Immediate Implant Soft Tissue Healing
Conditions
Brief summary
Aim of the current study was to assess the efficacy of PRF in comparison to diode laser to promote tissue healing and soft tissue quality after placement of immediate implants.
Interventions
BIOLOGICALPlatelet Rich Fibrin
for the preparation of PRF, A well-trained professional nurse drew 10ml of patient blood from the antecubital vein and transferred it to a test tube without anticoagulant. The blood sample was immediately centrifuged for 10-12 minutes at 3000 rpm. L-PRF was ready to use after centrifugation. PRF membrane was put over the implant and slightly tucked under the soft tissue periphery, then held in place with a figure-of-8 suture by 0.5 proline suture
DEVICEDiode laser
* A 980 nm diode laser device (BIOLASE) was applied in a circular motion to the blood formed at the socket orifice at a power of 1W for 1 minute with a continuous wave mode, the application was done without touching the pooling blood and with a non-activated tip of the fiber optic. * The laser application cycle was repeated 3-5 times to yield a stable fixed blood clot covering the dental implant with no oozing blood from its periphery.
Sponsors
Nourhan M.Aly
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Any non-restorable hopeless tooth: a badly decayed tooth that cannot be restored, tooth with failed endodontic treatment, and teeth with longitudinal fracture. * Post-extraction sockets type 1 with all bony walls intact; Type I extraction sockets according to Elian classification in 2007 have an intact labial plate of the bone and no soft tissue recession. Therefore, it does not require a mucoperiosteal flap elevation, only bone graft particles are packed into the socket after atraumatic extraction and socket debridement, then sealed with barrier membranes or soft tissue grafts. * No signs of active periodontal disease in the selected tooth. * Good oral hygiene
Exclusion criteria
* The presence of any systemic disease could complicate bone or soft tissue healing after immediate implant placement. * The presence of Acute periapical infection. * The presence of any local factor that may interfere with extraction as tooth ankyloses * Subjects who had undergone therapeutical radiation. (187) * Patients who had been subjected to or who were under bisphosphonate therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Soft tissue healing | up to 4 weeks | This was done using Landry healing index. It evaluates the parameters of tissue colour, bleeding response to palpation, presence of granulation tissue, characteristics of the incision margins, and the presence of suppuration. The score ranges from 1 (Very poor) to 5 (Excellent). |
| Mid-buccal soft tissue thickness | up to 8 weeks | Measured from the gingival margin to implant platform using a periodontal probe. |
| Mid-crestal soft tissue height | up to 8 weeks | Measured using a periodontal probe passing through soft tissue in the intersection midpoint of both buccolingual and mesiodistal dimensions of the socket till cover screw. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative pain level | 24 hours | This was measured using the Visual Analogue Scale (VAS) that rates pain level on a scale of 0-10 (with 0 meaning no pain at all and 100 meaning the worst possible pain). A VAS questionnaire was given to the subjects and they were asked to select their pain score. |
Countries
Egypt
Outcome results
None listed