What is the difference between grafting the jumping gap upon using xenograft mixed with topical vitamin D clinically regarding crestal bone level and implant stability, radiographically regarding crestal bone level after implant insertion in the posterior region of mandible?
The American Society of Anesthesiologist (ASA) I , II
Both Genders. 3- Patients having unrestorable tooth on the posterior mandibular region
Age>20
The patient who have complete their facial growth and teeth eruption
Poor oral hygiene patients and/or patients
Patients with active acute infection.
Patients with bad oral habits.
Pregnant or lactating women.
Parallel
vit D mixed with xenograft
DrugTopical application of vitamin D solution mixed with xenograft in the jumping gap around immediate implant
only xenograft without vit D
Druggrafting the jumping gap with xenograft only around immediate implant
clinically: A)Loss of crestal bone. B)Stability of implant. Radiographically: crestal bone loss by periapical radiograph in millimeters.
the loss of crestal bone after implant insertion using periodontal probe in millimeters. implant stability using OSTELL device. Postoperative follow up using periapical radiographs to evaluate crestal bone loss in millimeters will be after, one ,three months and six months by standardized parallel periapical digital technique radiograph .The radiographs will be done by using: The Kavo Scan eXamTM One and the Rinn extension cone paralleling (XCP)periapical film holder will be used to achieve standardization of digital radiographs.
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