Discussion
tooth replacement, infection, periodontium, bone loss
BONE LOSS, EPITHELIAL DOWNGROWTH, INFECTION, SCARRING, CREST
Immediate implant placement has highly predictable means of tooth replacement and shows high success rate [The area from the upper 1Before implant placement, the dimensions of the socket must be evaluated to establish the length and diameter of the implant. To obtain primary stability, the drilling extended 3–4 mm apically to engage the bone beyond the apex of the extraction socket [An essential step in preventing infection and epithelial downgrowth at the implant site is primary flap closure [The implant diameter should be smaller than the socket width, and the implant should be positioned palatally to ensure a minimum horizontal distance of 2 mm between the implant crest and the buccal bone to prevent buccal bone resorption [Concentrated platelets have been utilized in wound healing in recent years due to their high growth factor concentration [Furthermore, PRF can be prepared with antibiotic loading, and the drug is subsequently released from PRF with an antimicrobial effect over four days which can be used after surgical procedures. More in vitro and in vivo studies are needed to prove that PRF loaded with antibiotics represents a topical antibiotic delivery tool for oral surgical procedures that promotes tissue healing and prevents local infection [Implant stability assessment was done using ISQ values of RFA, and there was no significant difference between the three groups at the time of implant placement (Po-Sung Fu et.al [The measurement of the peri-implant pocket depth is (PPD) essential for diagnosing the periodontium. During assessment of PPD, there was no statistically significant difference (Our results were in line with that of Viswambaran et al. [In our study, an increase in PPD values can be attributable to reflection of a full thickness mucoperiosteal flap, which results in a junctional epithelium that is more apically positioned. In addition, open wounds heal slowly and with noticeable scarring because the peri-implant mucosa's vascular structure is impaired [A successful implant should have average bone loss of less than 1.5 mm over the first year after loading and less than 0.2 mm annually when measuring MBL [Our results were in line with that of Elbrashy et al. [Regarding buccal bone thickness changes, more reduction in buccal bone thickness in PRF group in comparison to other groups.These findings are in line with those of Nevins and colleagues [This might be explained by the biology of various grafting materials and their rates of resorption. According to various studies, PRF can continue to release growth factors for up to 10 days [The limitations of this study are a small sample size, a relatively short follow up period, and absence of a control group. In addition, soft tissue parameters such as keratinized mucosa width, gingival biotype, and gingival zenith position were not assessed.