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In the study immediate implant is placed in the anterior region with autogenous bone grafting from the maxillary tuberosity in one group and in the other group immediate implant is placed with xenograft .IN both groups soft tissue grafting is done using connective tissue assessment of buccal bone thickness and soft tissue will be done 6 months post operative
immediate implant will be placed in the anterior region with autogenous graft from the maxillary tuberosity and in the other group immediate implant will be laced with xenograft soft tissue grafting using sub-epithelial connective tissue will in both groups assessment of buccal bone thickness is the primary outcome of the study, while volumetric assessment of the soft tissue and patient satisfaction are the secondary and tertiary outcome the assessment of all outcome will be 6 months post operative the extraction socket in which the implant will be placed are class I&II
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| immediate implant with bone graft (autogenous) | Active Comparator | with immediate implant placement autogenous grafting using maxillary tuberosity will be done |
|
| immediate implant with bonegraft (xenograft) | Active Comparator | with immediate implant placement grafting with xenograft will be done |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| maxillary tuberosity bone graft (autogenous graft) | Procedure | the usage of maxillary tuberosity as source of autogenous graft supplying the needed cells for bone regeneration |
|
| Measure | Description | Time Frame |
|---|---|---|
| buccal bone thickness | measuring the buccal bone thickness using CBCT | at baseline and 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| soft tissue assessment using pink esthetic score | The pink esthetic score (PES) evaluates the esthetic outcome of soft tissue around implant-supported single crowns in the anterior zone by awarding seven points for the mesial and distal papilla, soft-tissue level, soft-tissue contour, soft-tissue color, soft-tissue texture, and alveolar process deficiency, Using a 0-1-2 scoring system, 0 being the lowest, 2 being the highest value, the maximum achievable PES was 14 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hala Abu el ela, Prof | Faculty of dentistry ain shams university | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry Ain Shams University | Cairo | Egypt |
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| ID | Term |
|---|---|
| D014182 | Transplantation, Autologous |
| D016025 | Bone Transplantation |
| D014183 | Transplantation, Heterologous |
| ID | Term |
|---|---|
| D014180 | Transplantation |
| D013514 | Surgical Procedures, Operative |
| D016378 | Tissue Transplantation |
| D064987 | Cell- and Tissue-Based Therapy |
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two group in which the same procedure is done ( immediate implant placement) using different bone grafts
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the outcome assessor will not know the grouping of the study he will only know that immediate implant was placed in both groups
| Bone graft (xenograft) | Procedure | xenograft is bone graft material that is obtained from porcine, bovine or equine source |
|
| 9 months post opertive |
| patient satisfaction | questionnaire in which the scale is from (0 to 10) where 0 is completely unsatisfied and 10 totally satisfied | after 9 months |
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
| D019637 | Orthopedic Procedures |