Evaluation of Vestibular Socket Therapy Using Xenograft with and without Platelet Rich Fibrin for Managing Type II Extraction Sockets for Immediate Implant Placement in the Esthetic Zone

Document Type : Original Article

Authors

1 Oral and maxillofacial surgery Department,Faculty of oral and dental medicine,Al_AZHAR University in cairo

2 Oral and maxillofacial surgery department,Faculty of Dental and oral medicine,Al-azhar university,cairo ,Egypt

3 oral and maxillofacial surgery department , faculty of dental medicine, boys Cairo, alazhar university.

Abstract

Objective: To assess the effectiveness of Vestibular Socket Therapy (VST) in managing class II sockets in the esthetic zone when the graft material consists solely of xenogenic bone, both with and without the addition of platelet-rich fibrin.
Subjects and Methods: Patients were randomly assigned to two groups, each comprising seven patients. Group I: Patients were treated with immediate implants in the esthetic zone using the VST technique with xenograft and (PRF). Group II: Patients were treated with immediate implants in the esthetic zone using the VST technique with xenograft alone. Pain levels were evaluated using VAS, and pink aesthetic scores (PES) were recorded. Immediate after surgery and six months later, cone-beam computed tomography (CBCT) scans were performed to evaluate buccal bone thickness, and height, changes in bone density surrounding the dental implant, and vertical dimensions of alveolar bone around the dental implant.
Results: Group I exhibited significantly lower levels of pain compared to Group II. Group I (PRF) showed a slightly higher, albeit statistically insignificant, PES compared to Group II. At the six-month mark, Group I displayed significantly greater buccal bone thickness than Group II, with an insignificant difference in buccal bone height between the two groups. Moreover, Group II exhibited higher bone density around the dental implant compared to Group I.
Conclusion: The inclusion of PRF in the treatment enhanced osteoinductivity, promoting bone regeneration and eliminating the need for a donor site. Consequently, this approach reduced the comorbidity associated with donor site procedures, thereby decreasing patient discomfort and inconvenience.

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Al-Azhar Journal of Dental Science
Volume 28, Issue 1 - Serial Number 1
January - Oral Medicine & Surgical Sciences Issue (Oral Medicine, Oral & Maxillofacial Surgery, Oral Pathology, Oral Biology)
January 2025
Pages 97-106

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