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Immediate implant placement has a success rate from 94-100 % . After tooth extraction there is a loss in the horizontal and vertical dimension by about 3-6 mm and 1-2 mm respectively and alveolar crest resorption of about 44% especially through 6 months after extraction.
After immediate implant placement there is usually a void between the implant and the socket walls which is called jumping distance or gap which may heal spontaneously or need bone graft to bridge the space. If the gap is 1-2 mm it may heal spontaneously more than that this will need bone graft. There is no evidence that the graft impairs osseointegration Development of artificial bone has increasingly progressed in the last few years. Nanobone "nanocrystalline hydroxyapatite embedded in a porous silica gel matrix bone graft is introduced which has osseoconductive and biomimetic properties .the sub-micron modification in the bone substitute will enhance osteogenic property. It bind to the bone by stimulation of osteoblast activity and enhance growth factors which improve bone healing and provide more strength and stability to the implant.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Immediate implant with Xenograft | Active Comparator |
| |
| Immediate implant with Nanobone | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Implant with NanoBone graft | Device | Using of NanoBone graft to fill the gap in the socket after immediate implant placement |
|
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of Crestal Bone Loss in grafted socket | 3 months after implant placement |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry , Cairo university | Cairo | Egypt |
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| Implant with Xenograft | Device | Using of Xenograft to fill the gap in the socket after immediate implant placement |
|
| ID | Term |
|---|---|
| D016254 | Mutagenesis, Insertional |
| D014183 | Transplantation, Heterologous |
| ID | Term |
|---|---|
| D015202 | Protein Engineering |
| D005818 | Genetic Engineering |
| D005821 | Genetic Techniques |
| D008919 | Investigative Techniques |
| D009154 | Mutation |
| D014644 | Genetic Variation |
| D055614 | Genetic Phenomena |
| D016296 | Mutagenesis |
| D014180 | Transplantation |
| D013514 | Surgical Procedures, Operative |
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