Dental Publication / Article Details |
Quantitative Evaluation of Extraction Socket Healing Following the Use of Autologous Platelet-Rich Fibrin Matrix in Humans
Author(s):
Barry I. Simon, DDS, MSD; Priyu Gupta, DDS; Shereen Tajbakhsh, DDS
Date Added:
10/6/2011
|
Summary:
Platelet-rich fibrin matrix (PRFM) is an autologous biologic material created by centrifugation of blood. This study quantified ridge changes associated with the healing of 21 extraction sites using PRFM alone as a graft. Standardized measurements of ridge width and height were recorded at extraction, after graft placement, and after 4 months of healing. Mean width resorption 3 and 5 mm apical to the crest was 0.32 mm (4.71% loss) and 0.57 (7.38% loss), respectively. Mean height resorption was 0.67 mm (7.13% loss). Sites grafted with PRFM alone displayed rapid clinical healing, minimal flap reopening, and excellent bone density. Advantages of PRFM alone include less surgical time, elimination of techniques and potential healing difficulties associated with membranes, and less resorption during healing, as compared to guided bone regeneration procedures.
|
|
Related Articles |
|
|
Socket Gafting with the use of Autologous Bone - an Experimental Study in the Dog
In five beagle dogs, the distal roots of the third and fourth mandibular premolars were removed. The sockets in the right or the left jaw quadrant were grafted with either anorganic bovine bone or with chips of autologous bone harvested from the buccal bone plate. After 3 months of healing, biopsies of the experimental sites were sampled, prepared for buccal–lingual ground sections and examined with respect to size and composition.
|
|
|
|
Atrophic Posterior Maxillan and Mandible: Alveolar Ridge Reconstruction with Mandibular Block Autografts
Autogenous bone grafts have been used for many years for alveolar ridge augmentation and are still considered to be the gold standard for jaw reconstruction. The use of these grafts with osseointegrated implants was originally discussed by Brånemark et al., who used the iliac crest as the donor site. For repair of most localized alveolar defects, however, bone grafts from the mandible offer advantages over iliac crest grafts. These include the proximity of donor and recipient sites, convenient surgical access, decreased donor site morbidity and decreased cost. This article focuses on posterior maxillary and mandibular osseous augmentation in a staged approach for implant placement. Both horizontal and vertical deficiencies are addressed with the use of symphysis and ramus buccal shelf donor block bone via case presentations.
|
|
|
|
The Bio-Derm Ridge Plumping Technique for Pontic Site Development
Seibert Class III apicocoronal and buccolingual alveolar ridge defects with associated gingival mucosal atrophy and absence of interdental papillae are common in edentulous areas within the anterior esthetic zone of the maxilla. Normal emergence profiles, critical to achieving
esthetic restorations, require restoration of
normal hard and soft tissue morphology, including
re-establishment of adjacent interdental papillae.
Author(s): |
Nicholas Toscano, DDS, MS;Dan Holtzclaw, DDS, MS |
|
View Article>>
|
|
|
|
Related Videos |
|
|
Ridge Splitting and/or GBR - Maxilla vs. Mandible - Part 1 of 2
Mandibular ridge splitting has been a clinical challenge due to high density of cortical bone. Therefore, some clinicians recommends two stage approach to overcome this issue. We will also present an unique ridge splitting technique that is easy to do and predictable using one stage approach.
Presented By:: |
Samuel Lee, DDS |
Presentation Style: |
Video |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
|
Esthetic Management for Compromised Extraction Sites - Part 2 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed.
Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.
Presented By:: |
Ueli Grunder, DMD |
Presentation Style: |
Video |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
|
Graft Less Vertical Bone Augmentation Solutions
A graftless approach to reconstruct a significant vertical defect is always challenging.
This presentation discusses various approaches that can "minimize' the surgical morbidity and allow the surgeon to provide a less invasive option.
Presented By:: |
Ryan Kazemi |
Presentation Style: |
Video |
Community Rating: |
|
|
Watch Now>>
|
|
|
|
Related Courses |
|
|
Bone Graft Cements: A New Advance to Augmentation Solutions
The purpose of this lecture is to shed light on the evolution of raw materials in order to find the ultimate bone graft cement, exploring the potential and the new opportunities of using cement-based augmentation materials in the maxillofacial and dental fields, and emphasizing the advantages, disadvantages and methods of use from the scientific and clinical points of view.
Presented By:: |
Amos Yahav, DMD |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Credit) |
|
Watch Now>>
|
|
|
|
|
Negative Factors for Soft & Hard Tissue Maintenance
Maintaining the bone is the most difficult challenge in implantology (bone grafted or native bone around implants). If a tissue want to live long, it has to follow 2 conditions: The first condition is to organize a full blood supply.. However, it’s not enough.
The solution for the long term stability is to try to organize the stability of the blood supply.. by the respect of several biologic conditions. Almost of these conditions are explained in this lecture.
We introduce here the new concept to avoid the reduction of blood supply by the periosteal incision: the soft brushing technique is the first technique which allows a very large increase of the flap without any incision: the flap closure without tension but without any incision.
Presented By:: |
Joseph Choukroun, MD |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Credit) |
|
Watch Now>>
|
|
|
|
|
CadCam Customized 3D-Printed Subperiosteal Implant
When considering the future of implants, it appears justified to reconsider the old concepts in light of the availability of contemporary technologies, such as computer-aided design, softwares and programs design, virtual stress– strain testing, and 3D printing of titanium alloy. With the employment of these modern technologies, the concept of a “high-tech” subperiosteal implant has gradually emerged. Biological design of subperiosteal implant is mandatory for the success of the treatment, guidelines on architectural changes, topological optimization, and biofunctionalization will be explained. This new era of a “high-tech” customized 3D printed subperiosteal implant leads us to consider this technique s a valuable treatment option for atrophic jaws, avoiding more invasive procedures and giving the possibility of immediate loading, improving the patient’s quality of life.
Presented By:: |
Vladimir Garcia Lozada, DDS, MS, PhD |
Presentation Style: |
Online Self-Study Course |
CE Hours: |
1 CEU (Continuing Education Unit) |
|
Watch Now>>
|
|
|
|
|