Comparison Between Socket Shield and Conventional Techniques in Immediate Implant Placement.
Comparative Study Between Using Socket Shield And Conventional Techniques In Immediate Implant Placement (A Randomized Clinical Trial)
The goal of this randomized clinical trial is to compare whether immediate implant placement using the socket-shield technique can better preserve bone density, bone level, and peri-implant tissue health compared to conventional immediate implant placement in patients requiring tooth extraction in the maxillary esthetic zone.
This study is conducted in systemically healthy adult patients aged 20-60 years who have non-restorable maxillary anterior teeth indicated for immediate implant placement.
The main questions this study aims to answer are:
Does the socket-shield technique result in better peri-implant bone density and bone level preservation compared to the conventional immediate implant technique?
Does the socket-shield technique lead to improved clinical peri-implant parameters, including probing depth, bleeding on probing, keratinized tissue width, and soft tissue thickness?
participants will be divided into two groups: (both groups will receive immediate implant placement of a tooth requiring extraction in the maxillary esthetic zone.) First group: will recieve immediate implant using conventional technique. second group: will recieve immediate implant using socket shield technique.
Participants will:
- Undergo clinical and radiographic examinations, including cone beam computed tomography (CBCT).
- Receive immediate implant placement using either the conventional technique or the socket-shield technique.
- Be followed up clinically and radiographically for 9 months to assess bone and soft tissue healing.
- Attend regular postoperative and follow-up visits for evaluation of implant stability and peri-implant tissue health.
調査の概要
状態
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Omar I Wahedi
- 電話番号：+201064769520
- メール：wahdi3031@gmail.com
研究場所
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-
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Minya、エジプト
- 募集
- Minia University
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コンタクト：
- Minia University
- 電話番号：086 2347768
- メール：ddent.office@mu.edu.eg
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-
参加基準
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Patients aged between 20 and 60 years of both genders
- All participants should be systemically healthy, as assessed using the dental modification of the Cornell Medical Index.
- Gingival and periodontal health to be confirmed according to the criteria outlined in the new classification system proposed by Caton et al. (2018).
- Presence of non-restorable teeth due to trauma, complicated crowns or root fractures.
- Presence of extensive destructive caries making the tooth unsalvageable, particularly in esthetic zones.
- Clinical indication for immediate implant placement, especially in cases where minimizing post-extraction bone resorption and soft tissue collapse is critical.
- Availability of adequate interocclusal space to accommodate the necessary prosthetic components without occlusal interference.
Exclusion Criteria:
(for socket-shield technique)
- Pregnant female.
- Patients with parafunctional habits (e.g., bruxism, clenching).
- Smokers.
- Teeth with clinical mobility.
- Teeth with root fractures extending below the alveolar bone level.
- Periodontal ligament space widening.
- Signs of internal or external root resorption.
- Current or previous periodontal disease
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
アクティブコンパレータ：GROUP I
Immediate Implant Placement Using Conventional Technique
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Immediate Implant Placement Using Conventional Technique
|
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実験的：GROUP II
Immediate Implant Placement Using Socket-Shield Technique
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Immediate Implant Placement Using Socket-Shield Technique
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in Bone Density Around Immediate Implants.
時間枠：At baseline of implant placement then after 9 months
|
Assessment of bone mineral density using Gray scale values (GSV) derived from Cone Beam Computed Tomography (CBCT) scans. Measurements will be evaluated at the buccal bone adjacent to the retained root fragment (Socket Shield Group) and adjacent to the implant surface (Conventional Immediate Placement Group). The change will be calculated by subtracting the baseline value from the 9-month follow-up value. Unit of Measure: Gray scale values Time Frame: Baseline to 9 months post-implant placement Measure Description: Bone density measured using average gray values extracted from CBCT DICOM files at the buccal aspect of the implant site. Gray scale values reflect the radiographic attenuation/pixel intensity of the surrounding bone. |
At baseline of implant placement then after 9 months
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Change in Marginal Bone Level Around Immediate Implants.
時間枠：At baseline of implant placement then after 9 months.
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|
At baseline of implant placement then after 9 months.
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in Probing Depth (PD)
時間枠：3 months, 6 months, and 9 months post-surgery.
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Measurement of the distance from the peri-implant mucosal margin to the bottom of the clinical pocket using a calibrated periodontal probe. Unit of Measure: Millimeters (mm) |
3 months, 6 months, and 9 months post-surgery.
|
|
Modified Gingival Index (MGI)
時間枠：3 months, 6 months, and 9 months post-surgery.
|
Assessment of the visual signs of inflammation of the peri-implant soft tissues. Scores range from 0 to 4 (0 = Normal, 1 = Mild inflammation, 2 = Mild inflammation with color change, 3 = Moderate inflammation, 4 = Severe inflammation). Unit of Measure: Score on a scale (0-4) |
3 months, 6 months, and 9 months post-surgery.
|
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Modified Plaque Index (MPI)
時間枠：3 months, 6 months, and 9 months post-surgery.
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Assessment of the amount of plaque on the implant/restoration surface. Scores range from 0 to 3 :
Unit of Measure: Score on a scale (0-3) |
3 months, 6 months, and 9 months post-surgery.
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Gingival Thickness (GT)
時間枠：Baseline, 3 months, 6 months, and 9 months post-surgery.
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Assessment of the thickness of the peri-implant mucosa. This will be measured using a digital caliper or endodontic file with a rubber stopper 2mm apical to the gingival margin. Unit of Measure: Millimeters (mm) |
Baseline, 3 months, 6 months, and 9 months post-surgery.
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Width of Keratinized Tissue (KTW)
時間枠：Baseline, 3 months, 6 months, and 9 months post-surgery.
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Measured from the gingival margin to the mucogingival junction at the mid-facial aspect of the implant site. Unit of Measure: Millimeters (mm) |
Baseline, 3 months, 6 months, and 9 months post-surgery.
|
協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- MU-EC Research No.1187
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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