Socket-shield versus conventional immediate implant placement in the front jaw

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized trial compares two immediate implant techniques in systemically healthy adults needing extraction in the maxillary esthetic zone. Participants are assigned to either the socket-shield method or the conventional implant approach, with outcomes focused on bone density, bone level, and peri-implant tissue health. The study measures clinical parameters such as probing depth, bleeding on probing, keratinized tissue width, and soft tissue thickness. It aims to determine if the socket-shield technique offers superior preservation of hard and soft tissues compared with the conventional method. Eligible participants are adults aged 20–60 with non-restorable anterior maxillary teeth and adequate interocclusal space; smokers, pregnant individuals, and those with parafunctional habits are excluded for socket-shield subjects.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients aged between 20 and 60 years of both genders
* All participants should be systemically healthy, as assessed using the dental modification of the Cornell Medical Index.
* Gingival and periodontal health to be confirmed according to the criteria outlined in the new classification system proposed by Caton et al. (2018).
* Presence of non-restorable teeth due to trauma, complicated crowns or root fractures.
* Presence of extensive destructive caries making the tooth unsalvageable, particularly in esthetic zones.
* Clinical indication for immediate implant placement, especially in cases where minimizing post-extraction bone resorption and soft tissue collapse is critical.
* Availability of adequate interocclusal space to accommodate the necessary prosthetic components without occlusal interference.

Exclusion Criteria:

(for socket-shield technique)

* Pregnant female.
* Patients with parafunctional habits (e.g., bruxism, clenching).
* Smokers.
* Teeth with clinical mobility.
* Teeth with root fractures extending below the alveolar bone level.
* Periodontal ligament space widening.
* Signs of internal or external root resorption.
* Current or previous periodontal disease

Where it's running

• Minia University
  Minya, Egypt Recruiting

Study contacts

• Study coordinator: Omar I Wahedi
• Email: wahdi3031@gmail.com
• Phone: +201064769520

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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• Labial bone preservation after immediate implant placement using two xenografts in the esthetic zone

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.