Bone Loss, Bone Remodeling Disorder, Bone Resorption
Conditions
Keywords
socket preservation, alveolar ridge defect, Dentin graft, Demineralized freeze dried allograft
Brief summary
The present study was performed to evaluate socket preservation using collagen sponge with autogenous dentin graft versus collagen sponge with de-mineralised freez-dried bone graft on dental implant stability
Detailed description
in our study we made socket preservation using two different grafts in two groups. before grafting we took CBCT we used autogenous dentin graft covered by collagen sponge in one group and demineralized freeze - dried allograft covered with collagen sponge in the other group. after 6 months we Took another CBCT to assist the dimensional changes and bone density in the alveolar socket after grafting We inserted the implant and during insertion we took a core biopsy with trephine bur with external diameter 3 mm for histological analysis. After implant insertion we assisted the stability using RFA.
Interventions
Demineralized freeze dried allograft,filling 2/3 of the socket covered with collagen sponge ,six months, one time
autogenous mineralized dentin graft, filling 2/3 of the socket covered with collagen sponge , six months, one time
Sponsors
Study design
Intervention model description
test group :socket preservation by dentin graft covered with collagen sponge control group :socket preservation by demineralized freeze dried allograft covered by collagen sponge
Eligibility
Inclusion criteria
* Patients are free from any systemic diseases. * Patients with good oral hygiene. * Age range from 25-50 years. * Adequate inter arch space .
Exclusion criteria
* Medications that may affect bone turnover, and bone metabolic diseases. * Smoker patients and alcoholics. * Patients with parafunctional habits. * Patients with active acute infection related to tooth of interest. * Patients with a lack of compliance, and serious mental or psychological problems. * Pregnant females.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in radiographic Socket dimensions from base line to 6 months | 6 months following the end of treatment | CBCT measuring socket dimensions |
| change in bone density from base line to 6 months | 6 months following the end of treatment | CBCT measuring bone density within the socket |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| new bone formation | after six months at the time of implant placement | Histological analysis for new bone formation by masson trichrome |
| implant stability | after six months at the time of implant placement | measuring primary Implant Stability by resonance frequency analysis |
Countries
Egypt