Aim: The aim of this study was to compare platelet rich fibrin “PRF socket plug technique”versus the traditionally used “socket plug technique” to improve bone quality without affecting itsvolumetric stability. Research question: In mandibular premolars socket preservation, will “PRFsocket plug” technique improve bone quality without affecting bone quantity, when compared to‘socket plug” technique? Materials and Methods: This was a split-mouth randomized controlledtrial conducted on 9 patients. For each patient, bilateral socket preservation was performed. PRFsocket plug technique (intervention) was performed for one side, while the other was performedusing the traditional socket plug technique (control). After 6 months, bone and soft tissue changeswere measured. Horizontal and vertical alveolar ridge loss and loss percentage were measuredusing cone-beam CT. Bone quality was measured by histomorphometric analysis of areapercentages of mineralized trabecular bone of core biopsies. Keratinized mucosa changes weremeasured using Williams graduated periodontal probe. Results: Intervention group showed slightlyhigher horizontal bone loss, loss percentage, vertical bone loss, loss percentage (1.36 mm, 16.98 %,1.07mm, 7.99 %) with no statistically significant difference when compared to the control group(1.14mm, 13.89 %, 0.97 mm, 7.21 %). Histomorphometric analysis showed higher new boneformation (34.11 %) in intervention group compared to the control group (30.78%) with no statisticallysignificant difference. Both groups showed keratinized mucosa gain (1.28 mm intervention,1 mm control) with no statistically significant difference. Conclusions: Socket plug techniqueis an effective technique for alveolar ridge preservation; PRF clot represents an easy, successful,and economical method to cover the graft in socket plug technique; PRF socket plug techniquerepresents a promising alternative to the routinely used socket plug technique.
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