Comparison Between Socket Shield and Conventional Techniques in Immediate Implant Placement.

Condition(s) studied

Investigational drug(s) / intervention(s)

Conventional Technique: Immediate Implant Placement Using Conventional Technique

Socket-Shield Technique: Immediate Implant Placement Using Socket-Shield Technique

Study summary

The goal of this randomized clinical trial is to compare whether immediate implant placement using the socket-shield technique can better preserve bone density, bone level, and peri-implant tissue health compared to conventional immediate implant placement in patients requiring tooth extraction in the maxillary esthetic zone.

This study is conducted in systemically healthy adult patients aged 20-60 years who have non-restorable maxillary anterior teeth indicated for immediate implant placement.

The main questions this study aims to answer are:

Does the socket-shield technique result in better peri-implant bone density and bone level preservation compared to the conventional immediate implant technique?

Does the socket-shield technique lead to improved clinical peri-implant parameters, including probing depth, bleeding on probing, keratinized tissue width, and soft tissue thickness?

participants will be divided into two groups: (both groups will receive immediate implant placement of a tooth requiring extraction in the maxillary esthetic zone.) First group: will recieve immediate implant using conventional technique. second group: will recieve immediate implant using socket shield technique.

Participants will:

* Undergo clinical and radiographic examinations, including cone beam computed tomography (CBCT).
* Receive immediate implant placement using either the conventional technique or the socket-shield technique.
* Be followed up clinically and radiographically for 9 months to assess bone and soft tissue healing.
* Attend regular postoperative and follow-up visits for evaluation of implant stability and peri-implant tissue health.

Eligibility

Primary outcome measure(s)

• Change in Bone Density Around Immediate Implants. — At baseline of implant placement then after 9 months
  Assessment of bone mineral density using Gray scale values (GSV) derived from Cone Beam Computed Tomography (CBCT) scans. Measurements will be evaluated at the buccal bone adjacent to the retained root fragment (Socket Shield Group) and adjacent to the implant surface (Conventional Immediate Placement Group). The change will be calculated by subtracting the baseline value from the 9-month follow-up value. Unit of Measure: Gray scale values Time Frame: Baseline to 9 months post-implant placement Measure Description: Bone density measured using average gray values extracted from CBCT DICOM files at the buccal aspect of the implant site. Gray scale values reflect the radiographic attenuation/pixel intensity of the surrounding bone.
• Change in Marginal Bone Level Around Immediate Implants. — At baseline of implant placement then after 9 months.
  * Linear measurement of the distance from the implant platform to the first bone-to-implant contact point to assess crestal bone stability. * Unit of measure : Millimeters (mm).

Trial sites (1)

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