Bone Density in Immediate Implant Placment and Loading(BDIIPL)

Prf Controlled,Randamized Cinical Trial of EFFECTS OF THE PLATELET-RICH FIBRIN (PRF) ON BONE DENSITY IN IMMEDIATE IMPLANT PLACEMENT AND LOADING IN ESTHETIC ZONE

Atrumatic extraction ,immediate implant placment , prf as plug,immediate loading , mesure bone density 0-3-6-9 month

Atrumatic extraction unrestorable tooth in esthetic zone and immediate implant placment and withdrow 10cc blood sample to gain prf plug as membrane and immediate provisional for one week and final restoration after 1 week , and mesure bone density from 0-3-6-9 month

Inclusion criteria:

• unrestorable anterior tooth.
• Good oral hygine
• Adequate bone hieght apical to the alveolus of failing tooth to ensure primary stability .

Exclusion Criteria:

• systematic disease which affect osteointgration.
• Bad oral hygiene
• Broxism, clenching, deep bite, edge to edge and abnormal habits.
• Non-treated peeiodontal diseases.
• Pregnancy and smokers. Severe infection. Loss of labial crest after extraction of failing tooth.