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immediate implant placement with VST technique versus early implant placement with contour augmentation in fresh extraction sockets in the esthetic zone.
comparing VST technique with immediate implant placement that end up with final crown after 2 months with contour augmentation with early implant placement after 4- 8 weeks of soft tissue healing , then after 3 months final crown delivery both in fresh extraction sockets in the esthetic zone .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| vestibuler socket therapy | Experimental | immediate implant placement in esthatic zone with final crown placement after 2 months with VST technique |
|
| contour augmentation | Experimental | Early implant placement in esthatic zone with contour augmentation and final crown after 3 months of implant placement |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| immediate implant | Procedure | immediate implant placement with VST technique versus early implant placement with contour augmentation technique |
|
| Measure | Description | Time Frame |
|---|---|---|
| Implant survival | If there is no pain or tenderness on use, no mobility, no history of exudates and radiographic bone loss is less than 2 mm from initial surgery implant the implant is considered successful | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in the height and thickness of the labial plate of bone | will be measured by superimposing CBCT images obtained at the baseline (time of tooth extraction) and those after 12 months postimplant placement. | 12 months |
| Changes in soft tissue height |
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Inclusion Criteria:
Non-restorable maxillary teeth in the esthetic zone
Intact adjacent teeth
Adequate palatal and apical bone that allows achieving implant primary stability.
Compromised sockets type II defect (Nicolas Elian 2007)
≥18 years
Systemically healthy patients
Exclusion Criteria:
Extraction sockets with acute or chronic infection or with adjacent infected teeth
Heavy Smokers > than 10 cigarettes daily
Cancer patients undergoing radiotherapy or chemotherapy during or within the last 6 months.
Unmotivated patients to maintain adequate oral hygiene to follow up.
Patients with physical disabilities that could affect follow up.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| amir elawady, BDS | Contact | 00201020205791 | amir112093@miuegypt.edu.eg | |
| Mohamed Elkhashab, PHD | Contact | 00201006611525 | mohamed.elkhashab@dentistry.cu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Iman Radi, PHD | Professor of prosthodontics | Study Director |
| AbdelSalam ElAsakry, BDS | Private Practice | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of dentistry Cairo university | Cairo | Giza Governorate | 11865 | Egypt |
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| ID | Term |
|---|---|
| D057893 | Immediate Dental Implant Loading |
| ID | Term |
|---|---|
| D003758 | Dental Implantation, Endosseous |
| D003757 | Dental Implantation |
| D013516 | Oral Surgical Procedures, Preprosthetic |
| D019647 | Oral Surgical Procedures |
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VST with immediate implant placement versus contour augmentation with early implant placement in fresh extraction sockets in esthetic zone.
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outcome assessor isnt involved in the intervension
were identified midfacially and at the apex of the mesial and distal papillae by superimposing the STL (Standard Triangle Language) files of the models, obtained via IOS, at the baseline (of the unrestorable tooth) with those after 12 months of implant insertion |
| 12 months |
| Faculty of dentistry | Cairo | Manial | 12911 | Egypt |
| Iman AbdelWahab Radi | Cairo | 11518 | Egypt |
| D013514 | Surgical Procedures, Operative |
| D019919 | Prosthesis Implantation |
| D003813 | Dentistry |
| D011476 | Prosthodontics |