An interventional study of maxillary anterior teeth atraumatically extracted with piezotome extraction kit, and subsequent immediate implant placement and maxillary anterior teeth atraumatically extracted with periotome, and subsequent immediate implant placment in Piezotome and Implant-supported Single Crowns, sponsored by Alexandria University. Active, not recruiting at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-16.
Sponsored by Alexandria University · Not applicable, Interventional, and Treatment
Tooth extraction is critical for dental treatment complications followed by immediate implant placement to restore the extracted tooth . The use of devices or instruments such as piezotome and periotome as aids in atraumatic surgical proceduresو conserving both bone and soft tissue, allowing extraction without unnecessary socket expansion. Immediate implant placement into fresh extraction sockets offers some esthetic and functional advantages.
the Aim of this study is to compare and evaluate the effectiveness of the piezotome and periotome as aids for atraumatic extraction in immediate implant placement in maxillary anterior teeth.
30 patients with non-restorable maxillary anterior teeth will be included. Teeth will be extracted using an atraumatic tooth extraction using piezotome and periotome as aids in atraumatic surgical procedures. After that an immediate implant will be placed into the fresh extraction socket . patients will be recalled for follow-up 3months after implant placement to evaluate pain by VAS and evaluate bone healing using CBCT.
Alexandria University is the lead sponsor of 569 studies on the registry; 125 are open to participants now.
Of its 12 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.
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Patients of both gender with a non-restorable maxillary anterior tooth in the aesthetic zone indicated for extraction and subsequent immediate implant placement. Including those with:
Exclusion Criteria:
Patients with maxillary anterior teeth will be atraumatically extracted with piezotome extraction, and subsequently immediate implant placement
Procedure: maxillary anterior teeth atraumatically extracted with piezotome extraction kit, and subsequent immediate implant placement
Patients with maxillary anterior teeth will be atraumatically extracted with periotome, and subsequently immediate implant placement
Procedure: maxillary anterior teeth atraumatically extracted with periotome, and subsequent immediate implant placment
piezotome extraction kit,
periotome
Radiographic assessment of the management of the crestal bone width and changes in labial bone thickness.
A postoperative CBCT will be taken within 24 hours of implant placement followed by a 6-months scan, and values will be compared with the preoperative record. The assessment will be conducted using the tools on the "On Demand 3D App." Software\*. The following criteria will be assessed:
Time frame: 5 months
Clinical Wound Healing
All patients will be recalled for a clinical follow-up period at 7, 14, and 21 days postoperative for the assessment of Wound healing using the Pink Esthetic Score (PES)
Time frame: 21 days
Plan to share: No — all data will be de-identified to protect the participant data. patients signed an informed consent for the use of their medical records and data for study
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This study is active, not recruiting, as verified in May 2025. You cannot join it, but the record below documents what was studied.
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Alexandria University