The effect of using of i-PRF (injectable platelet rich fibrin) on filling the gap of immediate dental implant in the esthetic zone

Grouping the samples: (sixteen patients was recruited from the outpatient clinic of Oral Medicine, Periodontology, Diagnosis and Radiology Department, Faculty of Dentistry, Ain Shams University).

The sixteen patients assigned to group 1 or group 2 will be randomly allocated using flip of a coin into one of the 2 treatment modalities.

Primary objective:

Radiograhic evaluation of the effect of i-PRF on filling the buccal gap distance between the immediately placed dental implant and the surrounding bone.

Secondary objective:

Esthetic evaluation of the effect of i-PRF on the soft tissue around immediately placed dental implant.

Inclusion Criteria:

• Healthy adult patient.

• Age from 20-50 years old

• Patients must be free of any systemic disease which could influence the surgical procedure.

• Tooth involved in the esthetic zone.

• Sufficient hard and soft tissue volume in vertical and buccolingual 6. Natural teeth adjacent to the involved tooth were required to be free from infection.

• Controlled oral hygiene.

• Indication for tooth extraction included;

  • Endodontic failures
  • Untreatable caries> Non- restorable teeth
  • Vertical root fracture
  • Remaining roots

• The decision to proceed with the implant placement was made after tooth extraction and probing of the extraction socket which revealed:

  • The presence of intact facial bone.
  • Compliance with all requirements in the study and signing the informed consent.

Exclusion Criteria:

• Patient had surgeries in the same site during the last 6 months prior to the surgery.
• Severe vertical bone loss (socket type lll or type lV).
• Presence of acute dento-alveolar infection or periodontal affected of involved tooth.
• Pregnant and lactating females.
• Smokers.

double blinded