NCT07303374

Flapless Immediate Implant Placement With Socket Shield Technique Versus Connective Tissue Graft in Anterior Maxilla

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

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 28 (estimated)
• Sponsor: International Dental Contiuing Education · Network
• Sex: All
• Age: 21 Years – 50 Years
• Healthy volunteers: Accepted

Summary

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.

Conditions

• Immediate Dental Implant Placement
• Connective Tissue Graft
• Socket Shield Technique

Interventions

Type	Name	Description
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

Timeline

• Start date: 2026-02-01
• Primary completion: 2027-04-01
• Completion: 2027-05-01
• First posted: 2025-12-24
• Last updated: 2025-12-24

Locations

1 site across 1 country: Egypt