Clinico- Radiological Evaluation of Dentinal Graft against Platelet Rich Fibrin in Extraction Sockets with Immediate Implant Placement- A Randomized Control Trial.

Dental implant therapy has advanced significantly, providing consistent outcomes for patients. While reduced residual ridge height is common with delayed loading implants, various procedures prevent post-extraction alveolar ridge resorption. These include socket grafting materials, for bone regeneration, and instantaneous implant placement. Flapless surgery preserves bone vascularization, reducing the need for multiple surgeries and enhancing. Atraumatic extraction minimizes tissue stress, protecting remaining bone. Peri-implant voids often occur due to the horizontal gap distance between the implant and alveolar socket This study aims to evaluate the efficacy of Dentinal graft (DG) against Platelet rich fibrin matrix (PRFM) in immediate  implant procedures utilizing a two-stage protocol. This will be a prospective randomized controlled trial will be conducted, wherein patients fulfilling the inclusion criteria will be equally divided into two groups. Group A will comprise of patients in which DENTINAL graft will be placed before implant placed in freshly prepared socket after extraction‘, whereas in Group B patients will receive PRFM. After extraction socket Functional Outcomes will be measured using parameters like Clinical and Radiographic measurement The success of the implant will be determined by the crestal bone changes and stability after 6 months following the use of PRFM and DENTINAL GRAFT.