Immediate Dental Implant Installation With and Without Socket Shield Technique in Aesthetic Zone

Launched by TANTA UNIVERSITY · Mar 15, 2025

Keywords

ClinConnect Summary

This study looks at two ways to place an artificial tooth root (implant) right after removing a front upper tooth in people with thin bone in that area. It compares the socket shield technique (keeping a small piece of the tooth root in place to help preserve the surrounding bone) with the conventional immediate implant method (no socket shield). It’s a randomized trial, meaning people are assigned by chance to one of the two methods, and neither the participants nor the people measuring the outcomes know which treatment was given. The study will include about 20 adults (roughly 10 in each group) at Tanta University in Egypt, and results are not yet available.

Participants will undergo teeth extraction with immediate implant placement. In the socket shield group, a portion of the tooth root is kept on the facial side to protect the front bone, then an implant is placed palatal to this shield. In the control group, a standard immediate implant is placed without keeping any root fragment. The main things doctors will measure after about 6 months are the thickness of the labial bone in front of the implant and how much bone loss occurs around the implant. They will also look at bone density around the implant, how stable the implant is, and whether the implant is considered successful (no infection, no fistula, and no mobility). If you’re considering participation, you’d be expected to follow up for about 6 months with imaging and stability checks as part of the study.

Gender

ALL

Eligibility criteria

• 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.