Buccal Plate Augmentation Using Sticky Bone With Simultaneous Immediate Implant Placement

Condition(s) studied

Investigational drug(s) / intervention(s)

immediate implant with buccal plate augmentation using sticky bone: * Venous blood will be withdrawn and transferred into sterile tubes which will be devoid of anticoagulants. I- PRF preparation will be done using the protocol developed by Mourãoet al. * Plastic PET tubes to create Liquid-PRF, while glass tubes will be used to obtain Solid-PRF. * Blood will be centrifuged at a speed of 3000 rpm for 10 minutes to obtain autologous PRF plug. * Blood will be centrifuged at a speed of 700 rpm for 3 minutes. An orange- colored fluid will be formed as the upper layer in the test tubes i.e., I- PRF. Approximately 1 ml of I-PRF will be collected in a syringe. * Solid-PRF + Liquid-PRF mixed DBBM: Solid-PRF membranes will be mixed thoroughly with 0.25 g of DBBM particles. Then 1 mL Liquid PRF from the buffy coat layers will be added drop by drop to the DBBM. * Following polymerization by 15-20 minutes, sticky bone will be ready to be grafted in the pouch .

immediate implant with sticky bone as a filling material in the jumping gap: Venous blood will be withdrawn and transferred into sterile tubes which will be devoid of anticoagulants. I- PRF preparation will be done using the protocol developed by Mourãoet al. * Plastic PET tubes to create Liquid-PRF, while glass tubes will be used to obtain Solid-PRF. * Blood will be centrifuged at a speed of 3000 rpm for 10 minutes to obtain autologous PRF plug. * Blood will be centrifuged at a speed of 700 rpm for 3 minutes. An orange- colored fluid will be formed as the upper layer in the test tubes i.e., I- PRF. Approximately 1 ml of I-PRF will be collected in a syringe. * Solid-PRF + Liquid-PRF mixed DBBM: Solid-PRF membranes will be mixed thoroughly with 0.25 g of DBBM particles. Then 1 mL Liquid PRF from the buffy coat layers will be added drop by drop to the DBBM. * Following polymerization by 15-20 minutes, sticky bone will be ready to be grafted in the jumping gap.

Study summary

the aim of this study is to clinically assess pink esthetic score following Buccal Plate Augmentation using Sticky Bone versus usage of Sticky Bone as a jumping gap filling material with simultaneous immediate implant placement in the maxillary esthetic zone

Eligibility

Primary outcome measure(s)

• pink esthetic score — 3 and 6 months postoperative
  This pink esthetic score (PES) evaluates the esthetic outcome of soft tissue around implant-supported single crowns in the anterior zone by awarding seven points for the mesial and distal papilla, soft-tissue level, soft-tissue contour, soft-tissue color, soft-tissue texture, and alveolar process deficiency .With the exception of papilla formation, the evaluation is performed visually by comparing reference teeth (i.e., with the contralateral tooth in the incisor zone and adjacent tooth in the premolar zone). For the mesial and distal papilla, the categories are complete, incomplete, and absent. For each criterion it is possible to award a score between two points (for a very good outcome) and no points (for a poor outcome). The maximum score that can be achieved is 14 points indicating an outcome that reflects complete conformity between the soft tissue of the tooth being assessed and that of the reference tooth.

Trial sites (1)

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