Alveolar Ridge Changes Post Tooth Extraction With Socket Shield Without Immediate Implant Placement" (CBCT)

Dimensional Changes of Alveolar Ridge After Tooth Extraction Using the Socket Shield Technique Without Immediate Implant Placement.

This study aimed to evaluate the dimensional changes in the alveolar ridge after tooth extraction using the socket shield technique without immediate implant placement. The changes using CBCT were assessed, focusing on the preservation of the ridge for delayed implant placement. This research could help improve dental implant outcomes by preserving bone and soft tissue structures."

Study Overview

• Status: Completed
• Conditions: Alveolar Ridge Resorption After Extraction
• Intervention / Treatment: Procedure: Modified Socket Shield Technique; Procedure: Conventional Tooth Extraction

Detailed Description

"In this clinical trial, the dimensional changes in the alveolar ridge following tooth extraction were investigated using the socket shield technique. The socket shield technique involved partial retention of the root structure to preserve the surrounding bone and soft tissues. No immediate implant placement was performed, and the ridge changes were assessed at multiple time points through CBCT scans. The study included a specified sample size, and participants underwent a follow-up of 6 months after socket shield preparation. This research aimed to provide insights into how well the socket shield technique preserves ridge dimensions over time, potentially optimizing future implant stability."

• Study Type: Interventional
• Enrollment (Actual): 80
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Dakahlia
    • Mansoura, Dakahlia, Egypt, 35511
      • Faculty of Dentistry, Mansoura University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Non-restorable teeth in the esthetic region.
• The buccal periodontal tissues were intact.
• Maintaining oral hygiene.

Exclusion Criteria:

• The usual limitations for oral surgery.
• Tooth having a vertical fracture of the root on the facial aspect.
• Tooth having horizontal fracture of the root extending below the level of the bone.
• Caries on the root segment to be maintained.
• Mobility of the tooth.
• Bruxism.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Modified Socket Shield Technique; Participants in this group underwent partial tooth extraction using the modified socket shield technique to preserve the alveolar ridge for delayed implant placement. CBCT scans were used to evaluate ridge preservation over time.	Procedure: Modified Socket Shield Technique; The modified socket shield technique involves partial retention of the buccal aspect of the tooth root during extraction to preserve the surrounding alveolar bone and soft tissue. This technique is used to optimize the condition for delayed implant placement by preventing resorption of the alveolar ridge.
Active Comparator: Conventional Tooth Extraction; Participants in this group underwent conventional tooth extraction without the socket shield technique. The alveolar ridge was evaluated using CBCT over the same period as the experimental group for comparison.	Procedure: Conventional Tooth Extraction; Conventional tooth extraction involves the complete removal of the tooth without the use of the socket shield technique. This arm served as the control group, with alveolar ridge changes observed and compared with those in the experimental arm over time.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Alveolar Ridge Width Changes	This outcome measure assesses changes in the alveolar ridge width following tooth extraction using either the modified socket shield technique or conventional extraction. Measurements were obtained through CBCT imaging at baseline and 6 months post-extraction. Unit of Measure: Millimeters (mm)	6 months post-extraction
Bone Plate Height Changes	This outcome measure assesses changes in the bone plate height following tooth extraction using either the modified socket shield technique or conventional extraction. Measurements were obtained through CBCT imaging at baseline and 6 months post-extraction. Unit of Measure: Millimeters (mm)	6 months post-extraction

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Primary Implant Stability	This outcome measure assessed the primary stability of dental implants placed after using either the socket shield technique or conventional extraction. Implant stability was evaluated using resonance frequency analysis (RFA) at the time of implant placement."	At the time of implant placement, typically 6 months post-extraction.

Collaborators and Investigators

• Sponsor: Soaad Tolba Mohammed Tolba Badawi
• Investigators: Principal Investigator: Soaad T Badawi, Lecturer, Oral Surgery, MU, Faculty of Dentistry, Mansoura University

Publications and helpful links

General Publications

• de Oliveira GB, Rebello IMC, Montanha Andrade K, Araujo NS, Dos Santos JN, Cury PR. Evaluation of alveolar process resorption after tooth extraction using the socket shield technique without immediate installation of implants: a randomised controlled clinical trial. Br J Oral Maxillofac Surg. 2021 Dec;59(10):1227-1232. doi: 10.1016/j.bjoms.2021.04.001. Epub 2021 Apr 8.

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2023
• Primary Completion (Actual): July 1, 2024
• Study Completion (Actual): August 1, 2024

Study Registration Dates

• First Submitted: October 22, 2024
• First Submitted That Met QC Criteria: October 24, 2024
• First Posted (Actual): October 26, 2024

Study Record Updates

• Last Update Posted (Actual): October 26, 2024
• Last Update Submitted That Met QC Criteria: October 24, 2024
• Last Verified: October 1, 2024

More Information

Terms related to this study

• Keywords: Tooth Extraction; Modified Socket Shield Technique
• Other Study ID Numbers: A27030123

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: The individual participant data (IPD) will not be shared due to privacy concerns and the confidential nature of patient data. Additionally, the current study protocol does not include provisions for external data sharing."

Drug and device information, study documents

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