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The study was conducted on 20 immediate implant placement sites in the anterior maxillary region. In the study group, 10 implants were inserted using socket shield technique, while in control group, 10 implants were inserted using conventional immediate placement technique. All patients received immediate and 6 months post-operative CBCT to assess horizontal bone loss, vertical bone loss, and measurement of bone density. Implant stability quotients (ISQs) was measured immediately, 1st, 3rd and 6 months post-operatively.
Unrestorable tooth extraction with immediate implant placement is considered one of the best treatment options in restoring the esthetics and function. Extraction socket resorption is considered a challenging procedure when it involves the esthetics zone. The preservation of the entire attachment apparatus for complete preservation of the alveolar ridge makes socket shield technique a promising procedure that helps to maintain anatomy, esthetics and function. Socket shield technique, eliminate the negative consequences of bone resorption of the buccal plate of bone; leading to maintaining hard and soft tissue contours and provides a perfect pleasing esthetic result with good function. It is a highly promising technique in terms of maintaining pink and white esthetics through preservation of the interdental papilla during preparation of the interdental socket shield. It is considered a minimally invasive surgical procedure and offers the advantages of immediate implant placement.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group: implants were inserted using socket shield technique at the esthetic zone | Active Comparator |
| |
| Control group: implants were inserted using conventional immediate technique | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Immediate implant placement using socket shield technique | Procedure | Evaluation of socket shield technique with immediate implant placement at the esthetic zone in comparison with the conventional immediate implant placement |
| Measure | Description | Time Frame |
|---|---|---|
| Implant stability | Using osstell | immediate postoperative |
| Implant stability | Using osstell | one month post-operative |
| Implant stability | Using osstell | three month post-operative |
| Implant stability | Using osstell | six month post-operative |
| Horizontal gap | Using cone-beam computed tomography | immediate postoperative |
| Horizontal gap | Using cone-beam computed tomography | six month post-operative |
| Vertical bone loss | Using cone-beam computed tomography | immediate postoperative |
| Vertical bone loss | Using cone-beam computed tomography | six month post-operative |
| Bone density | Using cone-beam computed tomography |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Suez canal university | Ismailia | Egypt |
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| immediate postoperative |
| Bone density | Using cone-beam computed tomography | six month post-operative |
| peri-implant probing depth | using periodontal probe | immediate postoperative |
| peri-implant probing depth | using periodontal probe | one month post-operative |
| peri-implant probing depth | using periodontal probe | three month post-operative |
| peri-implant probing depth | using periodontal probe | six month post-operative |