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Research Article

JCR. 2020; 7(14): 1509-1519


EVALUATION OF CLINICAL AND RADIOLOGICAL OUTCOMES IN ANTERIOR MAXILLA WITH GRAFTED IMMEDIATE & DELAYED IMPLANTS: AN IN-VIVO STUDY

Janani,Jayashree Mohan, Ramesh.R, Bhuvanesh Kumar, Parithimar Kalaignan, Vignesh Kumar.K.

Abstract
Background- Proper Diagnosis and treatment planning are considered as utmost important for the success of an implant. Dentistry has experienced remarkable advancements in various dental restorative materials, techniques, that are predictably effective for the long-term management of tooth loss. Scientifically proven approaches have evolved that now provide the patient with aesthetically and functionally excellent options for tooth replacement. The patient requirements in the modern-day dental practice is highly demanding.
Aims And Objectives-To evaluate the crestal bone loss in anterior maxilla using immediate and delayed implant placement with Platelet Rich Fibrin (PRF) & alloplast, GBR combination and to compare the changes in crestal bone height with immediate and delayed implants using RVG as well as to evaluate the regeneration of interdental papilla using Jemt papilla index score.
Materials And Methods- The thorough intraoral and extraoral examination was done to check if the patient meets the standards of the study. Blood pressure and routine blood analysis were evaluated to assess the systemic health condition prior to treatment planning. A proper patient’s history was taken and A Cone Beam Computed Tomography (CBCT) was made to analyze the available bone height, bone width. If all parameters were satisfactory for implant placement, a surgical guide was fabricated. According to the criteria included in this study.
Results-. Mean difference in Group B shows higher results of 1. 96 on mesial side, after 3 months of loading. Even though groups were not statistically significant, mean value of Group B after 3months of loading shows increase in crestal bone loss. TABLE 2 showed comparison of distal side crestal bone loss in both Group A &B, there was a significant p value of 0. 05 in Group B. That shows significant increase in the bone loss seen in distal side of Group B. TABLE 3 showed Comparison of crestal bone loss in Group A and Group B. The p value of 0.05 in Group B shows there was a significant difference in Group B.
Conclusion- Single tooth implant revealed higher success rates in both groups with positive tissue response. Excellent wound healing and soft tissue regeneration was found with the use of PRF and alloplast combination. Well - formed bone seen in immediate implant group.

Key words: Aesthetics, Implant, Osseointegration, Angiogenesis, Extracellular Matrix Deposition.



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