Socket Shield Technique Versus Conventional Immediate Implant Placement in Thin Buccofacial Bone

Socket Shield Technique Versus Conventional Immediate Implant Placement in Thin Buccofacial Bone to Evaluate Buccal Bone Resorption: A Randomized Controlled Trial

Buccal bone is prone to resorb after tooth extraction specially with immediate tooth implantation which could compromise the esthetics of the patient. socket shield technique retains the buccal aspect of the extracted root fragment which may help in preventing the buccal bone from resorbing and prevent esthetics deterioration

Study Overview

• Status: Unknown
• Conditions: Crestal Bone Loss
• Intervention / Treatment: Device: Socket shield; Procedure: Conventional immediate implantation

Detailed Description

The alveolar ridge resorbs and collapses following tooth removal which continues to be a major concern for practitioners. Many researchers concluded that buccal aspect of the ridge is more prone to resorption, as it is primarily supplied by the periodontal tissues and ligments of the tooth. Therefore, extraction of the hopeless tooth, may be a reason for buccal cortical plate resorbing at a faster rate than the palatal plate leading to its total degradation. This may lead to dimensional changes in the human ridge and the aesthetic area is highly affected by this process. Several techniques in the litreture were proposed to solve the problem of thin buccal bone resorption with or without immediate implantation in the aesthetic area. Some of these techniques are the guided bone and soft tissue regenraton and bone augmentation but proved to be slight aggressive with high morbidity rate. Recently, several papers were published concerning the socket shield technique explaining how to maintain the ridge width and height. Socket shield technique that was first introduced in 2010 aids at retaining the buccal fragment of root in place and intact thus placing the implant behind the lingual aspect of that fragment so that the periodontal ligments and tissues preserve its vitality and aids in preventing the collapsing of the buccal bone. This would help in improving aesthetics especially during immediate implant placment in the anterior maxillary region.

• Study Type: Interventional
• Enrollment (Anticipated): 86
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt
    • Recruiting
    • Cairo University
    • Contact: Ahmad el khadem, lecturer; Phone Number: 00201227520298; Email: hassan.ahmed@dentistry.cu.edu.eg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 50 years (ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• • Humans

  • Esthetic area (anterior and first premolars)
  • Intact labial plate
  • Hopeless tooth indicated for extraction and immediate implant placement

Exclusion Criteria:

• • Implantation after trauma

  • Peri-implantits defects
  • Use of barrier membranes(GBR)
  • Socket preservation

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: SOCKET SHIELD TECHNIQUE; Socket shield is the surgical removal of the frontal aspect of the badly broken root and retaining the lingual aspect so as to prevent crestal bone loss with insertion of the dental implant behind it	Device: Socket shield; Socket shield is the Removal of the lingual portion of the anterior root thus retaining the lingual portion; Other Names: Implant stability
ACTIVE_COMPARATOR: Conventional immediate implantation; Conventional immediate implantation is the surgical removal of the entire badly broken root	Procedure: Conventional immediate implantation; Conventional immediate implantation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Buccal bone resorption assesed by cone beam computed tomography as a measuring tool	Measuring buccal bone loss after the procedure comparing between leaving the buccal portion of the root and extracting the whole root	12 months

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Principal Investigator: Abdullah A Mattar, A.Lecturer, Cairo University

Study record dates

Study Major Dates

• Study Start (ACTUAL): August 20, 2017
• Primary Completion (ANTICIPATED): August 20, 2018
• Study Completion (ANTICIPATED): December 1, 2018

Study Registration Dates

• First Submitted: August 16, 2017
• First Submitted That Met QC Criteria: August 24, 2017
• First Posted (ACTUAL): August 28, 2017

Study Record Updates

• Last Update Posted (ACTUAL): September 15, 2017
• Last Update Submitted That Met QC Criteria: September 14, 2017
• Last Verified: September 1, 2017

More Information

Terms related to this study

• Keywords: socket shield technique; crestal bone loss; immediate implanation
• Other Study ID Numbers: CEBD-CU-2017-08-03

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No