The Effect of Laser Photocoagulation on the Soft Tissue Healing During Socket Preservation

Hams Hamed Abdelrahman

Status: Completed

Conditions: Soft Tissue Healing

Treatments: Procedure: Socket sealing by diode laser photocoagulation; Procedure: socket sealing with dense polytetrafluroethylene membrane

Study type: Interventional

Funder types: Other

Identifiers

NCT04353999

ORG 0008839

Details and patient eligibility

About

The main aim of this study was to evaluate clinically the effect of laser photocoagulation in comparison to the non-resorbable dense polytetrafluroethylene (dPTFE) membrane on the soft tissue healing during socket preservation with bovine bone xenograft.

Full description

The study was designed as randomized, controlled, clinical trial. patients who were undergoing tooth extraction and socket preservation were divided into two groups: Group I:980 nm Diode laser was used to seal the socket by photocoagulation .Group II : a non-resorbable dPTFE was used to seal the socket and stabilized by suturing to the soft tissue margins of the socket

All patients were clinically and radiographically evaluated at the baseline and on the second , third and fourth weeks postoperatively.Then recalled after 4 months for the final radiographic examination.

Enrollment: 36 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. The need for the extraction of nonrestorable maxillary anterior tooth for untreatable caries, endodontic treatment failure or root fracture.
2. Type I postextraction sockets according to the classification proposed by Elian et al. with all bony walls intact .
3. Adult patients (aged 18-50 years).
4. A good standard of oral hygiene, as determined by the registration of an O'Leary Plaque Index of less than or equal to 10% after phase I therapy.

Exclusion criteria

1. The presence of any systemic disease that could complicate bone and soft tissue healing of the grafted socket.
2. The presence of any local factor that may interfere with extraction as tooth ankylosis.
3. Smoking.
4. The presence of bone dehiscence and fenestrations of the post-extractive alveolus (Type II and III sockets).
5. Subjects who had undergone radiation therapy.
6. Patients who had been subjected to or who were under bisphosphonate therapy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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36 participants in 2 patient groups

980 nm diode laser photocoagulation

Experimental group

Description:

980 nm diode laser was used to coagulate the blood over the bone graft particles and achieve a socket seal after socket grafting

Treatment:

Procedure: Socket sealing by diode laser photocoagulation

Dense polytetrafluroethylene membrane

Active Comparator group

Description:

dPTFE membrane was used to seal the socket after grafting

Treatment:

Procedure: socket sealing with dense polytetrafluroethylene membrane