Effect Of Two Different Grafting Protocols On The Stability Of Immediate Dental Implants Placed into Infected Extraction Sockets In The Esthetic Zone

Document Type : Original Article

Authors

1 faculty of dentistry al azhar cairo

2 Oral surgery . Faculty of dentistry . Alazhar university

Abstract

Objectives: Injectable Platelet Rich Fibrin (I-PRF) is an efficient method in wound healing and regenerating of the bone; thus, the purpose of the current research was to assess clinical and radiographic outcomes of a mixture of xenograft with I-PRF around immediate dental implant. Patients and methods: Twelve patients with non-restorable tooth/teeth in the esthetic zone were selected and randomly divided into two equal groups; Group I (n = 6) patients with immediate implant placement with jumping gap grafted using mixture of I-PRF and xenograft and Group II (n = 6) patients with immediate implant placement with jumping gap grafted using xenograft only. Clinically, Implant stability was assessed immediately and after 6 months postoperatively using Ostell device Radiographically, the assessment of the bone density at at the second postoperative day and six months after implant placement. Results:. Regarding the change in stability after six months postoperatively, group I (injectable PRF + xenograft) recorded a significantly higher mean (83.83±6.05) ISQ values, in comparison to (73.83±5.81) in group II (Xenograft only). This difference was statistically significant . Regarding the change in bone density, the amount of increase in density after six months postoperatively, in group I (injectable PRF + xenograft) recorded a higher value (225.67±81.89), in comparison to (92.67±82.09) in group II (Xenograft only). This difference was statistically significant . Conclusion: The use of mixture of I-PRF and xenograft with immediate dental implant placement offers a new promising, safe, compatible, and effective method for managing the healing process around immediate dental implants .

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Volume 28, Issue 3 - Serial Number 3
July - Oral Medicine & Surgical Sciences Issue (Oral Medicine, Oral & Maxillofacial Surgery, Oral Pathology, Oral Biology)
July 2025
Pages 439-446