Clinical and Radiographic of the Effect of Socket Preservation Using the Roll Pedicle Connective Tissue Graft With Bovine Bone: A Case Series Trial.

Cairo University8 enrolled

Overview

After tooth extraction, the residual alveolar ridge generally provides limited bone volume because of ongoing, progressive bone resorption. Healing events within post-extraction sockets reduce the dimensions of the socket over time. Therefore, socket preservation became an indispensable procedure as well as fundamental to prevent bone loss following tooth extraction. Preservation, by the name, is the maintenance of the socket, which is essentially the height and width of the gap that is left after the tooth is removed. It is done by placing a graft material or scaffold immediately into the socket of an extracted tooth to presto preserve bone height, width and density

Investigator evaluate the clinical and radio graphic effect of roll pedicle connective tissue graft as a barrier membrane together with bovine bone in alveolar ridge preservation in extraction sockets.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Socket Preservation

Interventions

Eligibility

Sex: ALLMin age: 27 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * • patients with healthy systemic condition. * Adult patients ˃ 18 years old. * hopeless teeth that need tooth or root extraction in the maxillary esthetic zone. * Alveolar socket Grade I and II. * Normal platelet counts according to complete blood count (CBC) test done in the screening stage. Exclusion Criteria: * Acute infection at the extraction site * Smokers ˃ 10 cigarettes / day. * Medications that may interfere with wound healing * History of treatment with bisphosphonates. * History of allergic reaction

Outcomes

Primary Outcomes

width of alveolar bone

Two holes will be made in the acrylic stent (3mm and 5 mm below the alveolar crest) on the buccal and palatal extensions within the midline of the tooth to be extracted. The buccopalatal width of the alveolar ridge will be measured at the two assigned points using bone caliper at baseline and 6 months post extraction

Time frame: changes in the Width of alveolar bone were measured at 3& 5 mm at baseline,3 months and 6 months

Secondary Outcomes

gingival thickness

Two holes will be made in the acrylic stent (3mm and 5 mm below the alveolar crest) on the buccal and palatal extensions within the midline of the tooth to be extracted. The gingival thickness will be evaluated by William's graduated periodontal probe inserted horizontally perpendicular to the alveolar bone at the two assigned holes labially/buccally at baseline and 6 Two holes will be made in the acrylic stent (3mm and 5 mm below the alveolar crest) on the buccal and palatal extensions within the midline of the tooth to be extracted. The gingival thickness will be evaluated by William's graduated periodontal probe inserted horizontally perpendicular to the alveolar bone at the two assigned holes labially/buccally at baseline and 6 months post extraction. months post extraction.

Time frame: changes in the gingival thickness were measured at 3 & 5mm at (baseline,3 months and 6 months)

height of the alveolar crest

Crestal bone height was measured to determine the amount of bone at gain using digora soft ware

Time frame: changes in height of alveolar crest were measured at baseline, 3 months and 6 months