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the aim of this study is clinically and radiographically evaluate the use of advance platelet rich fibrin (A-PRF) versus platelet rich fibrin (PRF) in preservation of alveolar ridge following tooth extraction
systemically healthy patients who have at least one non-restorable tooth in the upper inter-bicuspid region and are not seeking immediate or early implant treatment will be allocated in this study after performing nonsurgical periodontal therapy and preoperative periapical therapy to evaluate and improve the condition of the periodontal tissues.
Anesthesia will be given then flapless atraumatic extraction using periotomes followed by forceps after luxation. For all groups, the socket will be debrided using curette then
PRF and A-PRF preparation :
10 ml of blood will be drawn from each patient by vein puncture of the antecubital vein.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Platelet rich fibrin (PRF) | Active Comparator | Platelet rich fibrin is the secoond generation of platelet concentrates which is an autogenous biomaterial that is prepared from the patient's own blood |
|
| Advanced platelet rich fibrin (A-PRF) | Experimental | Advanced platelet rich fibrin is the last modification of PRF which is expected to contain a relatively greater number of white blood cellsand growth factors |
|
| blood clot | Placebo Comparator | normal healing of the wound without adding any biomaterial |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Platelet rich fibrin (PRF) | Procedure | following atraumatic extraction of the tooth using periotomes , 10 ml of patient's blood will be drawn by vein puncture of the antecubital vein and prepared in a centrifuge at 3000 rpm for 10 minutes then criss horizontal mattress suture will be applied to close the extraction wound |
| Measure | Description | Time Frame |
|---|---|---|
| Change in bucco-lingual dimensions | clinical measurement using bone caliper in mm numerical | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| change in alveolar bone height | radiographic measurement using CBCT in mm numerical | 6 months |
| bone dentistry | radiographic measurement using CBCT |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| School of dentistry , Cairo University | Cairo | 11865 | Egypt |
it will include participant's contacts ( name, age , phone number , address ,medical and dental history , periodontal condition) ,periodontal chart and preoperative radiograph
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|
| Advanced platelet rich fibrin (A-PRF) | Procedure | following atraumatic extraction of the tooth using periotomes , 10 ml of patient's blood will be drawn by vein puncture of the antecubital vein and prepared in a centrifuge at 1300 rpm for 8 minutes then criss horizontal mattress suture will be applied to close the extraction wound |
|
| blood clot | Procedure | following atraumatic extraction of the tooth using periotomes, no bio-addative will be added and criss horizontal mattress suture will be applied to close the extraction wound |
|
| 6 months |
| soft tissue healing | clinical measurement using landr et al index (healing index) in numerical | 6 months |
| postoperative pain scores | clinical measurement using VAS scale in numerical where No pain (0-4 mm) - mild pain (5-44 mm) -moderate pain (45-74 mm), and severe pain (75- 100 mm). | 2 weeks |
| ID | Term |
|---|---|
| D001777 | Blood Coagulation |
| ID | Term |
|---|---|
| D006487 | Hemostasis |
| D001790 | Blood Physiological Phenomena |
| D002943 | Circulatory and Respiratory Physiological Phenomena |
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