A STUDY TO EVALUATE THE BONE AUGMENTATION WITH LEUKOCYTE AND PLATELET RICH FIBRIN PREPARATION IN EXTRACTION PLACEMENTS AND ITS INFLUENCE ON PERI IMPLANT TISSUE

Purpose: A study was done to evaluate bone augmentation and its influence on peri-implant tissue in implant- supported prosthesis in extraction and immediate placement scenarios. Material and methods: A total of 20 patients underwent atraumatic extraction with immediate endosteal implant placement and immediate provisional loading. The patients were categorized as Group I: 10 patients indicated for atraumatic extraction and immediate endosteal implant placement and immediate provisional loading and Group II: 10 patients were indicated for atraumatic extraction with socket augmentation and immediate provisional loading. Volumetric changes of the sites were recorded at 3 months and 6 months post-operative with a D-SLR camera NIKON D 3100 with a Macro lens (1:1). Results: Statistical analysis showed a significant increase in the papilla in the augmented site than non-augmented site. Soft tissue healing however was similar. Conclusion: Within the limitations of the study, it can be safely concluded that soft tissue healing is better with provisionalisation even without socket grafting in the anterior esthetic zone. Nevertheless, there are long-term benefits of socket grafting.