hyaluronic acid gel applied at the extraction socket after extraction immediately to preserve the socket from post extraction resorption. hyaluronic acid has ability for osteogenesis and new bone formation.
twenty-four patients with one hopeless tooth at least, first CBCt before extraction to evaluate the dimension of the socket, then atraumatic extraction of the tooth to preserve the bony wall of the socket, after extraction and curettage the socket applied hyaluronic acid gel inside the socket and applied collagen membrane to secure the socket. After 4 months of extraction, CBCt was done to evaluate the dimension of the socket and the effect of hyaluronic acid. Furthermore, The core biopsy was taken by trephine bur at the time of implant placement for evaluate the histological appearance of the bone to evaluate the secondary outcome. then after three months the crown was delivered as a prosthetic part.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
24
Alveolar ridge preservation by atraumatic tooth extraction and socket curettage then application hyaluronic acid gel after extraction and covering the socket by collagen membrane.
Alveolar ridge preservation by atraumatic tooth socket without application any drug but just covering the socket by collagen membrane.
Ain shams University
Cairo, Egypt
clinical outcome
measurement clinical bone width of the socket by millimeter before and 4 months after extraction ...
Time frame: baseline(before extraction)/ four months later after extraction
Radiographic measurement
Radiographic measurement of bone width by CBCt before and 4 months after extraction
Time frame: baseline(before extraction)/ four months later after extraction
Radiographic measurement
Radiographic measurement of bone height by CBCt before and 4 months after extraction.
Time frame: baseline (before extraction)/ four months later after extraction
histological analysis
The bone biopsy will be taken by trephine bur. And evaluate bone quality.
Time frame: after 4 months of extraction at the time of implant placement.
histomorphometric analysis
The bone biopsy will be taken by trephine bur. And evaluate bone quantity.
Time frame: after 4 months of extraction at the time of implant placement.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.