Piezotome Atraumatic Tooth Extraction And Immediate Implant Placement In Maxillary Anterior Region

Piezotome Atraumatic Tooth Extraction And Immediate Implant Placement In Maxillary Anterior Region: Randomized Clinical Trial

Tooth extraction is critical for dental treatment complications followed by immediate implant placement to restore the extracted tooth . The use of devices or instruments such as piezotome and periotome as aids in atraumatic surgical proceduresو conserving both bone and soft tissue, allowing extraction without unnecessary socket expansion. Immediate implant placement into fresh extraction sockets offers some esthetic and functional advantages.

the Aim of this study is to compare and evaluate the effectiveness of the piezotome and periotome as aids for atraumatic extraction in immediate implant placement in maxillary anterior teeth.

30 patients with non-restorable maxillary anterior teeth will be included. Teeth will be extracted using an atraumatic tooth extraction using piezotome and periotome as aids in atraumatic surgical procedures. After that an immediate implant will be placed into the fresh extraction socket . patients will be recalled for follow-up 3months after implant placement to evaluate pain by VAS and evaluate bone healing using CBCT.

Inclusion Criteria:

1. Patients of both gender with a non-restorable maxillary anterior tooth in the aesthetic zone indicated for extraction and subsequent immediate implant placement. Including those with:

   1. Severely carious tooth that it cannot be restored.
   2. Pulpal necrosis or irreversible pulpitis that is not amenable to endodontics.
   3. Periodontally involved Tooth with grade 2 mobility or above.
   4. Tooth with root caries that can't be restored.

2. Patients with extraction socket Type I, according to Elian's classification

Exclusion Criteria:

1. Patients with extraction socket Type II or III, with defect in the buccal plate
2. Patients with deciduous teeth.
3. Heavy smokers.
4. Medically compromised patients with conditions that would impede implant osteointegration and healing.