Evaluation of the Effect of Injectable Platelet Rich Fibrin on Stability of Dental Implant for Narrow Ridges
- Conditions
- Dental Implantation, Endosseous
- Interventions
- Procedure: control groupProcedure: study group
- Registration Number
- NCT05427643
- Lead Sponsor
- Sora Salam Majeed
- Brief Summary
the main aim of the study is to evaluate the secondary implant stability when using dental implants with injectable platelet rich fibrin accompanied by non-autogenous bone graft material in narrow ridge cases versus straightforward ridges , in clinical comparative study.
- Detailed Description
the main aim of the study is to evaluate the secondary implant stability when using dental implants with injectable platelet rich fibrin accompanied by non-autogenous bone graft material in narrow ridge cases versus straightforward ridges , in clinical comparative study.
Study design:
Forty implants will be installed for this prospective clinical study, the implants will be equally divided into two groups.
Group A (control group) in which the implants will be installed in a straightforward cases.
Group B (study group) in which the implants will be installed by utilizing injectable PRF with non-autogenous bone graft material in narrow ridges.
Preparation of Injectable Platelet Rich Fibrin for the narrow ridge cases is as following:
Five ML of autologous blood to be collected from the forearm (median cubital vein \\ cephalic vein \\ basilic vein ) by needle gauge with a 5mL sterile syringe without anticoagulant. The entire blood is moved to a 5 milliliter plastic tube, directly centrifugated for 3 minutes at 700 rpm/min at room temperature. A liquid form ( Injectable PRF ) is then achieved on top of the tube just and the red corpuscles at the bottom. Subsequently, the Injectable PRF liquid form is collected from the tube by a sterile plastic syringe, Then it will be mixed with non-autogenous bone graft waiting for 4min, and applied in the area with narrow ridge( deficiency in the horizontal bone width ) .
Follow up Twenty four weeks after surgery , The uncoverage surgery is done under L.A using a tissue paunch for installing the healing abutment ( gingival former ) , Then the secondary stability of implant (Osseointegration) is to be measured using the (Anycheck ) device , and comparing the 2 groups
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 13
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Patients ≥ 18 years of age.
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Absence of general medical contraindications for oral surgery procedures such as (Radiated jaws / uncontrolled Diabetic patient / uncontrolled hypertensive patient ).
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Straightforward cases / narrow ridges (less than 6mm horizontal bone width) according to SAC classification ( advanced surgery ) cases.
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Patients with reasonable oral hygiene.
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Partially or totally edentulous alveolar ridges.
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Uncontrolled medically compromised patients such as : (heart diseases uncontrolled blood pressure, endocrine disorders such as (diabetes , Thyroid disorders , osteoporosis ) , immuno-compromised patient and any condition influence bone healing ......etc.
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Heavy smokers ( ≥ 20 cigarettes a day).
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Patients with parafunctional habits.
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Complicated cases according to SAC classification.
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Patient with signs of acute infection and purulent exudates at the site of implant placement as revealed by clinical and radiographical examination.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description control group control group patients need dental implant with adequate horizontal bone with of more than 6 mm. study group study group patients need dental implants with narrow alveolar ridge of less than 6 mm horizontal width . they will receive dental implants with I_PRF mixed with synthetic bone graft.
- Primary Outcome Measures
Name Time Method secondary implant stability six months measured by Anycheck device after osseointegration time
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
college of dentistry university of Baghdad
🇮🇶Baghdad, Iraq