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IRCT20221228056958N2 IRCT 2024-06-03 Mazandaran University of Medical Sciences Effect of platelet rich fibrin on soft tissue quality after immediate implant placement Studying the effect of platelet-rich fibrin (L-PRF) plug on the level of alveolar crest keratinized gingiva in immediate implant placement 2024-02-17 anticipated 60 Complete https://irct.ir/trial/76420 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization method: randomization will be block (blocks of 4) and individually Randomization tool: random allocation software 2 Using the software, codes A and B will be generated, where code A means applying the intervention group and code B means applying the control group for each person. Finally, the codes will be placed in the sealed envelope and the number of each patient will be written on the envelope. After the arrival of each patient, the doctor will open the envelope and apply the intended treatment, Blinding description: In this study, the researcher is unaware of the type of treatment performed on the patient, and this information is kept with the surgeon. 3 Lack of keratinized gingiva around the implant. Intervention 1: Intervention group: The implant used in the study will be of Snucone brand, made in Korea, with SLA level, along with two-stage surgery (cover screw closing) and covering the implant with gingiva. The implant will be placed at the level of the crest or at most 0.5 mm below the corset (if the thickness of the corset is less than 1 mm and there is a possibility of resorption). After placing the implant, it will be placed on it as a platelet and leukocyte-rich fibrin plug (L-PRF). The surgeon will administer platelet and leukocyte-rich fibrin (L-PRF). Intervention 2: Control group: The implant used in the study will be of Snucone brand, made in Korea, with SLA level, along with two-stage surgery (cover screw closing) and covering the implant with gingiva. The implant will be placed at the level of the corset or at most 0.5 mm below the crest (if the thickness of the corset is less than 1 mm and there is a possibility of resorption). In the first group, after placing the implant, an additional step will not be performed, and the flap will be displaced coronally just to avoid exposing the implant. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Dr. Najme Sadat Valed Saravi
mazandaran university of medical scienses, jooybar 3 ways, sari
sari Iran (Islamic Republic of) ۴۸۱۵۷۳۳۹۷۱ +98 11 3304 4000 n.valed@mazums.ac.ir Mazandaran University of Medical Sciences scientific Dr. Najme Sadat Valed Saravi
mazandaran university of medical scienses, jooybar 3 ways, sari
sari Iran (Islamic Republic of) ۴۸۱۵۷۳۳۹۷۱ +98 11 3304 4000 n.valed@mazums.ac.ir Mazandaran University of Medical Sciences Iran (Islamic Republic of) People with systemic health (class 1 according to the ASA classification) cooperative good oral hygiene and absence of acute infection Patients with teeth indicated for extraction due to terminal periodontal disease, root fracture, or root resorption Patients who were willing to visit again. Patients should not have untreated periodontal disease. no limit no limit Both patients with compromised systemic conditions (ASA 2,3,4,5,6) inadequate oral hygiene and presence of acute infection Patients without teeth indicated for extraction or unwilling for implant treatment Patients unwilling to visit again Patients with untreated periodontal disease Uncooperative Treatment - Surgery Treatment - Surgery Intervention group: The implant used in the study will be of Snucone brand, made in Korea, with SLA level, along with two-stage surgery (cover screw closing) and covering the implant with gingiva. The implant will be placed at the level of the crest or at most 0.5 mm below the corset (if the thickness of the corset is less than 1 mm and there is a possibility of resorption). After placing the implant, it will be placed on it as a platelet and leukocyte-rich fibrin plug (L-PRF). The surgeon will administer platelet and leukocyte-rich fibrin (L-PRF). Control group: The implant used in the study will be of Snucone brand, made in Korea, with SLA level, along with two-stage surgery (cover screw closing) and covering the implant with gingiva. The implant will be placed at the level of the corset or at most 0.5 mm below the crest (if the thickness of the corset is less than 1 mm and there is a possibility of resorption). In the first group, after placing the implant, an additional step will not be performed, and the flap will be displaced coronally just to avoid exposing the implant. Keratinized gingiva width. Timepoint: Before tooth extraction, 2 weeks after healing abutment placement. Method of measurement: Using a periodontal probe and the Rolling technique. Keratinized gingiva thichness. Timepoint: Before tooth extraction, 2 weeks after healing abutment placement. Method of measurement: Using a Williams periodontal probe that goes into the tissue until it reaches the bone. Mazandaran University of Medical Sciences Approved 2025-02-11 Ethics committee of Mazandaran University of Medical Sciences Sari, Jouybar three ways, Mazandaran University of Medical Sciences sari Mazandaran Iran (Islamic Republic of)