Evaluation of Two Different Grafting Techniques After Mandibular Impacted Third Molar Surgery
Periodontal Pocket, Impacted Third Molar Tooth, Impacted Teeth With Abnormal Position
About this trial
This is an interventional treatment trial for Periodontal Pocket focused on measuring Mineralized Plasmatic Matrix, Beta-tricalcium phosphate
Eligibility Criteria
Inclusion Criteria:
- Medically healthy.
- Periodontally healthy patients.
- Patients with mesioangular or horizontal impacted teeth that will cause periodontal damage at the distal part of the second molar after surgery.
Exclusion Criteria:
- Crowns on second molar teeth.
- Poor oral hygiene.
- Patients with a systemic disease affecting periodontal healing.
- Pregnancy or lactation period.
- Patients undergoing orthodontic treatment.
- Smokers.
- The cases where the buccal or lingual cortical bone didn't remain intact following the extraction were also excluded.
Sites / Locations
- Necmettin Erbakan University, Faculty of dentistryRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
Mineralised Plasmatic Matrix Group
Beta-tricalcium phosphate Group
Control Group
Mineralized Plasmatic Matrix (MPM) is a product of mixing of two phases: the mineral phase and the plasma phase. After centrifugation, the white blood cells are recovered and mixed with the mineral phase of bone graft that can be autogenic, allogeneic bone, or a bone substitute like Xenogeneic Bone Synthetic. We will use Beta-tricalcium phosphate as a graft material. The result of this mixture is a homogeneous single component, which is compact and stable, containing the graft, the dense fibrin network, and the promoting healing. And then we are planning to place MPM material to extraction socket of impacted third molar tooth to improve periodontal healing at the distal aspect of second molar tooth. Additional after MPM places to extraction socket, Once the MPM has been placed, it will be covered with a Platelet Rich Fibrin (PRF) membrane and sutured as a primer.
Beta-tricalcium phosphate graft will place in the extraction socket and cover with a PRF membrane.
In the control group, after removal of impacted third molar tooth no material will be placed on the extraction socket. Only the extraction socket was primarily closed with non-resorbable sutures.