Bone Loss in Jaw, Recession, Gingival
Conditions
Keywords
L-prf, connective tissue, customized healing abutment, implant
Brief summary
comparison between L-prf and connective tissue with dental implant
Detailed description
comparison between L-PRF and Connective tissue with customized healing abutment regaring soft and hard tissue outcomes with immediate dental implants.
Interventions
PROCEDUREL-PRF with dental implant and customized healing abutment
L-PRF with dental implant and customized healing abutment
PROCEDUREConnective tissue with dental implant and customized healing abutment
Connective tissue with dental implant and customized healing abutment
Sponsors
Kafrelsheikh University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
21 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Intact labial/buccal bone plate * The presence of non-restorable single-rooted maxillary centrals, canines or premolars. * Sufficient bone volume. * Good oral hygiene. * Nonsmokers. * Sufficient bone width (≥ 1 mm) in the buccal plate of the remaining bone to place an implant confirmed by cone beam computer tomography (CBCT).
Exclusion criteria
* Insufficient bone volume. * Active infection. * Patients on chemotherapy or radiotherapy. * Patients who have systemic disorders {uncontrolled diabetes mellitus, autoimmune disease, …etc}, * Pregnant patients, * Patients with bone diseases * Presence of periapical pathology.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient-reported pain experience | first 7 days after surgery | Pain experience after surgery is daily measured by the patients using a visual analogue scale (VAS) in the first postoperative 7 days, with Day 0 being the day of the surgery. Before going to sleep, patients will be asked to mark the VAS that best represented the average pain they had experienced during the day. |
| Pink aesthetic score | before surgery, 3 months and 6 months after surgery | Parameters are : 0,1 and 2. Mesial papilla : 0 ( Missing ) , 1 ( Incomplete ) and 2 ( Complete ). Distal Papilla : 0 ( Missing ) , 1 ( Incomplete ) and 2 ( Complete ). Tissue contour : 0 ( Unnatural) , 1 ( virtually natural ) and 2 ( natural). Gingival level : 0 ( \>2mm) , 1 ( 1-2mm ) and 2 ( 1 mm). Alveolar process : 0 ( clearly resorbed ) , 1 ( slightly resorbed ) and 2 ( no difference). Coloring : 0 ( clear difference ) , 1 ( slight difference ) and 2 ( no difference). Texture : 0 ( clear difference ) , 1 ( slight difference ) and 2 ( no difference). |
| crestal bone loss | preoperative and 6 months post operative | distance from implant shoulder to marginal bone |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gingival thickness | pre opearative, 3 and 6 months post operative | 1 mm apical to gingival margin in mid buccal |
| probing pocket depth | preoperative , 3 and 6 months post operative | mid buccal , mesio buccal , disto buccal and mid palatal |
| keratinized tissue width | preoperative , 3 and 6 months post operative | in mid buccal, from gingival margin to mucogingival junction |
Countries
Egypt
Contacts
Primary ContactAhmed Atef Salem, General doctor
Outcome results
None listed