Soft Tissue Stability in the Esthetic Zone: A Randomized Clinical Trial Comparing Vestibular Socket Therapy With Contour Augmentation for Compromised Adjacent Sockets
NCT06673446 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2025-07-08
Summary
While early implant placement with guided bone regeneration (GBR) offers advantages, the desire for reduced treatment time and fewer surgical steps continues to drive the exploration of alternative approaches. In this context, the recent introduction of vestibular socket therapy (VST) presents an intriguing option. VST utilizes a minimally invasive tunnel access technique through the vestibular area to perform socket augmentation for immediate implant placement in compromised extraction sockets .
Conditions
- Dental Implant in Compromised Adjacent Sockets
Interventions
- PROCEDURE
-
vestibular socket therapy
atraumatic extraction to the hopeless teeth will be performed using periotomes followed by conventional forceps under local anesthesia. 1. Access and Socket Preparation: * A small incision (1 cm) is made on (vestibular area) near the base of the extracted teeth, extending slightly towards neighboring teeth. This creates a pouch for accessing the socket and surrounding bone. * Using special instruments from the VST kit, the gum tissue is carefully dissected to expose the underlying bone. 2. Immediate Implant Placement with Guide: \* A prefabricated surgical guide ensures precise positioning of the implants directly into the socket. 3. Bone Grafting and Membrane: * A mixture of bone chips harvested from the surgical site (autogenous bone) and a bone-grafting material (deproteinized bovine bone mineral) is used to fill any gaps and support the implant, especially in the labial bone wall (labial plate). * A special 0.6 mm thick membrane is inserted through the access incision. This membra
Sponsors & Collaborators
-
British University In Egypt
lead OTHER
Principal Investigators
-
Mohamed Gamaleldin ahmed youssef, BDS · The British University in Egypt
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-06-25
- Primary Completion
- 2026-01-31
- Completion
- 2026-01-31
Countries
- Egypt
Study Locations
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