Evaluation of Socket Shield Technique With Immediate Implant Placement in the Esthetic Zone

The study was conducted on 20 immediate implant placement sites in the anterior maxillary region. In the study group, 10 implants were inserted using socket shield technique, while in control group, 10 implants were inserted using conventional immediate placement technique. All patients received immediate and 6 months post-operative CBCT to assess horizontal bone loss, vertical bone loss, and measurement of bone density. Implant stability quotients (ISQs) was measured immediately, 1st, 3rd and 6 months post-operatively.

Study Overview

• Status: Completed
• Conditions: Alveolar Bone Resorption
• Intervention / Treatment: Procedure: Immediate implant placement using socket shield technique

Detailed Description

Unrestorable tooth extraction with immediate implant placement is considered one of the best treatment options in restoring the esthetics and function. Extraction socket resorption is considered a challenging procedure when it involves the esthetics zone. The preservation of the entire attachment apparatus for complete preservation of the alveolar ridge makes socket shield technique a promising procedure that helps to maintain anatomy, esthetics and function. Socket shield technique, eliminate the negative consequences of bone resorption of the buccal plate of bone; leading to maintaining hard and soft tissue contours and provides a perfect pleasing esthetic result with good function. It is a highly promising technique in terms of maintaining pink and white esthetics through preservation of the interdental papilla during preparation of the interdental socket shield. It is considered a minimally invasive surgical procedure and offers the advantages of immediate implant placement.

• Study Type: Interventional
• Enrollment (Actual): 20
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Ismailia, Egypt
    • Suez Canal University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 21 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Endodontic or non-endodontic treated un-restorable remaining root/ tooth related to maxillary anterior teeth.
2. Healthy adult patients > 20 years old (ASAI, II) .
3. Adequate oral hygiene.
4. Intact periodontal tissues.

Exclusion Criteria:

1. Periapical or periodontal active infection involving the teeth/root to be extracted (as excluded by radiographic examination).
2. Medically compromised patients (ASA III, IV, V).
3. Patients receiving chemotherapy or radiotherapy.
4. Heavy smokers,alcohol or drug abuse.
5. Patients with parafunctional habits such as bruxism, clenching, excessive gum chewing, lip or fingernail biting.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Study group: implants were inserted using socket shield technique at the esthetic zone	Procedure: Immediate implant placement using socket shield technique; Evaluation of socket shield technique with immediate implant placement at the esthetic zone in comparison with the conventional immediate implant placement
No Intervention: Control group: implants were inserted using conventional immediate technique

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Implant stability	Using osstell	immediate postoperative
Implant stability	Using osstell	one month post-operative
Implant stability	Using osstell	three month post-operative
Implant stability	Using osstell	six month post-operative
Horizontal gap	Using cone-beam computed tomography	immediate postoperative
Horizontal gap	Using cone-beam computed tomography	six month post-operative
Vertical bone loss	Using cone-beam computed tomography	immediate postoperative
Vertical bone loss	Using cone-beam computed tomography	six month post-operative
Bone density	Using cone-beam computed tomography	immediate postoperative
Bone density	Using cone-beam computed tomography	six month post-operative
peri-implant probing depth	using periodontal probe	immediate postoperative
peri-implant probing depth	using periodontal probe	one month post-operative
peri-implant probing depth	using periodontal probe	three month post-operative
peri-implant probing depth	using periodontal probe	six month post-operative

Collaborators and Investigators

• Sponsor: Egyptian Russian University

Study record dates

Study Major Dates

• Study Start (Actual): September 16, 2019
• Primary Completion (Actual): January 6, 2021
• Study Completion (Actual): September 7, 2021

Study Registration Dates

• First Submitted: May 24, 2022
• First Submitted That Met QC Criteria: June 4, 2022
• First Posted (Actual): June 8, 2022

Study Record Updates

• Last Update Posted (Actual): June 8, 2022
• Last Update Submitted That Met QC Criteria: June 4, 2022
• Last Verified: June 1, 2022

More Information

Terms related to this study

• Keywords: Immediate implants, sockets shield technique, esthetic zone
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Bone Diseases; Bone Resorption
• Other Study ID Numbers: HR-1

Drug and device information, study documents

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