Edentulous Alveolar Ridge
Conditions
Keywords
Platelet rich fibrin,xenograft
Brief summary
20 recruited patients indicated for immediate implant placement in mandibular molar patients are divided into 2 groups each group contain 15 patients, one group assigned for placement of bovine bone after molar extraction and immediate implant placement, while the other group we use Platelet-rich fibrin as space filling material.
Interventions
Surgical extraction of mandibular molar using periotome and forceps followed by implant placement in inter-septal bone. Then a blood sample is withdrawn from patient and placed in the centrifuge. Then Platelet-Rich fibrin is placed in the extraction socket as space filling material
Surgical extraction of mandibular molar using extraction forceps and periotome followed by implant placement in interseptal bone. De-proteinized bovine bone graft material is placed as space filling material
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with non-restorable mandibular molars 2. Both sexes \-
Exclusion criteria
* • Heavy smokers more than 20 cigarettes per day.5 * Patients with in sufficient interseptal bone height and width * Patients with systemic disease that may affect normal healing. * Patients with completely resorbed buccal cortical plate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | 1 week post operative | evaluation of postoperative complications regarding pain and oedema |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| implant stability | will be measure intraopertively immediately after insertion of the implants and will be measure one more time 6 months after 1st operation at the time of exposure of implants | measurement of implant stability using osstell device |
| amount of bone gained or lost around the implants | 6 months postoperative | two cone beam computed tomography (CBCT) will be taken for the patient, one immediate postoperative and the other 6 months after the operation then the height of bone gained or lost around the implants will be assessed by superimposing the same section in the two CBCTS |