Comparison of L-PRF, Sticky Tooth, and Sticky Bone for Filling the Gap in AI-Guided Socket Shield Immediate Dental Implants

What this Trial Is About

Researchers are investigating which biological material best supports healing in the gap between the implant and the shield during socket shield therapy SST. This study focuses on comparing three methods leukocyte-platelet rich fibrin L-PRF alone, sticky tooth autogenous dentin graft with injectable PRF, and sticky bone particulate graft with injectable PRF. The study uses an AI-assisted, computer-guided implant placement approach and follows patients with CBCT scans immediately, at 3 months, and at 6 months to assess healing and tissue stability. The treatments involve preparing the implant site with socket shield technique and then filling the gap using one of the three grafting materials. L-PRF is gently packed into the gap after implant placement. The sticky tooth group uses dentin particles made from the extracted root mixed with PRF clot to fill the gap. The sticky bone group uses xenograft particles combined with PRF clot for the gap filling. The study uses advanced imaging and digital workflows to ensure precise implant placement and standardized treatment. Participants will undergo implant placement with socket shield technique followed by one of the three grafting methods. They will have follow-up CBCT imaging at baseline, 3 months, and 6 months to monitor bone and tissue changes. The study measures outcomes such as marginal bone level and peri-implant vertical bone defect depth over 12 months. The research team monitors healing progress, tissue stability, and hard-tissue dimensional changes during this period, with total participation lasting up to one year after treatment.

L-PRF Versus Sticky Bone Grafting of the Jumping Gap in AI-assisted Computer-Guided Socket Shield Immediate Implantation