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Statement of the problem: Immediate implant placement is faced with several problems. One of the most important issues is dealing with defects in the buccal plate of bone in the esthetic zone.
Aim: The aim of this study is to assess the buccal bone thickness after augmentation with titanium mesh and xenograft upon flapless immediate implant placement.
Statement of the problem: Immediate implant placement is faced with several problems. One of the most important issues is dealing with defects in the buccal plate of bone in the esthetic zone.
Aim: The aim of this study is to assess the buccal bone thickness after augmentation with titanium mesh and xenograft upon flapless immediate implant placement.
Materials and Methods: This parallel arm, randomized controlled clinical trial will involve systemically free patients with remaining roots or badly decayed teeth in the anterior region and buccal bone deficiency requiring implant placement. They will be randomly allocated to two equal groups. Group A (test group, n=10) will receive immediate implants (grafting with xenograft covered by titanium mesh covered by collagen membrane), while group B (test group, n=10) will receive immediate implants (grafting with xenograft covered by collagen membrane). The parameters ( buccal bone thickness & soft tissue thickness will be assessed at 6 & 12 months. Postoperative pain and swelling will be recorded daily by the patient for the 1st two weeks post surgically. Postoperative medication will be prescribed to the patient and postoperative instructions will be explained in detail. Follow-up will be performed to assess the parameters and to ensure performing proper oral hygiene. Data collected will be tabulated and statistically analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| immediate implant with collagen membrane | Active Comparator | immediate implant placement will be done and augmentation of the buccal bone will be done with xenograft and collagen membrane |
|
| immediate implant with titanium mesh | Active Comparator | immediate implant placement will be done and augmentation of the buccal bone will be done with xenograft and titanium mesh |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| collagen membrane | Procedure | augmentation of the buccal plate of bone with xenograft and collagen membrane |
|
| Measure | Description | Time Frame |
|---|---|---|
| Buccal bone thickness | assessment of the Buccal bone thickness in mm using CBCT | at baseline, 6 and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Soft tissue thickness | Soft tissue thickness will be assessed in mm using volumetric analysis method | at baseline 6 and 12 months |
| Keratinized tissue width | measurement of the keratinized tissue width in mm using periodontal probe |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hani El Nahas, PhD | Contact | +201221334637 | zeinab.hafez@miuegypt.edu.eg | |
| Ahmed H Farid, Masters | Contact | Ahmed.farid@miuegypt.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| ahmed H Farid, Masters | Assistant lecturer | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of oral & dental Medicine,Misr international University | Recruiting | Cairo | Heliopolis - Cairo | 123456 | Egypt |
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| titanium mesh | Procedure | augmentation of the buccal plate of bone with xenograft and titanium mesh |
|
| at baseline, 6 and 12 months |