Socket Preservation
Conditions
Brief summary
compare the effect of application of A-PRF in socket preservation after atraumatic tooth extraction and natural healing regarding to bone remodeling . Null hypotheis, after atraumatic extraction, socket with advanced PRF has no difference with socket with blood clot in primary outcome
Interventions
Socket preservation with APRF , A-PRF membranes were implanted into the extraction socket following tooth extraction. One entire A-PRF membrane would be placed at the base of the extraction socket and another A-PRF membrane will cover the extraction site then suturing will be done .Venous blood will be collected via venipuncture of the forearm with a butterfly needle into at least 10 mL sterile glass vacuum tube. The blood sample will be immediately centrifuged at 1,300 rpm (200 x g) for 8 minutes
after atraumatic extraction , the socket will be left for natural healing after suturing
Sponsors
Study design
Eligibility
Inclusion criteria
* The inclusion criteria are as follow : * patients with an unremarkable medical history * subjects with at least one site bordered by minimum of one tooth. * Nonsmoker * Teeth with root fracture, teeth with failed endodontic therapy or advanced caries * Intact extraction socket with no dehiscence or fenestration. * The buccolingual thickness of the buccal plate of bone in surgical area is 1 mm or more
Exclusion criteria
* Patients with systemic diseases. * Patients with presence or history of osteonecrosis of the jaws, with use of bisphosphonates, exposure to head and neck radiation, chemotherapy. * patients with large distinct pre-apical pathology
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| mesial and distal height of extraction site | 2 months | digital radiograph |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| soft tissue thickness | 2 months | will be evaluated by endo file with rubber stopper and digital caliper |