Will there be a difference in Pink Esthetic score and soft tissue changes around immediate implants in maxillary esthetic zone following grafting the jumping gap with partially demineralized dentin matrix compared with xenograft?
This study aims to evaluate the soft tissue changes as well as hard tissue changes around immediate implants in maxillary esthetic zone following grafting the jumping gap with partially demineralized dentin matrix in comparison to xenograft. Because xenogeneic bone is so readily available in substantial quantities, it has been the subject of notable research. However, because they contain organic material from a foreign species, xenogeneic bones are inherently very antigenic. According to experimental results, PDDM encourages bone regeneration in a manner like autogenous bone. Both cortical bone and autogenous tooth grafts share similar physical and chemical characteristics, including optimal biodegradability, not requiring a separate surgery to harvest the graft and space maintenance capabilities. PDDM is a valuable comparator to autogenous bone in ARP and around dental implants in guided bone regeneration procedures
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
24
* Local anesthesia Septanest special® will be administered prior to the procedure. * Teeth extraction will be initiated by intrasulcular incision via 15 C blade without flap elevation. * The tooth to be extracted will be luxated atraumatically using periotomes and thin straight elevator and delivered using forceps. * The socket will be inspected for integrity, using a UNC graduated periodontal probe. grafting material either experimental or control will be used to graft jumping gap.
Faculty of Oral and Dental Medicine- Cairo University
Cairo, Cairo Governorate, Egypt
Pink esthetic score
a fourteen point scale to evaluate pink esthetics. The pink esthetic score (PES) estimates the esthetic results of soft tissue surrounding the implant with regarding 7 points : mesial, distal papilla, soft tissue margin, soft tissue contour, alveolar process, colour, texture. the score of zero will be lowest and two will be the highest for each of the seven points with zero being the lowest and 14 being the highest.
Time frame: twelve months after final restoration
Vertical and horizontal radiographic changes in bone dimensions
cone beam CT will be used to detect vertical and horizontal changes
Time frame: immediate post operative and twelve months after final restoration
Midfacial mucosal alteration
rubber base impressions taken before the surgical procedure and 12 months after implant restoration. Then, casts were poured with type IV die stone and optically scanned. The obtained models were compared by digital superimposition in a matching software to measure the vertical alterations of the buccal peri-implant soft tissue.
Time frame: preoperative and twelve months after final restoration
Patient satisfaction
a twelve point questionnaire to evaluate patient satisfaction
Time frame: one year after final restoration
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