Osseointegration of Dental Implants in Anterior Maxilla via Osseodensification Technique With and Without Advanced Platlet Rich Fibrin

Introduction: Osseodensification using DensahTM burs is a technique that increases the density of bone at the walls of the osteotomy by condensing it using burs rotating in an anticlockwise direction. The advanced platelet rich fibrin (A-PRF) increases bone healing and soft tissue regeneration after implant placement by osseodensification technique. The aim of the study: was to evaluate crestal bone level, implant stability, bone density using the osseodensification technique with and without Advanced Platelet-Rich Fibrin (A-PRF) in the anterior maxilla. Materials and Methods: Twenty patients were divided into two groups, each receiving ten dental implants in the maxillary aesthetic zone using osseodensification technique with and without A-PRF. Clinical and radiographic evaluation of implant stability, crestal bone level, bone density was done immediately postoperatively and after 6 months. Results: There was a statistical increase in group I than group II regarding stability immediately and after 6 months (P< 0.05). There was a statistically significant increase in group I compared to group II regarding bone density after 6 months (P< 0.05). it was found that there was no significant difference between the two groups (p >0.05) regarding to crestal bone level Conclusion: We concluded that osseodensification with advanced platelet rich fibrin in anterior maxilla was a safe and efficient method that improved bone density surrounding the implant and increased the implant stability.