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20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation using either the immediate implant with socket shield technique or the conventional immediate dental implant.
the socket shield technique group (study group): 10 patients will have immediate implant placement with the socket shield technique.
20 patients with non-restorable anterior teeth underwent extraction with immediate implant installation randomized to two groups immediate dental implant with the socket shield technique group (study group): 10 patients will have immediate implant placement with socket shield technique.
preparation of shield: the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds, Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest.
The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants and the root section was checked for immobility with a sharp probe.
After completion of the previous steps, the tooth root here will be known as the socket- shield (SS). An osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted palatal to the SS.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| socket shield technique group (study group) | Experimental | the socket shield technique group (study group): 10 patients will have immediate implant placement with socket shield technique.
preparation of shield: the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds, Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest. The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants and the root section was checked for immobility with a sharp probe. After completion of th |
|
| conventional immediate implant without socket shield technique(control group) | Experimental | conventional immediate implant without socket shield technique: • After administration of local anesthesia, atraumatic tooth extraction by extraction forceps and Periotomes, an osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted and placement of cover screw. However, the soft tissue contour formed after healing may need some modification prior to impression taking. Suturing around the healing abutment, suture will be removed one week post surgically and then healing abutment and final prosthetic loading will be done after 4-6 months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| socket shield technique group (study group) | Procedure | immediate implant installation with socket shield technique: After administration of local anesthesia, the root will be sectioned in a mesio-distal direction along its long axis, sectioning divided the tooth root into one facial third and two palatal thirds. Periotomes will then be inserted between the palatal root section and the alveolar socket wall to sever the PDL and this section of root was then carefully delivered so as not to disturb the facial root section, the remaining root section was then reduced coronally to 1 mm above the alveolar crest. The tooth socket's palatal wall and apex will be then curetted to remove any tissue or infective remnants, and the root section was checked for immobility with a sharp probe. After completion of the previous steps, the tooth root here will be known as the socket- shield (SS). An osteotomy was then sequentially prepared according to manufacturer |
| Measure | Description | Time Frame |
|---|---|---|
| labial bone thickness | 1. labial bone thickness measuring thickness of labial bone labial to the implant by (CBCT) Cone beam computed tomography | 6 months |
| marginal bone loss | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| bone density around dental implant | bone density around dental implant by Cone beam computed tomography | 6 months |
| implant secondary stability | Secondary implant stability: will be recorded just after uncovery using Resonance frequency analysis (RFA) device * (Osstell). |
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Inclusion Criteria:
- 1. Non restorable maxillary anterior teeth without periapical pathology that may affect the success of dental implants.
2. Interarch space enough for prosthetic rehabilitation. 3. Presence of posterior teeth or prosthesis that maintain occlusal bite. 4. Adult patients. 5. Good oral hygiene.
Exclusion Criteria:
- 1. Edentulous anterior maxillary region. 2. Bad oral hygiene. 3. Patients with any relevant systemic diseases that affect soft tissue or bone healing.
4. Patients with parafunctional habits (bruxism and clenching). 5. Uncooperative patients. 6. Heavy smokers.
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| Name | Affiliation | Role |
|---|---|---|
| islam ahmed abo elela, master study | faculty of dentistry tanta university | Principal Investigator |
| Ibrahim mohammed nowair, professor | faculty of dentistry tanta university | Principal Investigator |
| Rafic ramadan bedir, professor | faculty of dentistry tanta university | Principal Investigator |
| Wesam Hamed Elsaadany, lecturer | faculty of dentistry tanta university | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry | Tanta | 3111 | Egypt |
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non restorable anterior teeth with thin labial plate of bone
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|
| conventional immediate implant without socket shield technique | Procedure | • After administration of local anesthesia, atraumatic tooth extraction by extraction forceps and Periotomes, an osteotomy was then sequentially prepared according to manufacturer instructions and a suitable implant then inserted and placement of cover screw. However, the soft tissue contour formed after healing may need some modification prior to impression taking. Suturing around the healing abutment, suture will be removed one week post surgically and then healing abutment and final prosthetic loading will be done after 4-6 months. |
|
| 6 months |
| implant success | absence of infection, fistula formation or implant mobility | 6 months |
| 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 |
| D013514 | Surgical Procedures, Operative |
| D019919 | Prosthesis Implantation |
| D003813 | Dentistry |
| D011476 | Prosthodontics |
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