Labial Bone Thickness Around Immediate Implants in the Esthetic Zone Following a Novel Socket Evaluation System

a Novel Socket Evaluation System and Its Impact on Bone Formed Labial to Bone Immediate Anterior Implants. A 1-year Clinical Trial.

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06648135

Enrollment

Registered

2024-10-18

Start date

2026-03-01

Completion date

2026-07-01

Last updated

2026-01-28

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

Conditions

Immediate Implant Placement

Brief summary

The anterior maxilla is a particularly challenging area for immediate implant placement due to its thin buccal bone walls. These walls are more susceptible to resorption after tooth extraction, which can lead to significant bone loss and inadequate support for an implant. However, Different socket dimension may affect the amount of bone formed labial to the implant, regardless of the garfting procedure.

Detailed description

Bone formation labial to the immediate implant is not related to the initial thick- ness of the labial plate of bone, rather than the initial labio-palatal socket dimension. this study aims to evaluate the bone formed labial to the implant following a Novel Socket Evaluation System.

Interventions

PROCEDUREImmediate implants with bone grafts

Immediate implants with bone grafts

PROCEDUREImmediate implant placed without bone grafts or any grafting substitutes in the labial gap

Immediate implant placed without bone grafts or any grafting substitutes in the labial gap

Study design

Observational model

COHORT

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Immedaite implants in anterior maxilla * thick gingival phenotype * intact but thin labial plate of bone (≤1mm) * sufficient apical bone to attain implant primary stability (a minimum of 35 Ncm insertion torque)

Exclusion criteria

* smokers * pregnant women * patients with systemic disease * patients with parafunctional habits such as bruxism or clenching, * infected socket * periapical pathosis * history of radiotherapy or chemotherapy within the past 2 years.

Design outcomes

Primary

Measure	Time frame	Description
Bone labial to the implant	one year	measured at three levels 0, 2, and 5 mm below the labial bone crest after one year. Using fusion software.

Secondary

Measure	Time frame	Description
Bone area at the Interproximal component	preoperative	Bone area at the mesial and distal Interproximal component in mm2

Countries

Egypt

Contacts

CONTACTAhmed I Aboul Fettouh, PhD

ahmed.abouelfotouh@miuegypt.edu.eg+201019999983

Outcome results

None listed

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