About this trial
regenerative materials would help in decreasing post-extraction resorption in sites indicated for placement of a conventional bridge or prosthetically driven implant. Erythropoietin (EPO) is a growth factor that promotes angiogenesis and bone regeneration by stimulating osteoblastic differentiation and by inhibiting osteoclastic resorption. Post-extraction alveolar ridge resorption creates morphological and volumetric changes. These changes can be considered of clinical value that may threaten the placement of a conventional bridge or an implant-supported crown. Atwood et al. \[1\] in a cephalometric study categorized factors influencing the rate of alveolar ridge resorption into 4 types: anatomic, metabolic, functional, and prosthetic. As stated by Tan et al. \[2\] in a systematic review of alveolar hard and soft tissue dimensional changes in humans post-extraction, they found that alveolar ridge resorption occurs to a greater extent in a horizontal direction than vertical. Therefore, alveolar ridge preservation (ARP) procedures were introduced in an attempt to prevent hard and soft tissue dimensional changes following extraction.
Eligibility criteria
Qualifiers
Age range (18-40).
Hopeless teeth indicated for extraction such as root fractures, caries, internal root resorption, external root resorption, endodontic failures.
Systemically free patients using Cornell Medical Index-Health Questionnaire [36].
Patients diagnosed with intact surrounding alveolar bone (socket type I) [37].
Disqualifiers
Smokers
Occlusal trauma at the site of the graft
Pregnancy and lactation
Bad compliance with the plaque control instructions following initial therapy.
Trial design
Treatments tested in this trial
- Erythropoietin carried on chitosan carrier
- chitosan carrier