Soft and Hard Tissue Healing Following Alveolar Ridge Preservation of Mandibular Third Molar Extraction Socket Filled With Auto Tooth Bone Graft or Alloplastic Graft

This study compared two bone graft materials: 1. Auto Tooth Bone (ATB) (made from the patient's own extracted tooth) and 2. EthOss® a synthetic alternative. This is to see how well they prevent bone and gum damage after lower wisdom tooth removal. In this split-mouth trial, participants had both lower wisdom teeth removed, with one socket receiving ATB and the other receiving EthOss®. Over a 24-week follow-up period, researchers tracked patient clinically on their comfort, gum healing, and new bone growth using X-rays. The study found that both materials performed similarly and showing no significant differences in pain, swelling, complications, or gum healing. While there was a statistical difference in final bone depth. Both grafts successfully stimulated new bone growth, proving that ATB and EthOss® are equally safe, reliable, and effective options for supporting recovery after wisdom tooth surgery.

Inclusion Criteria: * Patient who requires surgical removal of bilateral impacted M3. * Patient with impacted bilateral M3 which are sound. * Impacted bilateral M3 classified as Class I or II with Level A or B according to Pell and Gregory's classification. * Presence of M2 adjacent to the M3 to be extracted. * Patient aged 18 to 35 years old. * Patient with periodontal status of: * Basic Periodontal Score (BPE) 2 at lower right and lower left sextants. * Full mouth plaque score \