Evaluation of Secondary Dental Implant Stability Utilized For Narrow Ridges With Injectable Platelet Rich Fibrin Versus Straightforward Cases
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Dental Implantation, Endosseous
- Sponsor
- Sora Salam Majeed
- Enrollment
- 13
- Locations
- 1
- Primary Endpoint
- secondary implant stability
- Last Updated
- 3 years ago
Overview
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
Investigators
Sora Salam Majeed
Principle investigator
University of Baghdad
Eligibility Criteria
Inclusion Criteria
- •Patients ≥ 18 years of age.
- •Absence of general medical contraindications for oral surgery procedures such as (Radiated jaws / uncontrolled Diabetic patient / uncontrolled hypertensive patient ).
- •Straightforward cases / narrow ridges (less than 6mm horizontal bone width) according to SAC classification ( advanced surgery ) cases.
- •Patients with reasonable oral hygiene.
- •Partially or totally edentulous alveolar ridges.
Exclusion Criteria
- •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.
- •Heavy smokers ( ≥ 20 cigarettes a day).
- •Patients with parafunctional habits.
- •Complicated cases according to SAC classification.
- •Patient with signs of acute infection and purulent exudates at the site of implant placement as revealed by clinical and radiographical examination.
Outcomes
Primary Outcomes
secondary implant stability
Time Frame: six months
measured by Anycheck device after osseointegration time