Validity of Ozonated Olive Oil Gel Versus Injectable Bone Graft

Validity of Ozonated Olive Oil Gel Versus Injectable Bone Graft on Osseointegration of Immediate Dental Implants

Many of studies have been performed to improve osseointegration and bone density around implants by modifying the implant by adding bone graft or substitute material that increase success of implant. The aim of this study is to evaluate clinically and radiographically the efficacy of injectable bone graft versus ozonated olive oil gel to promote bone formation and improve outcomes in immediate implant cases. 16 immediate implants will be placed in mandibular premolar region the study will be devided equally and randomlly into two groups , Group 1: it will be 8 immediate implants represent the control group were the implants will be placed with injectable bone graft , Group 2: will be 8 immediate implant represent the study group were the implants will be placed with ozonated olive oil gel be used as a graft material . The implant stability will be assessed clinically using Ostell , and the bone density will be assed radiographically .

Inclusion criteria:

• Adults aged between 20 and 60 years.
• Adults of both genders.
• Patients who are medically healthy and without systemic conditions that could contraindicate implant placement.
• Patients requiring extraction of a single unrestorable mandibular premolar indicated for immediate implant placement.
• Presence of sufficient apical and peripheral bone to achieve primary implant stability (minimum 3-5 mm of bone beyond the socket apex and overall socket length ≥ 10 mm).

Exclusion criteria:

• Pregnant and lactating women's
• Heavy smoking (>10 cigarettes/day)
• Severe parafunctional habits (e.g., uncontrolled bruxism).
• Periapical infections or lesions.
• Gingival and periodontal diseases.
• Inability or unwillingness to attend scheduled follow-up visits.