Restoring two adjacent upper front tooth sockets with vestibular socket therapy and early implants

Management of Compromised Adjacent Extraction Sockets Via Vestibular Socket Therapy Versus Early Contour Augmentation a Randomized Controlled Clinical Trial

This trial will try a minimally invasive vestibular socket therapy plus contour augmentation and early implant placement to restore two adjacent failing upper front teeth.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 32 (estimated)
• Ages: 18 Years to 70 Years
• Sex: All
• Sponsor: British University In Egypt (Academic / other)
• Drugs / interventions: radiation
• Locations: 1 site (Cairo)
• Trial ID: NCT07063836 on ClinicalTrials.gov

What this trial studies

The approach uses a minimally invasive tunnel access through the vestibular area (vestibular socket therapy, VST) to augment extraction sockets and allow immediate/early placement of implants in two adjacent maxillary anterior sites. Cone beam CT imaging is used to plan treatment because thin or missing facial bone is common in the anterior maxilla. The procedure combines socket augmentation, contour augmentation, and early implant placement aimed at improving primary stability and soft-tissue outcomes while reducing surgical steps. Eligible patients must have type II sockets with adequate palatal bone and at least 3 mm of apical bone for initial implant engagement.

Who should consider this trial

Good fit: Ideal candidates are adults with two adjacent hopeless maxillary anterior teeth or roots with type II sockets, adequate palatal bone, ≥3 mm apical bone for primary implant stability, and good oral hygiene and compliance.

Not a fit: Patients who are medically compromised or have contraindications for implants—such as uncontrolled diabetes, active smoking, untreated periodontitis, immunosuppression, recent head/neck radiation, bisphosphonate therapy, or severe bruxism—are unlikely to benefit from this protocol.

Why it matters

Potential benefit: If successful, this could shorten treatment time, reduce surgical steps, and improve cosmetic results for patients needing adjacent implants in the upper front jaw.

How similar studies have performed: Immediate implant placement and guided bone regeneration have decades of supportive data for predictable aesthetic outcomes, while vestibular socket therapy itself is a newer, less extensively tested technique.

Eligibility criteria

Inclusion Criteria:

\- patients with two adjacent hopeless maxillary teeth or remaining roots in the esthetic region missing coronal tooth structure, type II socket (deficient labial plate of bone and intact overlying soft tissues), adequate palatal bone, ≥ 3 mm apical bone to engage the immediately placed implants, thereby achieving optimum primary stability (a minimum of 30 Ncm insertion torque) following teeth extraction.

acceptable compliance and oral hygiene.

Exclusion Criteria:

medically compromised patients. (Systemic diseases). general contraindication for implant placement. (Untreated periodontitis, severe bruxism , immunosuppression , uncontrolled diabetes , smokers , patients under radiation therapy, patients on bisphosphonate medications).

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Where this trial is running

Cairo

• The British university in Egypt — Cairo, Egypt (Recruiting)

Study contacts

• Principal investigator: Mohamed Yousef, B.D.S — British University In Egypt
• Study coordinator: Mohamed G yousef, B.D.S

Conditions Dental Implant in Compromised Adjacent Sockets; dental implant, compromised socket, bone augmentation