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

11. august 2026 opdateret af: 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.

Studieoversigt

Detaljeret beskrivelse

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.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

26

Fase

  • Ikke anvendelig

Kontakter og lokationer

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Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

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Beskrivelse

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.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: 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.
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.
Aktiv komparator: 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.
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.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Coronal deviation
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Aliaa s. Kishk, Batchelor, Tanta University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. august 2026

Primær færdiggørelse (Anslået)

1. juli 2027

Studieafslutning (Anslået)

1. juli 2027

Datoer for studieregistrering

Først indsendt

7. august 2026

Først indsendt, der opfyldte QC-kriterier

7. august 2026

Først opslået (Faktiske)

12. august 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

13. august 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

11. august 2026

Sidst verificeret

1. august 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

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.

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