Immediate Implant Placement
Conditions
Brief summary
In the study immediate implant is placed in the anterior region with autogenous bone grafting from the maxillary tuberosity in one group and in the other group immediate implant is placed with xenograft .IN both groups soft tissue grafting is done using connective tissue assessment of buccal bone thickness and soft tissue will be done 6 months post operative
Detailed description
immediate implant will be placed in the anterior region with autogenous graft from the maxillary tuberosity and in the other group immediate implant will be laced with xenograft soft tissue grafting using sub-epithelial connective tissue will in both groups assessment of buccal bone thickness is the primary outcome of the study, while volumetric assessment of the soft tissue and patient satisfaction are the secondary and tertiary outcome the assessment of all outcome will be 6 months post operative the extraction socket in which the implant will be placed are class I&II
Interventions
PROCEDUREmaxillary tuberosity bone graft (autogenous graft)
the usage of maxillary tuberosity as source of autogenous graft supplying the needed cells for bone regeneration
PROCEDUREBone graft (xenograft)
xenograft is bone graft material that is obtained from porcine, bovine or equine source
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
the outcome assessor will not know the grouping of the study he will only know that immediate implant was placed in both groups
Intervention model description
two group in which the same procedure is done ( immediate implant placement) using different bone grafts
Eligibility
Sex/Gender
ALL
Age
20 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Systemically healthy patients (American Society of Anesthesiologists I; ASA I). * Age range (20-40) years. * Good compliance with the plaque control instructions following initial therapy. * Patients diagnosed with bone defect in the maxillary anterior esthetic zone (class 1 & 2) * Availability for follow up and maintenance program.
Exclusion criteria
* Peri apically infected teeth * Presence of smoking habit. * Presence of occlusal interferences. * Pregnant females. * Vulnerable group of patients (handicapped, mentally retarded and prisoners) (according to the recommendation of esthetical committee of Faculty of Dentistry Ain Shams University).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| buccal bone thickness | at baseline and 9 months | measuring the buccal bone thickness using CBCT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| soft tissue assessment using pink esthetic score | 9 months post opertive | The pink esthetic score (PES) evaluates the esthetic outcome of soft tissue around implant-supported single crowns in the anterior zone by awarding seven points for the mesial and distal papilla, soft-tissue level, soft-tissue contour, soft-tissue color, soft-tissue texture, and alveolar process deficiency, Using a 0-1-2 scoring system, 0 being the lowest, 2 being the highest value, the maximum achievable PES was 14 |
| patient satisfaction | after 9 months | questionnaire in which the scale is from (0 to 10) where 0 is completely unsatisfied and 10 totally satisfied |
Countries
Egypt
Outcome results
None listed