EVALUATION OF MINERALIZED PLASMATIC MATRIX AS A GRAFTING MATERIAL VERSUS BETA TRICALCIUM PHOSPHATE IN IMMEDIATE IMPLANT PLACEMENT OF MANDIBULAR MOLARS (A RANDOMIZED CONTROLLED CLINICAL TRIAL)

Samy, Moustafa; sharara, Ahmed Ahmed; El Halawani, Gaffar Nabil

doi:10.21608/adjalexu.2023.214862.1384

	EVALUATION OF MINERALIZED PLASMATIC MATRIX AS A GRAFTING MATERIAL VERSUS BETA TRICALCIUM PHOSPHATE IN IMMEDIATE IMPLANT PLACEMENT OF MANDIBULAR MOLARS (A RANDOMIZED CONTROLLED CLINICAL TRIAL)
Alexandria Dental Journal
Article 54, Volume 49, Issue 3, December 2024, Page 53-60 PDF (497.42 K)
Document Type: Original Article
DOI: 10.21608/adjalexu.2023.214862.1384
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Authors
Moustafa Samy ¹; Ahmed Ahmed sharara²; Gaffar Nabil El Halawani ³
¹department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University , Alexandria ,Egypt
²Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University, Egypt
³department of Oral and Maxillofacial Surgery Faculty of Dentistry , Alexandria University , Alexandria ,Egypt
Abstract
Introduction: One of the recent grafting materi‌als is mineralized plasmatic matrix (MPM). It is an autologous blood product with high concentration of platelets and fibrin in addition with bone particles. Its fibrin combined with the bone particles and the grafting material can be shaped easily. MPM became favourable in improving treatment outcomes of dental implants due to the efficiency of bone formation. Objectives: To compare clinically and radiologically the efficiency of MPM verses beta tricalcium phosphate in osseointegration in immediate placement of implant at mandibular molar area. Materials and Methods: Randomized clinical trial done on sixteen patients, with strongly decayed mandibular molars. All patients separated into 2 equal groups: In group A, 8 immediate implants were placed in mandibular molars using MPM as graft in the peri implant gap and in group B, eight immediate implants were placed in mandibular molars using beta tricalcium phosphate as graft in the peri implant gap. Patients were clinically and radiologically evaluated for six months. Results: Group A showed statistically higher mean implant stability, statistically higher bone density percent change and statistically lesser mean marginal bone loss after six months than beta tricalcium phosphate. For both groups, during the six months period, no significant difference in peri implants probing depth. Conclusion: MPM enhances formation of bone in mandibular area, and provides better bone density, implant stability and less marginal bone loss compared to beta TCP.
Keywords
MPM; immediate implant; bone density; marginal bone loss; implant stability


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