Socket Preservation Using Socket-plug Technique With Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket With Buccal Dehiscence.

Socket Preservation Using Socket-plug Technique With Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket With Buccal Dehiscence: A Randomized Controlled Clinical Trial.

Socket Preservation Using Socket-plug Technique with Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket with Buccal Dehiscence: A Randomized Controlled Clinical Trial.

Study Overview

• Status: Not yet recruiting
• Conditions: Socket Preservation
• Intervention / Treatment: Procedure: socket-plug technique with putty bone; Procedure: Ice cream cone technique

Detailed Description

this randomized controlled clinical trial evaluates the effect of using alloplastic putty bone with socket-plug technique versus ice-cream cone technique regarding dimensional changes in bone width

• Study Type: Interventional
• Enrollment (Estimated): 30
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Abdelrahman Medhat; Phone Number: 01117909725; Email: abdelrahman.medhat@dentistry.cu.edu.eg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Single or double rooted teeth indicated for extraction.
• Systemically free patient
• Presence of small buccal dehiscence not exceeding 1/3 of the root.
• Maxillary and Mandibular Arches
• Non-smoker
• Adults or above the age of 21.
• Able to tolerate surgical periodontal procedures.
• Full mouth plaque and bleeding scores less than 15%.
• Compliance with the maintenance program.
• Provide informed consent

Exclusion Criteria:

• Systemic conditions/disease that contraindicate surgical procedure.
• Patients with presence or history of osteonecrosis of the jaws, with use of bisphosphonates, exposure to head and neck radiation, chemotherapy.
• Extraction socket with intact walls with no buccal dehiscence
• Patients with large distinct pre-apical pathology
• Heavy Smokers more than 10 cigarettes a day
• Patients without availability to attend follow-up visits or patients rejecting to sign the informed consent.
• Patients with parafunctional habits that produce overload on implant, such as bruxism and clenching.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Socket-plug technique with putty bone; Patients will be anesthetized at the surgical site by infiltration, using Articaine Hydrochloride 4%.; Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.; Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.; The socket walls are then inspected for the presence of buccal defects.; putty bone is injected into the socket up to the crest of the bone.; Collagen plug or sponge is adapted over the graft to occlude the socket; The plug is then stabilized with absorbable suture material.	Procedure: socket-plug technique with putty bone; Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.; Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.; The socket walls are then inspected for the presence of buccal defects.; putty bone is injected into the socket up to the crest of the bone.; Collagen plug or sponge is adapted over the graft to occlude the socket; The plug is then stabilized with absorbable suture material.
Active Comparator: Ice cream cone technique; Patients will be anesthetized at the surgical site by infiltration, using Articaine Hydrochloride 4%.; Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.; Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.; The socket walls are then inspected for the presence of buccal defects.; A Collagen barrier membrane is then shaped as an ice-cream cone and placed in the extraction socket lining the buccal tissues.; The socket is then filled with particulate bone graft.; The upper part of the membrane is then used to cover the socket.; Absorbable suture is then used to close the socket and stabilize the barrier membrane	Procedure: Ice cream cone technique; Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.; Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.; The socket walls are then inspected for the presence of buccal defects.; A Collagen barrier membrane is then shaped as an ice-cream cone and placed in the extraction socket lining the buccal tissues.; The socket is then filled with particulate bone graft.; The upper part of the membrane is then used to cover the socket.; Absorbable suture is then used to close the socket and stabilize the barrier membrane

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Quantitative volumetric changes	Bone volumetric changes will be measured in millimeter by super-imposition of 3D scans using volume analysis software.	day 0 - month 6

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Horizontal alveolar ridge width	Buccolingual alveolar ridge width will be measured in millimeter 1, 3, 5 mm bellow alveolar crest in both groups.	day 0 - month 6
Vertical alveolar ridge height	Vertical alveolar ridge height will be measured in millimeter from the end of the socket to the alveolar crest in both groups.	day 0 - month 6

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Estimated): October 30, 2025
• Primary Completion (Estimated): November 13, 2025
• Study Completion (Estimated): February 1, 2026

Study Registration Dates

• First Submitted: October 20, 2024
• First Submitted That Met QC Criteria: October 22, 2024
• First Posted (Actual): October 23, 2024

Study Record Updates

• Last Update Posted (Estimated): September 23, 2025
• Last Update Submitted That Met QC Criteria: September 20, 2025
• Last Verified: September 1, 2025

More Information

Terms related to this study

• Other Study ID Numbers: PER6-3-1 ..

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No