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This study aims to evaluate bone and soft tissue changes clinically and digitally after using a customized healing Abutment with or without silicate-added beta-tricalcium phosphate (Si-β-TCP) putty.
Fully guided immediate implant placement in the esthetic zone presents challenges related to soft tissue closure, jumping gap management, and peri-implant stability. The use of silicate-added β-TCP putty with customized healing abutments has been proposed to improve soft tissue healing and maintain peri-implant architecture.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Experimental | Immediate implant placement with customized healing abutment without Si-β-TCP putty in the esthetic zone. |
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| Study group (Si-β-TCP Putty Group) | Experimental | Immediate implant placement with silicate-added beta-tricalcium phosphate putty and customized healing abutment in the esthetic zone. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Silicate-added β-TCP putty for jumping gap grafting | Procedure | Application of silicate-added beta-tricalcium phosphate putty in the jumping gap around fully-guided immediate implants placed in the esthetic zone, combined with provisional crown as a customized healing abutment to enhance peri-implant soft tissue healing and ridge preservation. |
| Measure | Description | Time Frame |
|---|---|---|
| Implant stability | Implant stability will be evaluated using Osstell device based on resonance frequency analysis (ISQ values). | Immediate post-operative, 3 months, and 6 months. |
| Hard Tissue (Peri-implant bone) | Marginal bone loss will be assessed using CBCT measured in mm. | - Immediately after implant placement - 6 months after implant placement |
| Measure | Description | Time Frame |
|---|---|---|
| Soft Tissue | Soft tissue contour and peri-implant tissue condition will be assessed using digital intraoral scanning (STL files) using superimposition and modified sulcus bleeding index (mSBI). | Baseline, 1 month, 3 months, and 6 months. |
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Inclusion Criteria:
Exclusion Criteria:
Patients with any pathological lesion or aggressive periodontal disease at the planned surgical site impaired the immediate implant placement.
Alcohol or drug abuse.
Smokers.
Patients with systemic diseases that absolutely contraindicate implant placement (bleeding disorders, immunosuppression,…etc.)
Pregnancy.
Patients with para-functional habits (bruxism and clenching).
Lack of motivation or inability to maintain good oral hygiene.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry Mansoura University | Al Mansurah | Dakahlia Governorate | Egypt |
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| Conventional healing/ No graft | Procedure | Standard fully-guided implant placement protocol without the use of bone graft material allowing natural healing of the jumping gap around immediately placed implants in the esthetic zone. |
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