Document Type : Original Article
Authors
1
Postgraduate Msc Student, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Delta University For Science And Technology, Mansoura, Egypt
2
Lecturer Periodontology Department, Faculty of Oral and Dental Medicine, Delta University For Science and Technology, Mansoura, Egypt
3
Lecturer Oral And Maxillofacial Surgery At Must
4
Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Oral And Dental Medicine, Delta University For Science And Technology, Mansoura, Egypt.
Abstract
Aim:Aim of study was to evaluate the role of using platelets rich fibrin in addition to beta-tricalcium phosphate (β-TCP) or B-TCP alone in extraction socket preservation for future implant placement as well it's effect in post implant placement follow up
Materials and Methods:Twenty one candidates with non-restorable premolars teeth at maxilla that should be extractedwere involved in the current study. After satisfactory debridement, socket curettage, and good irrigation,the socket left for conventional healing after atraumatic extraction in group one.(β-TCP) were placed in the extracted socket in second group.And in the third group, (β-TCP) placed in the extracted socket in combination with L-PRF fragments were formed and mixed with the bone graft and then inserted into the socket. Both clinical and radiographic outcomes were evaluated at baseline, 6 months later with implant placement at this stage was performed in all cases, and prosthetic part was done 3 months later
Results: Regarding radiographic evaluation,the highest change in bone height (resorption)was detected with control group,succeeded by B-TCP group,and finally the lowest change in bone height was noted with B-TCP+PRF groupThe highest bone density was observed with group of(B-TCP and PRF) Regarding clinical evaluation, the highest change in bone height (resorption) was seen with control group, succeeded by B-TCP group,and the most low change in bone height was noted with B-TCP+PRF group.
Conclusion:Beta-tricalcuim phosphate combined with leucocytes platelets rich fibrin have significant effect on socket preservation for future implant placement than B-tricalcium phosphate alone and normal healing process that showed the least bone deposition
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