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Abstract A total of 24 immediate implants placed in patients who need extraction of at least two bilateral teeth have periapical infection. Patients’ age ranging from 20 to 50 years. The objective of this study is to assess the outcome of immediate implants used to replace teeth with periapical infections after application of photo activated disinfection device (PAD) in the infected sockets. Patients divided randomly into two groups, each group received 12 implants: group I (Control group): The socket in this group debrided using 2.5 ml of Chlorohexidine .1%. group II (Study group): The other socket in this group received disinfected by photo activated device which is an LED lamp emitting light in the red spectrum with a wavelength at 635 nm. A .5 ml watery solution of toluidine blue prepared to concentrations 10 μg/ml and used as Photosensitizers in the experiments. Preoperative evaluation and implant planning done using cone beam x-ray. Postoperative assessment includes: 1-Microbial assessment: Four Specimens were collected two from control group after extraction and after debridement by chlorohexidine .1% , and two from study group one after extraction and one after photo activation disinfection. . |