Comparative Study of Autogenous Fresh Tooth Graft and Platelet Rich Fibrin Mixture versus Autogenous Fresh Tooth Graft Only For Immediate Dental Implant Placement

Aim: This study was designed to compare between autogenous fresh tooth graft with/without platelet rich fibrin on osseodensification of immediate dental implant.. Subjects and methods: Twelve implant fixtures were inserted in 6 patients divided equally into two groups. The patients were selected from those attending outpatient clinic, Oral and Maxillofacial Surgery Department, at the Faculty of Dental Medicine, Boys, Assiut, Al-Azhar University .Clinical examination was made to all patients as: Quality, quantity of the bone, mucosa, contour of the underlying bone and crown to bone relationship. Preoperative panoramic radiographs and cone beam CT were taken for every patient to determine alveolar bone height & width. The change in the implant stability and bone density was measured using cone beam computerized tomography (CBCT) immediately, and after 6 months of healing. All readings were recorded and analysis and statistically. Results: The mean value of horizontal and vertical bone loss in group (1) and group (2) at 6 months showed statistical significant differences between two groups.The mean value of bone density in group(1) and group(2) at months 955.00 ± 52.92 and 670.83 ± 8.01 respectively with statistical significant differences between two groups. Conclusion: It may be concluded that this method is valuable for preservation of alveolar bone and obtaining vital and good quality bone structure.