The aim of this study is to evaluate changes in buccal bone thickness after immediate implant placement with xenograft mixed with erythropoietin in the anterior maxilla with a thin buccal bone
PICO: Population: Patients with non-restorable tooth in anterior maxilla with thin buccal bone (less than 1mm) Intervention: Immediate implant placement with Xenograft mixed with Erythropoietin. Control: Immediate implant placement with Xenograft alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
24
After atraumatic extraction of the non-restorable tooth, Implant will be placed palatal and apical to osteotomy with at least 2mm gap junction between implant and buccal bone which will be grafted with xenograft and erythropoietin.
After atraumatic extraction of the non-restorable tooth, implant will be placed palatal and apical to osteotomy with at least 2mm gap junction between implant and buccal bone which will be grafted with xenograft alone.
Faculty of dentistry, Cairo university
Giza, Egypt
Buccal bone thickness.
by Cone Beam Computed Tomography (CBCT) in mm
Time frame: 1 year follow up period
Crestal bone loss
will be measured by Cone Beam Computed Tomography (CBCT) in mm
Time frame: 1 year follow up period
Soft tissue thickness.
will be measured by Endodontic spreader with rubber stopper in mm
Time frame: 1 year follow up period
The pink esthetic score (PES)
by taking photographs
Time frame: 1 year follow up period
Success and survival criteria
the absence of mobility, the absence of acute or chronic peri-implant infection, the absence of radiolucency around the implant, without pocket probing depth (PPD) ≧ 5 mm, and without vertical bone loss ≧ 1.5 mm in the first year. The cases will be defined as failure if it can\'t reach any one of the success criteria
Time frame: 1 year follow up period
Bleeding on probing (BOP)
According to presence (yes) or absence (No) of bleeding on probing
Time frame: 1 year follow up period
Pain score
by using Visual analogue scale from (0-10)
Time frame: 1, 3, and 7 days
Full-mouth plaque score
According to presence (yes) or absence(No) of plaque
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Time frame: 1 year follow up period