Flapless Immediate Implant Placement With Socket Shield Technique Versus Connective Tissue Graft in Anterior Maxilla
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: IIP+Socket Shield, IIP+CTG.
- Who it may be relevant to
- Registry conditions: Immediate Dental Implant Placement, Connective Tissue Graft, Socket Shield Technique. Basic parameters: 21 years — 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Supra-Implant Complex Stability Following Flapless Immediate Implant Placement With Socket Shield Technique Versus Connective Tissue Graft in Anterior Maxilla 1-Year Randomized Clinical Trial
Overview
The present study aims to compare the dimensional stability of the supra-implant complex following flapless immediate implant placement using two socket management approaches: the connective tissue graft and the socket shield technique. Three-dimensional volumetric analysis and cone-beam computed tomography (CBCT) will be employed to assess and quantify changes in soft and hard tissue thickness and height surrounding the implant site.
Detailed description
The current study will include 28 non-restorable single maxillary anterior teeth indicated for extraction. Patients will be randomly allocated into two equal groups. The test group will undergo immediate implant placement combined with the socket shield technique and a customized healing abutment, whereas the control group will receive immediate implant placement with connective tissue grafting and a customized healing abutment. A pilot surgical guide will be used for both groups. The primary outcome measure will be labio-palatal ridge dimension changes changes. Secondary outcome measures included labial soft-tissue volumetric changes, bone formation labial to the implant, vertical bone level changes and pink esthetic score. All outcomes will be evaluated after a 12-month follow-up period.
Interventions
- Procedure IIP+Socket Shield
The socket shield technique, which preserves a labial root fragment to maintain periodontal ligament support. - Procedure IIP+CTG
connective tissue grafting which increases soft-tissue volume
Primary outcome measures
- Soft tissue Volume gain/loss [Time frame: one year]
Secondary outcome measures (1)
- Mid-facial gingival margin level [Time frame: 12 months]
Eligibility criteria
Inclusion criteria
- Initial intact thick gingival biotype
- 2 mm band of keratinized tissue,
- Thin intact labial bone plate (< 1mm)
- Good apical bone for primary stability
- Patients who had provided an informed consent.
Exclusion criteria
- Immediate implants with bone grafts or guided bone regeneration procedures
- Uncontrolled diabetes mellitus
- Patients taking IV bisphosphonates for treatment of osteoporosis
- Patients with active infection related at the site of implant
- Patients with untreated active periodontal diseases.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- International Dental contiuing education — Cairo
Identifiers
NCT: NCT07303374 · IDCE-38122025