Hopeless Tooth in Esthetic Zone, Immediate Dental Implants, Thin Labial Plate of Bone Pre-extraction
Conditions
Keywords
socket shield technique, partial extraction therapy, immediate dental implant
Brief summary
20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation using either the immediate implant with socket shield technique or the conventional immediate dental implant. the socket shield technique group (study group): 10 patients will have immediate implant placement with the socket shield technique. * conventional immediate dental implant technique (control group): 10 patients will have immediate implant placement with conventional technique.
Detailed description
20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation randomized to two groups immediate dental implant with the socket shield technique group (study group): 10 patients will have immediate implant placement with socket shield technique. * conventional immediate dental implant technique (control group): 10 patients will have immediate implant placement with conventional technique without socket shield technique. preparation of shield: the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds, Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest. The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants and the root section was checked for immobility with a sharp probe. After completion of the previous steps, the tooth root here will be known as the socket- shield (SS). An osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted palatal to the SS.
Interventions
PROCEDUREsocket shield technique group (study group)
immediate implant installation with socket shield technique: After administration of local anesthesia, the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds. Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest. The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants, and the root section was checked for immobility with a sharp probe. After completion of the previous steps, the tooth root here will be known as the socket- shield (SS). An osteotomy was then sequentially prepared according to manufacturer
PROCEDUREconventional immediate implant without socket shield technique
• After administration of local anesthesia, atraumatic tooth extraction by extraction forceps and Periotomes, an osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted and placement of cover screw. However, the soft tissue contour formed after healing may need some modification prior to impression taking. Suturing around the healing abutment, suture will be removed one week post surgically and then healing abutment and final prosthetic loading will be done after 4-6 months.
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
non restorable anterior teeth with thin labial plate of bone
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
\- 1. Non restorable maxillary anterior teeth without periapical pathology that may affect the success of dental implants. 2\. Interarch space enough for prosthetic rehabilitation. 3. Presence of posterior teeth or prosthesis that maintain occlusal bite. 4. Adult patients. 5. Good oral hygiene.
Exclusion criteria
\- 1. Edentulous anterior maxillary region. 2. Bad oral hygiene. 3. Patients with any relevant systemic diseases that affect soft tissue or bone healing. 4\. Patients with parafunctional habits (bruxism and clenching). 5. Uncooperative patients. 6. Heavy smokers.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| marginal bone loss | 6 months | — |
| labial bone thickness | 6 months | 1\. labial bone thickness measuring thickness of labial bone labial to the implant by (CBCT) Cone beam computed tomography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| bone density around dental implant | 6 months | bone density around dental implant by Cone beam computed tomography |
| implant secondary stability | 6 months | Secondary implant stability: will be recorded just after uncovery using Resonance frequency analysis (RFA) device \* (Osstell). |
| implant success | 6 months | absence of infection, fistula formation or implant mobility |
Countries
Egypt
Outcome results
None listed