MedPath

ASSESSMENT OF SOFT TISSUE HEALING OVER IMMEDIATELY PLACED IMPLANT SEALED WITH PLATELETS RICH FIBRIN (PRF) VERSUS DIODE LASER

Not Applicable
Completed
Conditions
Immediate Implant Soft Tissue Healing
Interventions
Device: Diode laser
Biological: Platelet Rich Fibrin
Registration Number
NCT05517733
Lead Sponsor
Nourhan M.Aly
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
16
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Diode laserDiode laser-
Platelet Rich Fibrin (PRF)Platelet Rich Fibrin-
Primary Outcome Measures
NameTimeMethod
Mid-buccal soft tissue thicknessup to 8 weeks

Measured from the gingival margin to implant platform using a periodontal probe.

Mid-crestal soft tissue heightup 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.

Soft tissue healingup 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).

Secondary Outcome Measures
NameTimeMethod
Post-operative pain level24 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.

Trial Locations

Locations (1)

Faculty of Dentistry, Alexandria University

🇪🇬

Alexandria, Egypt

© Copyright 2025. All Rights Reserved by MedPath