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20 subjects suffering from non restorable maxillary premolar teeth will be randomly devided into two groups. the selected teeth will be extracted and immeiate implants will be placed in all subjects. the first group will recieve deprotienized bovine bone (tutogen) to fill the buccal space between the implant and the bone, the second group will recieve platlet rich fibrin to fill the buccal space between the implant and the bone
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| platelet rich fibrin | Experimental | immediate implant grafting |
|
| deprotienized bovine bone (tutogen) | Active Comparator | immediate implant grafting |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| deprotienized bovine bone (tutogen) | Procedure |
| ||
| platelet rich fibrin |
| Measure | Description | Time Frame |
|---|---|---|
| Patient morbidity | patient pain level on pain scale using pain chart | 14 days |
| Measure | Description | Time Frame |
|---|---|---|
| crestal bone loss | radiographic analysis computing amount of crestal bone loss around implants using cone beam computed tomography | 3 months |
| implants stability quotient | implant stability measured using resonance frequency analysis |
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Inclusion Criteria:
Exclusion Criteria:
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| Procedure |
|
| 3 months |