The effect of Bioactive Hydrogel versus Advanced-PRF on bone regeneration following impacted mandibular third molar surgery. Clinical and CBCT Analysis

Document Type : Original Article

Authors

1 Associate Professor of Oral & Maxillofacial Surgery, October University for Modern Sciences & Arts, Egyp

2 Associate Professor of Oral Radiology, October University for Modern Sciences & Arts, Egypt.

3 Teaching Assisstant of Oral & Maxillofacial Surgery, October University for Modern Sciences & Arts, Egypt.

4 Associate Professor of Oral Medicine & Periodontology, October University for Modern Sciences & Arts, Egypt.

5 Associate Professor of Oral & Maxillofacial Surgery, October University for Modern Sciences & Arts, Egypt.

Abstract

Objectives: The current study aim was to evaluate the effect of Bioactive Hydrogel versus Advanced-PRF on bone regeneration following impacted mandibular third molar surgery.
Material & Methods: sixty patients who had been scheduled for surgical removal of mesio-angular or horizontal impacted mandibular 3rd molar teeth were randomly divided into three groups. Group A involved 20 patients received A-PRF-Xenograft at the surgical site. Group B involves 20 patients received Xenograft-Hydrogel at the surgical site. While group C involved 20 patients left to heal without graft as control. Clinical and radiographic evaluation were performed immediate and at 6 months postoperatively. Data was collected and analysed statistically.
Results: At 6-month postoperative evaluation, the current study found that A-PRF-Xenograft group showed significant shorter mean pain duration (5.1±1.4 days) compared to Hydrogel-Xenograft group (5.3±1.5 days) and control group (5.8±1.4 days). A-PRF-Xenograft group showed the lowest mean values of PPD (3.7±0.6) followed by Hydrogel-Xenograft group (5±0.8) and followed by control group (6.6±0.6). A-PRF-Xenograft group showed the highest mean values of bone density (605.3±85.5) followed by Hydrogel-Xenograft group (522.4±83.5) followed by control group (286.4±44.7)
Conclusion: According to the results of the present study, there was significant improvement regarding pain duration, mouth opening limitation, periodontal pocket depth and bone density at the surgical site where A-PRF-Xenograft was applied. Hydrogel-Xenograft Group was more superior to the control group regarding pain duration, PPD, and bone density.

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Egyptian Dental Journal
Volume 68, Issue 2 - Serial Number 2
April Oral Surgery
April 2022
Pages 1423-1433

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