Alveolar Bone Loss, Alveolar Bone Resorption, Bone Graft Failure
Conditions
Brief summary
Histological Measurement Comparing the density of the new bone formed during socket preservation technique using a Mixture of Anorganic Bovine Bone(ABB) And Autogenous Particulate vs a Mixture of Injectable Platelets Rich Fibers, ABB And Autogenous Particulates (sticky bone). radiographical measurements of the amount of bone dimensions changes in socket preservation technique in 6-month period using a Mixture Of Anorganic Bovine Bone(ABB) And Autogenous Particulate vs a Mixture Of Injectable Platelets Rich Fibers, ABB And Autogenous Particulates (sticky bone)
Interventions
Mixing the autogenous bone graft aquired at the time of surgery with a 50:50 ration of anorganic bovine bone and filling the socket
adding an injectable platelets rich fibrin to a Mixture of autogenous bone graft aquired at the time of surgery with a 50:50 ration of anorganic bovine bone and filling the socket
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients with hopeless mandibular molars indicated for extraction and implant placement in two stages that indicate socket preservation. * Both sexes. * No intraoral soft and hard tissue pathology. * No systemic condition that contraindicate implant placement.
Exclusion criteria
* Presence of fenestrations or dehiscence of the residual bony Walls after extraction. * Heavy smokers more than 20 cigarettes per day .(24) * Patients with systemic disease that may affect normal healing. * Psychiatric problems * Disorders to implant are related to history of radiation therapy to the head and neck neoplasia, or bone augmentation to implant site. * Patients that refuse to be called back for implant placement post extraction. * Patients that have exceeded bone resorption surrounding the tooth prior to extraction and require guided bone regeneration.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| histomorphometrical bone quality | 6 month | histological bone quality measured from a core sample taken from the grafted site |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| marginal bone loss | 6 month | alveolar margin bone loss measured be CBCT |