Browsing by Author "ELARAB, A. E"

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The effect of connective tissue graft and platelet rich fibrin around immediately placed dental implants in the esthetic zone: a randomized clinical trial
(ARIESDUE, 20/04/2022) SHARAFUDDIN, A. H; NASR, S.S; ABD EL-RAHMAN, A. R; ELARAB, A. E
Aim Restoring of normal function after tooth extraction using immediate dental implants results in more patient satisfaction compared to delayed dental implants. Unfortunately following healing of the implant site, soft tissue profile could not be naturally restored. Therefore, soft tissue augmentation was introduced around immediate dental implants to achieve better esthetics. The aim of the current study was to evaluate the clinical efficacy of immediate augmentation of the implant site using CTG and L-PRF. Materials and methods Twelve patients with single non-restorable teeth in the anterior/ premolar area were randomly assigned to either receiving immediate implant alone or immediate implant with CTG and L- PRF. The width of keratinized tissue (WKT), tissue biotype (TB), pink esthetic score (PES) and crestal bone level (CBL) were assessed before extraction (baseline), at 3 and 6 months after restoration. Results Immediate implant with CTG and L- PRF showed a non- statistically significant difference on PES (p-value = 0.310) and a statistically significant difference on WKT (p-value = 0.162) and TB (p-value = 0.012). Conclusion Augmenting the soft tissue profile with CTG and L=PRF showed: (1) Enhanced TB. 2) Increased WKT, 3) No effect was reported on the CBL.
The esthetic effect of connective tissue graft addition around immediate dental implants in the esthetic zone: A randomized clinical trial
(Ariesdue srl, 2022-06) ABD EL- AZIZ, N. F; ABD . EL-BARBARI, A. R; EL-BARBARI, A. M; ELARAB, A. E
Aim It is not easy to maintain natural aesthetic appearance of implant-supported restorations in the esthetic zone. Immediate dental implant is a predictable solution in terms of decreased patient morbidity, in addition to the fact that it acts as socket preservation. The aim of the present study was to evaluate the esthetic outcome and stability of gingival tissue and crestal bone level over immediate implants using connective tissue graft (CTG). Materials and methods 16 patients with a single non-restorable tooth in the aesthetic zone were randomly assigned to either receiving immediate implant alone or immediate implant with CTG with a six-month follow-up. Tissue biotype, width of keratinized tissue (WKT), crestal bone level (CBL) were measured at baseline and after 6 months, Pink Esthetic Score (PES) was measured at 8 months in addition to patient satisfaction. Results Immediate implant with CTG had a statistically significant higher effect on PES (P=0.004), WKT (P=0.001) and tissue biotype (p=0.002) outcomes; while a statistically non-significant difference was found in CBL (P=0.619). No difference was found between groups with respect to patient satisfaction. Conclusion Immediate implant in combination with CTG showed better aesthetics with natural appearance resembling natural teeth. PES, tissue biotype and WKT were significantly higher with CTG compared with immediate implant alone. CBL was more preserved when using CTG with immediate implants.