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Statement of the problem: Tooth extraction results in hard and soft tissue loss which complicates prosthodontic rehabilitation, So different techniques of alveolar ridge preservation should be done to maintain hard and soft tissue dimensions.
Aim: The aim of this study is to compare the effect of amnion membrane versus chorion membrane on soft tissue healing among socket preservation procedure.
Aim: The aim of this study is to compare the effect of amnion membrane versus chorion membrane on soft tissue healing among socket preservation procedure.
Materials and Methods: This parallel arm, randomized controlled clinical trial will involve systemically free patients with remaining roots or badly decayed teeth in the posterior region not indicated for immediate implant placement. They will be randomly allocated to two equal groups. Group A (n=95) socket will be grafted with HAM particulate and the socket will be covered with amnion membrane, and group B (n=95) socket will be grafted with HAM particulate and the socket will be covered with chorion membrane. Soft tissue healing will be assessed (1ry outcome) every day for the first week, day after day second week, once in third and fourth week. Postoperative pain and swelling will be recorded daily by the patient for the 1st two weeks post surgically. Postoperative medication will be prescribed to the patient and postoperative instructions will be explained in detail. Follow-up will be performed to assess the parameters and to ensure performing proper oral hygiene. Data collected will be tabulated and statistically analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Amnion membrane | Active Comparator | the amnion membrane tucked over the extraction socket then the socket plug will be maintained in place with approximating sutures using 5-0 resorbable suture material |
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| Chorion membrane. | Active Comparator | chorion membrane (Bioxclude , Snoasis Medical , USA) tucked over the extraction socket then the socket plug will be maintained in place with approximating sutures using 5-0 resorbable suture material. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Amnion membrane. | Procedure | the amnion membrane tucked over the extraction socket then the socket plug will be maintained in place with approximating sutures using 5-0 resorbable suture material |
| Measure | Description | Time Frame |
|---|---|---|
| Soft tissue healing | Surface area/intraoral scanner | every day for the first week, day after day second week, once in third and fourth week |
| Measure | Description | Time Frame |
|---|---|---|
| Healing index | Score (from o to 10, were 0 is no healing and 10 complete healing of tissue ) | every day for the first week, day after day second week, once in third and fourth week |
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Inclusion Criteria:
1. Patients who need simple extraction not indicated for immediate implant placement.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of oral and dental medicine , Suez university | Suez | Suez Governorate | 123456 | Egypt |
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blinding of outcome assessors and participants will be achieved as the different outcomes will be assessed for all groups by assessors other than the researchers doing the procedures.
| Chorion membrane | Procedure | chorion membrane tucked over the extraction socket then the socket plug will be maintained in place with approximating sutures using 4-0 resorbable suture material. |
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