Buccal Plate Augmentation Using Sticky Bone With Simultaneous Immediate Implant Placement
Buccal Plate Augmentation Using Sticky Bone Versus Usage of Sticky Bone as a Jumping Gap Filling Material With Simultaneous Immediate Implant Placement in the Maxillary Esthetic Zone :A Randomized Controlled Clinical Trial
Cairo University
20 participants
Jun 1, 2024
INTERVENTIONAL
Conditions
Summary
the aim of this study is to clinically assess pink esthetic score following Buccal Plate Augmentation using Sticky Bone versus usage of Sticky Bone as a jumping gap filling material with simultaneous immediate implant placement in the maxillary esthetic zone
Eligibility
Inclusion Criteria5
- Patients aged 18 years or older.
- Presence of a non-restorable maxillary tooth in the esthetic zone including maxillary anteriors and premolars indicated for extraction.
- An intact buccal plate of bone after extraction.
- Full-mouth plaque and bleeding score not exceeding 20%.
- Patients showing motivation to comply with post-operative care instructions and follow- up appointments.
Exclusion Criteria5
- Periapical infection involving the tooth to be extracted.
- Periodontal disease
- Systemic health conditions that contraindicate or affect healing of implant surgery (Diabetes Mellitus, Leukemia)
- Pregnant and nursing females.
- Smokers
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Interventions
* Venous blood will be withdrawn and transferred into sterile tubes which will be devoid of anticoagulants. I- PRF preparation will be done using the protocol developed by Mourãoet al. * Plastic PET tubes to create Liquid-PRF, while glass tubes will be used to obtain Solid-PRF. * Blood will be centrifuged at a speed of 3000 rpm for 10 minutes to obtain autologous PRF plug. * Blood will be centrifuged at a speed of 700 rpm for 3 minutes. An orange- colored fluid will be formed as the upper layer in the test tubes i.e., I- PRF. Approximately 1 ml of I-PRF will be collected in a syringe. * Solid-PRF + Liquid-PRF mixed DBBM: Solid-PRF membranes will be mixed thoroughly with 0.25 g of DBBM particles. Then 1 mL Liquid PRF from the buffy coat layers will be added drop by drop to the DBBM. * Following polymerization by 15-20 minutes, sticky bone will be ready to be grafted in the pouch .
Venous blood will be withdrawn and transferred into sterile tubes which will be devoid of anticoagulants. I- PRF preparation will be done using the protocol developed by Mourãoet al. * Plastic PET tubes to create Liquid-PRF, while glass tubes will be used to obtain Solid-PRF. * Blood will be centrifuged at a speed of 3000 rpm for 10 minutes to obtain autologous PRF plug. * Blood will be centrifuged at a speed of 700 rpm for 3 minutes. An orange- colored fluid will be formed as the upper layer in the test tubes i.e., I- PRF. Approximately 1 ml of I-PRF will be collected in a syringe. * Solid-PRF + Liquid-PRF mixed DBBM: Solid-PRF membranes will be mixed thoroughly with 0.25 g of DBBM particles. Then 1 mL Liquid PRF from the buffy coat layers will be added drop by drop to the DBBM. * Following polymerization by 15-20 minutes, sticky bone will be ready to be grafted in the jumping gap.
Locations(1)
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NCT06642753