الفهرس 
LITERATURE REVIEWOnly 14 pages are availabe for public view
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Abstract
Recent dental implantology attempts to make a satisfying esthetical result as well as secure osseointegration for functional and esthetical consideration. 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, which helps in increasing the ridge width and insertion torque of the implant. The advanced platelet rich fibrin concept uses a lower centrifugation force to obtain higher growth factor release to increase bone healing and soft tissue regeneration after implant placement by osseodensification technique.
The aim of the study: was to evaluate implant stability, crestal bone level and 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, bone density and crestal bone level 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 improve wound healing, enhancing bone density surrounding the implant and increasing the implant stability. The Osseodensification technique seems to be a promising treatment approach for implant in the esthetic zone
Keywords: Osseodensification, Anterior maxilla, Implant stability, advanced platelet rich fibrin, osseointegration.