface area calculated by software. |
| Changes in gingival phenotype | at baseline, 6 months and 12 months | The changes in gingival phenotype could be assessed at 6 months and 12 months intervals by superimposition of DICOM files on CBCT software. |
| Chaneg in height of labial (facial) plate of bone | at baseline, 6 months and 12 months | Cone beam computed tomography (CBCT) |
| Chaneg in thickness of labial (facial) plate of bone | at baseline, 6 months and 12 months | Cone beam computed tomography (CBCT) |
Countries
Egypt
Outcome results
None listed