Evaluation of the Use of Autograft-Platelet Rich Fibrin Mixture around Immediately Placed Dental Implants in Mandibular Molar Region
Abstract
The aim of this study was to assess the efficiency of using A-PRF-autograft mixture around
implants placed immediately in mandibular molar region from a clinical and radiographical point
of view.
Materials and methods: This study was carried out as a randomized controlled clinical trial
in which twenty patients needing extraction of unrestored mandibular molars and placing of
immediate implant, were selected. Patients were divided into two groups randomly; the study
group where the resultant gap following the immediate insertion of a molar implant was filled with
A-PRF-autograft mixture, and the control group where the peri-implant gap was filled with
autogenous bone graft alone. The studied variables were the degree of facial swelling, marginal
bone height and the bone density around the immediately installed dental implants. The period for
follow up was after six months. For statistical analysis, Mann- Whitney U test was used.
Results: The study group showed better results in the clinical and radiographical studied
variables. A significant difference was seen regarding the marginal bone height. Although,
regarding bone density and swelling, more acceptable results have been seen within the study
group, the results showed no statistically significant difference between both groups.
Conclusion: The results assured the efficiency of using A-PRF-autograft mixture with
concurrent placement of immediate implants in the lower molar region and highlighted their
promising effects on bone and soft tissue healing.
Key Words: Immediate implant, mandibular molar, Advanced Platelet rich fibrin, autogenous
bone.
Student(s)
Fatima Karam El Haj
Supervisor(s)
Prof. Nahed Attia and Asst. Prof. Mohamed Shokry