Evaluation the Accuracy of Immediate Implant Placement Using SocketFit Static Surgical Guide Versus Conventional Static Surgical Guide in Anterior Esthetic Zone (SocketFit)

August 11, 2026 updated by: Aliaa Saeed Kishk, Tanta University
This study compares two types of surgical guides used during immediate dental implant placement in the upper front teeth. One guide is a conventional static surgical guide, while the other is a modified SocketFit static surgical guide designed to improve stability after tooth extraction. The purpose of the study is to determine whether the SocketFit guide improves the accuracy of implant placement.The findings may help improve the precision and predictability of immediate dental implant treatment in the anterior esthetic zone.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

Immediate implant placement in the anterior esthetic zone is a predictable treatment option that reduces treatment time and preserves peri-implant soft and hard tissues. Static computer-guided surgery has improved the accuracy of implant placement; however, guide stability may be compromised immediately after tooth extraction because of complex morphology and angulation of post-extraction sockets, as well as variations in bone density.These factors can lead to surgical drill displacement, causing the implant to deviate from its intended trajectory.Therefore, The SocketFit static surgical guide incorporates a socket-engaging extension designed to enhance guide seating and stability during osteotomy preparation. Limited evidence is available regarding the accuracy of this modified guide compared with the conventional tooth-supported static surgical guide. Therefore, this study aims to evaluate the accuracy of immediate implant placement using the SocketFit static surgical guide versus the conventional static surgical guide in the anterior esthetic zone. Accuracy will be assessed by comparing the planned and actual implant positions using postoperative Cone Beam Computed Tomography (CBCT) superimposition, evaluating coronal, apical, angular, and depth deviations.

Study Type

Interventional

Enrollment (Estimated)

26

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Patients in good health with absence of any relevant medical condition that contraindicates dental implant placement e.g. blood coagulation disorder.
  • Optimal compliance is evidenced by no missed treatment appointments and a positive attitude toward oral hygiene.
  • Extraction socket type I according to Ellian et al criteria with adequate native/apical bone to achieve primary implant stability and intact buccal plate of bone.
  • Thick mucosal phenotype.
  • Probing depth ≤ 3 mm at mid-buccal aspect of failing tooth.
  • Age ranged from 18- 35 years old of both genders.

Exclusion Criteria:

  • Patients subjected to irradiation in the head and neck area.
  • Bisphosphonate therapy.
  • Females who are pregnant or trying to conceive, and nursing mothers.
  • Smokers and uncontrolled diabetic patients.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: SocketFit Static Surgical Guide
Participants will undergo immediate implant placement in the anterior esthetic zone using the SocketFit static surgical guide. The guide incorporates a socket-engaging extension designed to enhance guide stability and drilling accuracy following atraumatic tooth extraction. Implant placement will be performed according to the planned digital workflow.
Device: SocketFit Static Surgical Guide
Participants will undergo immediate implant placement in the anterior esthetic zone using the SocketFit static surgical guide. The guide incorporates a socket-engaging extension designed to enhance guide stability and drilling accuracy following atraumatic tooth extraction. Implant placement will be performed according to the planned digital workflow.
Active Comparator: Conventional Static Surgical Guide
Participants allocated to the control group will undergo immediate implant placement in the anterior esthetic zone using a conventional tooth-supported static surgical guide designed through the standard digital workflow. Following atraumatic tooth extraction, the guide will be seated on the remaining teeth to direct sequential osteotomy preparation and implant placement according to the preoperative virtual implant plan. All other surgical procedures, implant system, drilling protocol, and postoperative management will be identical to those used in the experimental group.
Device: Conventional Static Surgical Guide
Participants allocated to the control group will undergo immediate implant placement in the anterior esthetic zone using a conventional tooth-supported static surgical guide designed through the standard digital workflow. Following atraumatic tooth extraction, the guide will be seated on the remaining teeth to direct sequential osteotomy preparation and implant placement according to the preoperative virtual implant plan. All other surgical procedures, implant system, drilling protocol, and postoperative management will be identical to those used in the experimental group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Coronal deviation
Time Frame: Immediately after implant placement following digital superimposition of the planned and actual implant positions.
The linear distance (mm) between the planned and actual implant positions at the coronal platform, measured by digital superimposition of the preoperative implant plan and postoperative Cone Beam Computed Tomography (CBCT) data.
Immediately after implant placement following digital superimposition of the planned and actual implant positions.
apical deviation
Time Frame: Immediately after implant placement following digital superimposition of the planned and actual implant positions.
The linear distance (mm) between the planned and actual implant positions at the implant apex, measured using digital superimposition of the preoperative implant plan and postoperative Cone Beam Computed Tomography (CBCT) data.
Immediately after implant placement following digital superimposition of the planned and actual implant positions.
depth(vertical) deviation
Time Frame: Immediately after implant placement following digital superimposition of the planned and actual implant positions.
The vertical difference (mm) between the planned and actual implant positions along the implant long axis, measured using digital superimposition of the preoperative implant plan and postoperative Cone Beam Computed Tomography (CBCT) data.
Immediately after implant placement following digital superimposition of the planned and actual implant positions.
angular deviation
Time Frame: Immediately after implant placement following digital superimposition of the planned and actual implant positions.
The angular difference (degrees) between the long axes of the planned and actual implant positions, measured using digital superimposition of the preoperative implant plan and postoperative Cone Beam Computed Tomography (CBCT) data.
Immediately after implant placement following digital superimposition of the planned and actual implant positions.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Tanta University

Investigators

  • Principal Investigator: Aliaa s. Kishk, Batchelor, Tanta University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 1, 2026

Primary Completion (Estimated)

July 1, 2027

Study Completion (Estimated)

July 1, 2027

Study Registration Dates

First Submitted

August 7, 2026

First Submitted That Met QC Criteria

August 7, 2026

First Posted (Actual)

August 12, 2026

Study Record Updates

Last Update Posted (Actual)

August 13, 2026

Last Update Submitted That Met QC Criteria

August 11, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 3626

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

No individual participant data (IPD) will be shared. All personal identifiers, including names and any information that could identify participants, will be removed before data analysis or sharing. De-identified Cone Beam Computed Tomography (CBCT) images, Stereolithography (STL ) models, and summary outcome data may be used in scientific publications or presentations in accordance with participant consent, ethical approval, and institutional regulations.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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