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57592

SOFT TISSUE HEALING AROUND IMMEDIATELY PLACED DENTAL IMPLANTS AUGMENTED WITH AMNIOTIC CHORION MEMBRANE VERSUS CONNECTIVE TISSUE GRAFT (A CLINICAL AND HISTOLOGICAL STUDY)

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Last updated: 22 Jan 2023

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Abstract

INTRODUCTION: The Amnion Chorion Membrane (ACM) has favorable regenerative properties which facilitates its use for covering immediate dental implants. OBJECTIVES: To evaluate clinically and histologically the effect of Amnion Chorion membrane in augmenting immediately placed dental implants compared to connective tissue graft (CTG) MATERIALS AND METHODS: This study was conducted clinically on eighteen upper hopeless anterior/premolar teeth scheduled for extraction and immediate implant placement. Patients were divided into two groups: in the first group, nine immediate implants were covered with ACM, and in the second group nine immediate implants were covered with CTG. Keratinized mucosal width (KMW), keratinized mucosal thickness (KMT) and healing score were recorded for both groups at 7 , 14 , 30 and 90 days RESULTS: The KMT showed an increase by 26% in the test group while in the control group it decreased by 6.5% by the end of the study period. Regarding the healing scores both groups showed marked improvement throughout the study, lower values of healing scores were noted in the test group. Clinical results were confirmed by histological examination which revealed that oral mucosa of both groups showed parakeratinized gingival epithelium. The connective tissue of the test group showed more regularly arranged ,thick bundles. CONCLUSIONS Both treatment modalities were satisfactory but the ACM offered more positive results concerning the mucosal thickness and healing scores.

DOI

10.21608/adjalexu.2018.57592

Keywords

immediate implants, ACM, connective tissue graft, soft tissue

Authors

First Name

Norai A.

Last Name

Zayed

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Affiliation

B.D.S. Faculty of Dentistry Pharos University and Instructor of Periodontology, Oral Medicine, Diagnosis and Radiology, Pharos University, Alexandria, Egypt.

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First Name

Ahmed M.

Last Name

Hommos

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Affiliation

Professor of Periodontology, Oral Medicine, Diagnosis and Radiology, Faculty of Dentistry Alexandria University

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Orcid

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First Name

Sahar SH.

Last Name

Karam

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Affiliation

Professor of Oral Biology, Faculty of Dentistry Alexandria University

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First Name

Rania A.

Last Name

Fahmy

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Affiliation

Lecturer of Periodontology, Oral Medicine, Diagnosis and Radiology, Faculty of Dentistry Alexandria University

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Volume

43

Article Issue

1

Related Issue

8734

Issue Date

2018-04-01

Receive Date

2019-11-08

Publish Date

2018-04-01

Page Start

27

Page End

34

Print ISSN

1110-015X

Online ISSN

2536-9156

Link

https://adjalexu.journals.ekb.eg/article_57592.html

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https://adjalexu.journals.ekb.eg/service?article_code=57592

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6

Type

Original Article

Type Code

1,057

Publication Type

Journal

Publication Title

Alexandria Dental Journal

Publication Link

https://adjalexu.journals.ekb.eg/

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Article

Created At

22 Jan 2023