Alveolar Bone Loss, Immediate Implant Placement, Tooth Extraction Status Nos
Conditions
Keywords
immediate implant placement, type II extraction socket, esthetic zone., xenograft, randomized controlled clinical trial
Brief summary
This randomized clinical trial aims to evaluate labial bone plate changes following immediate implant placement in Type II extraction sockets using two different xenograft materials and de-epithelialized free gingival graft in the esthetic zone . Patients requiring extraction and immediate implant placement will be randomly allocated into two groups according to the xenograft material used for defect grafting. Clinical and radiographic outcomes will be assessed to determine dimensional bone changes and implant success
Detailed description
Immediate implant placement in the esthetic zone has become a predictable treatment modality aiming to reduce treatment time while preserving alveolar bone and soft tissue architecture. However, dimensional alterations of the labial bone plate remain a clinical concern, particularly in Type II extraction sockets. The present randomized controlled clinical trial will compare the effect of two different xenograft materials and de-epithelialized free gingival graft used for defect grafting during immediate implant placement. Eligible patients indicated for tooth extraction and immediate implant placement will be randomly assigned into two parallel groups based on the grafting material used. Clinical evaluation and standardized radiographic assessment using CBCT will be performed to measure labial plate thickness changes, peri-implant bone stability, and implant success outcomes over a defined follow-up period. The findings of this study aim to provide clinical evidence regarding the most effective xenograft material for preserving peri-implant hard tissue contours in the esthetic zone
Interventions
PROCEDUREImmediate Implant Placement with Medpark S1 xenograft
Immediate implant placement in Type II extraction sockets, with gap grafting using Medpark S1 xenograft .
PROCEDUREImmediate Implant Placement with bio-Oss xenograft
Immediate implant placement in Type II extraction sockets, with gap grafting using bio-Oss xenograft
Sponsors
Basma Gamal Mohamed Ahmed
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients with one or more non-restorable teeth or remaining roots without signs of acute infection in the maxillary anterior region. * Type II extraction sockets. * Sufficient bone (\>3 mm) apically and palatally to allow for proper implant positioning with sufficient primary stability (≥ 30 N cm). * Good compliance.
Exclusion criteria
* Teeth with current acute periapical infection. * Medically compromised patients. * Heavy smokers (smoking of more than 10 cigarettes per day ). * Alcohol or drug abuse. * Patients undergoing chemotherapy and radiotherapy. * Poor oral hygiene. * Vulnerable groups (pregnant females and decision- impaired individual).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Labial Bone Plate Thickness Change | 6 months post-implant placement | Dimensional changes of the labial alveolar bone plate will be measured using standardized CBCT images to assess the effectiveness of the two xenograft materials in preserving bone contour |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Peri-implant mucosal level (PML) | 6 months post-implant placement | Intraoral scanning will be performed preoperative, immediate postoperative (baseline) and six months postoperatively. The 3D software will be used to align the baseline and six month models using the best-fit algorithm of the software to perfect the superimposition process. The superimposed models will be assessed using specific software, where the measurements will be performed to compare soft tissue outcomes between the two xenograft materials |
Countries
Egypt
Contacts
CONTACTBasma Gamal, BDS
Outcome results
None listed