Immediate Implant Placement With Platlet Rich Fibrin as Space Filling Material Versus the Use of Deprotienized Bovine Bone (Tutogen) in Maxillary Premolars.

Not Applicable

Interventions: Procedure: deprotienized bovine bone (tutogen)
Procedure: platelet rich fibrin

Brief Summary: 20 subjects suffering from non restorable maxillary premolar teeth will be randomly devided into two groups. the selected teeth will be extracted and immeiate implants will be placed in all subjects. the first group will recieve deprotienized bovine bone (tutogen) to fill the buccal space between the implant and the bone, the second group will recieve platlet rich fibrin to fill the buccal space between the implant and the bone

Recruitment & Eligibility

Inclusion Criteria

non restorable maxillary premolars non smoker free from any systemic disease or medication that could impair normal bone healing

Exclusion Criteria

any systemic disease that could affect bone healing patient with lesion related to the surgical site

Arm && Interventions

Group	Intervention	Description
platelet rich fibrin	deprotienized bovine bone (tutogen)	immediate implant grafting
deprotienized bovine bone (tutogen)	platelet rich fibrin	immediate implant grafting

Primary Outcome Measures

Name	Time	Method
Patient morbidity	14 days	patient pain level on pain scale using pain chart

Secondary Outcome Measures

Name	Time	Method
crestal bone loss	3 months	radiographic analysis computing amount of crestal bone loss around implants using cone beam computed tomography
implants stability quotient	3 months	implant stability measured using resonance frequency analysis

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