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Evaluation of Socket Shield Technique With Immediate Implant Placement in the Esthetic Zone

Evaluation of Socket Shield Technique With Immediate Implant Placement in the Esthetic Zone

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05409950
Enrollment
20
Registered
2022-06-08
Start date
2019-09-16
Completion date
2021-09-07
Last updated
2022-06-08

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

Conditions

Alveolar Bone Resorption

Keywords

Immediate implants, sockets shield technique, esthetic zone

Brief summary

The study was conducted on 20 immediate implant placement sites in the anterior maxillary region. In the study group, 10 implants were inserted using socket shield technique, while in control group, 10 implants were inserted using conventional immediate placement technique. All patients received immediate and 6 months post-operative CBCT to assess horizontal bone loss, vertical bone loss, and measurement of bone density. Implant stability quotients (ISQs) was measured immediately, 1st, 3rd and 6 months post-operatively.

Detailed description

Unrestorable tooth extraction with immediate implant placement is considered one of the best treatment options in restoring the esthetics and function. Extraction socket resorption is considered a challenging procedure when it involves the esthetics zone. The preservation of the entire attachment apparatus for complete preservation of the alveolar ridge makes socket shield technique a promising procedure that helps to maintain anatomy, esthetics and function. Socket shield technique, eliminate the negative consequences of bone resorption of the buccal plate of bone; leading to maintaining hard and soft tissue contours and provides a perfect pleasing esthetic result with good function. It is a highly promising technique in terms of maintaining pink and white esthetics through preservation of the interdental papilla during preparation of the interdental socket shield. It is considered a minimally invasive surgical procedure and offers the advantages of immediate implant placement.

Interventions

PROCEDUREImmediate implant placement using socket shield technique

Evaluation of socket shield technique with immediate implant placement at the esthetic zone in comparison with the conventional immediate implant placement

Sponsors

Egyptian Russian University
Lead SponsorNETWORK

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
21 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

1. Endodontic or non-endodontic treated un-restorable remaining root/ tooth related to maxillary anterior teeth. 2. Healthy adult patients \> 20 years old (ASAI, II) . 3. Adequate oral hygiene. 4. Intact periodontal tissues.

Exclusion criteria

1. Periapical or periodontal active infection involving the teeth/root to be extracted (as excluded by radiographic examination). 2. Medically compromised patients (ASA III, IV, V). 3. Patients receiving chemotherapy or radiotherapy. 4. Heavy smokers,alcohol or drug abuse. 5. Patients with parafunctional habits such as bruxism, clenching, excessive gum chewing, lip or fingernail biting.

Design outcomes

Primary

MeasureTime frameDescription
Implant stabilityimmediate postoperativeUsing osstell
Horizontal gapimmediate postoperativeUsing cone-beam computed tomography
Vertical bone lossimmediate postoperativeUsing cone-beam computed tomography
Bone densityimmediate postoperativeUsing cone-beam computed tomography
peri-implant probing depthimmediate postoperativeusing periodontal probe

Countries

Egypt

Outcome results

None listed

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