The aim of the current study is to compare the effect socket sealing with flowable resin composite compared to dense polytetrafluoroethylene membrane after filling the extraction site with xenograft particles in terms of soft and hard tissue changes, procedural time, post operative pain, patients' satisfaction, and cost effectiveness.
Implant placement has become the gold standard for replacing missing teeth. One of the biggest challenges present when placing implants is the lack of sufficient bone dimensions. This deficiency may be a common finding due to the process of post extraction remodeling where both bone height and width are reduced, complicating implant placement. As a result, several procedures have been suggested to address this issue. Socket preservation is one of the most implemented procedures used today to limit the amount of bone lost during post extraction remodeling. The current study was designed to compare the effectiveness of using flowable composite resin for socket sealing as an alternative to using d-PTFE membranes, bypassing the added time, cost and trauma needed for tunnel preparation and membrane tucking.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
20
Extraction of hopeless teeth will be followed by grafting the socket with xenograft and coverage with injected flowable composite plug which will then be stabilized using 5.0 polypropylene suture material with a figure of eight suture.
Extraction of hopeless teeth will be followed by grafting the socket with xenograft and coverage with d-PTFE membrane which will the be left exposed intentionally. This will be followed by securing the membrane using 5.0 polypropylene suture material with a figure of eight suture.
Faculty of oral and dental medicine, Cairo university
Cairo, Cairo Governorate, Egypt
RECRUITINGChange in horizontal bone dimension
Cone beam computed tomography (CBCT) (Millimeters)
Time frame: 4 Months
Change in Vertical bone dimension
Cone beam computed tomography (CBCT) (Millimeters)
Time frame: 4 Months
Keratinized tissue thickness
Millimeters
Time frame: 4 Months
Procedural time
Stopwatch
Time frame: During surgery
Post-operative pain
Visual analogue scale (Santos, Botelho et al. 2021) (0-10) 0=No discomfort 10=Worst discomfort
Time frame: 1 week
Patient Satisfaction
Three questions questionnaire (Kiyak, Hohl et al. 1984). 7-point response scale: 7= very likely (or very satisfied), 1= not at all likely (or not at all satisfied)
Time frame: 2 weeks
Incidence of complications
Checklist
Time frame: 4 Months
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