Bone Loss
Conditions
Keywords
socket shield
Brief summary
immediate implant placement versus socket shield approach
Detailed description
This study was a randomized controlled clinical trial; patients were randomly allocated to two groups: the study group: ten dental implants were placed in the maxillary esthetic zone, implants were placed using the socket shield technique with immediate loading; and the control group: ten implants were placed immediately with immediate loading. Preoperative and 6 months postoperative CBCT were performed for both groups to assess the dimensional changes in the labial bone plates. Implant stability quotients (ISQs), pink esthetic scores and attachment loss were measured at the time of implant placement and 6 months postoperatively.
Interventions
PROCEDUREsocket sheild
the socket shield technique, in which a partial root fragment was retained around an immediately placed implant with the aim of avoiding tissue alterations after tooth extraction. Histologic evaluation in a beagle dog showed no resorption of the root fragment and new cementum formed on the implant surface.
Sponsors
Alexandria University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Masking description
Operator Data collector Examiner
Intervention model description
Study group (socket shield) vs. Control group (immediate implants)
Eligibility
Sex/Gender
ALL
Age
20 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
Patients of 20-45 years of both sexes. Good oral hygiene Demonstrating non-restorable maxillary anterior single rooted teeth in the esthetic zone with as far diagnosable. Fairly intact buccal periodontal tissues. Patients' acceptance to sign the informed consent. Labial bone plates less than 1.5 mm in thickness or cases with labial root curvatures. Intact root with no mobility in the tooth and no sub-gingival caries.
Exclusion criteria
Patients with systemic diseases that would interfere with the normal healing such as uncontrolled diabetes mellitus. History of radiation therapy to the head and neck. No history of bruxism/ para-functional habits. (119) Teeth with periodontal disease, vertical root fracture, horizontal fracture at or below the bone level, and teeth with local pathologic incidents that affect the labial part of the root as external or internal root resorption were also excluded. Maxillary 1st and 2nd premolars. Pregnant and lactating females.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| radiographic bone level | 6 months | vertical and horizontal bone loss |
Countries
Egypt
Outcome results
None listed