Ignite Creation Date:
2024-05-06 @ 8:17 PM
Last Modification Date:
2024-10-26 @ 3:24 PM
Study NCT ID:
NCT06324747
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-03-22
First Post:
2023-12-04
Brief Title:
Soft Tissue Stability in Immediate Implant Placement Using VST Versus Conventional Flap in Type II Extraction Sockets
Sponsor:
British University In Egypt
Organization:
British University In Egypt
Study Overview
Official Title:
Soft Tissue Stability in Immediate Implant Placement Using the Vestibular Socket Therapy Versus Conventional Flap in Type II Extraction Sockets in the Esthetic Zone A Randomized Clinical Trial
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study compare between the vestibular socket therapy VST and the traditional mucoperiosteal flap reflection in immediate implant placement in type II extraction socket in the esthetic zone
The technique of vestibular socket therapy VST introduced by Elaskry enables the placement of implants immediately while simultaneously rehabilitating the entire socket resulting in excellent esthetic and functional outcomes that meet the expectations of patients VST involves socket augmentation through a minimally invasive vestibular access incision eliminating the need for the traditional mucoperiosteal flap reflection regardless of the extent of socket compromise
The technique of vestibular socket therapy VST introduced by Elaskry enables the placement of implants immediately while simultaneously rehabilitating the entire socket resulting in excellent esthetic and functional outcomes that meet the expectations of patients VST involves socket augmentation through a minimally invasive vestibular access incision eliminating the need for the traditional mucoperiosteal flap reflection regardless of the extent of socket compromise
Detailed Description:
Several methods have been suggested for the treatment of class 2 socket types with immediate implant placement One such technique is the immediate dento-alveolar restoration IDR which involves the incorporation of a tuberosity bone graft into the buccal defect restoring the missing buccal bone walls However this technique has some limitations including the lack of graft stabilization to the host bed the high rate of bone graft remodeling and the limited availability of tuberosity bone when wisdom teeth are present
In contrast Buser D extensively researched the early implant placement method This approach involves extracting the tooth and then waiting for a delay period of 8-12 weeks According to the authors this timeframe allows for the development of ample keratinized tissues the elimination of socket infection and the occurrence of post-extraction bone remodeling
In contrast both early placement and contour augmentation procedures have demonstrated certain drawbacks These include the collapse of socket walls in both horizontal and vertical directions after tooth extraction the need for a lengthy treatment duration that can extend up to 8 months the challenges of maintaining provisional restorations during this extended period and the potential for post-restorative socket tissue recession due to the reflection of the mucoperiosteal flap As a result achieving a successful esthetic treatment outcome becomes difficult to predict
The technique of vestibular socket therapy VST introduced by Elaskry et al enables the placement of implants immediately while simultaneously rehabilitating the entire socket resulting in excellent esthetic and functional outcomes that meet the expectations of patients VST involves socket augmentation through a minimally invasive vestibular access incision eliminating the need for the traditional mucoperiosteal flap reflection regardless of the extent of socket compromise
The procedure involves making a horizontal incision in the vestibule at the base of the mucogingival junction of the extracted tooth This is followed by implant placement without the need for a flap grafting the compromised socket walls through the vestibular access incision The labial bone defect which has been grafted with a bone graft is then protected using a cortical equine membrane and finally the socket opening is sealed with a customized healing collar
In contrast Buser D extensively researched the early implant placement method This approach involves extracting the tooth and then waiting for a delay period of 8-12 weeks According to the authors this timeframe allows for the development of ample keratinized tissues the elimination of socket infection and the occurrence of post-extraction bone remodeling
In contrast both early placement and contour augmentation procedures have demonstrated certain drawbacks These include the collapse of socket walls in both horizontal and vertical directions after tooth extraction the need for a lengthy treatment duration that can extend up to 8 months the challenges of maintaining provisional restorations during this extended period and the potential for post-restorative socket tissue recession due to the reflection of the mucoperiosteal flap As a result achieving a successful esthetic treatment outcome becomes difficult to predict
The technique of vestibular socket therapy VST introduced by Elaskry et al enables the placement of implants immediately while simultaneously rehabilitating the entire socket resulting in excellent esthetic and functional outcomes that meet the expectations of patients VST involves socket augmentation through a minimally invasive vestibular access incision eliminating the need for the traditional mucoperiosteal flap reflection regardless of the extent of socket compromise
The procedure involves making a horizontal incision in the vestibule at the base of the mucogingival junction of the extracted tooth This is followed by implant placement without the need for a flap grafting the compromised socket walls through the vestibular access incision The labial bone defect which has been grafted with a bone graft is then protected using a cortical equine membrane and finally the socket opening is sealed with a customized healing collar
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None