ASSESSMENT OF SOFT TISSUE HEALING OVER IMMEDIATELY PLACED IMPLANT SEALED WITH PLATELETS RICH FIBRIN (PRF) VERSUS DIODE LASER (A RANDOMIZED CONTROLLED CLINICAL TRIAL)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Immediate Implant Soft Tissue Healing
- Sponsor
- Nourhan M.Aly
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- Mid-buccal soft tissue thickness
- Status
- Completed
- Last Updated
- 3 years ago
Overview
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.
Investigators
Nourhan M.Aly
Assistant Lecturer of Dental Public Health
University of Alexandria
Eligibility Criteria
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
Outcomes
Primary Outcomes
Mid-buccal soft tissue thickness
Time Frame: up to 8 weeks
Measured from the gingival margin to implant platform using a periodontal probe.
Mid-crestal soft tissue height
Time Frame: up 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 healing
Time Frame: up 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 Outcomes
- Post-operative pain level(24 hours)