The Combined Use of Connective Tissue Grafts and Platelet Rich Fibrin for Soft
Tissue Augmentation Around Immediate Dental Implants
Nahil Nabil Al-Berry1*, Susan Mohamed Sarhan2, Mohamed Sherif
El-Mofty3 and Hala Kamal Abdel Gaber4
1Assistant Lecturer, Department of Oral Medicine, Periodontology, Oral Diagnosis, Ain Shams University, Cairo, Egypt
2Lecturer, Department of Oral Medicine, Periodontology, Oral Diagnosis, Ain Shams University, Cairo, Egypt
3Prefessor, Department of Oral Medicine, Periodontology, Oral Diagnosis, Ain Shams University, Cairo, Egypt Vice Dean for Environmental and Community Affairs, Nahda University, Beni Suef, Egypt
4Prefessor, Department of Oral Medicine, Periodontology, Oral Diagnosis, Ain Shams University, Cairo, Egypt
*Corresponding Author: Nahil Nabil Al-Berry, Assistant Lecturer, Department of Oral Medicine, Periodontology, Oral Diagnosis, Ain Shams University, Cairo, Egypt.
Received: September 13, 2022; Published: October 03, 2022
Abstract
Background: This case report describes the use of a combination of PRF membrane and CTG for socket coverage and augmentation of soft tissues at immediate implant site.
Methods: The tooth was atraumatically extracted, and flapless immediate implant placement was performed. The socket was covered by a layer of PRF membrane and overlying CTG.
Results: The patient exhibited uncomplicated healing and acceptable soft tissue profile could be achieved with final restoration after 4 months.
Conclusion: The use of PRF membrane in adjunction to CTG simultaneous to flapless IIP enabled primary wound healing and provided gain of soft tissue volume and papillary support that resulted in satisfactory soft tissue profile for fabrication of final restoration.
Keywords: Auricular Stent; Brent Surgery; Microtia Repair; Auriculocephalic Sulcus
References
- Schwartz‐Arad D and Chaushu G. “The ways and wherefores of immediate placement of implants into fresh extraction sites: a literature review”. Journal of Periodontology 10 (1997): 915-923.
- Slagter KW., et al. “Immediate placement of dental implants in the esthetic zone: a systematic review and pooled analysis”. Journal of Periodontology 7 (2014): e241-250.
- Buser D., et al. “Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late?” Periodontology 20001 (2017): 84-102.
- Koh RU., et al. “Immediate implant placement: positives and negatives”. Implant Dentistry 2 (2010): 98-108.
- Staas TA., et al. “Does initial buccal crest thickness affect final buccal crest thickness after flapless immediate implant placement and provisionalization: A prospective cone beam computed tomogram cohort study”. Clinical Implant Dentistry and Related Research 1 (2022): 24-33.
- Seyssens L., et al. “Immediate implant placement with or without socket grafting: A systematic review and meta‐analysis”. Clinical Implant Dentistry and Related Research 3 (2022): 339-351.
- Covani U., et al. “Connective tissue graft used as a biologic barrier to cover an immediate implant”. Journal of Periodontology 8 (2007): 1644-1649.
- Khoury F and Hoppe A. “Soft tissue management in oral implantology: a review of surgical techniques for shaping an esthetic and functional peri-implant soft tissue structure”. Quintessence International 7 (2000).
- Choukroun J., et al. “Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: clinical effects on tissue healing”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 3 (2006): e56-60.
- Eren G and Atilla G. “Platelet‐rich fibrin in the treatment of bilateral gingival recessions”. Clinical Advances in Periodontics 3 (2021): 154-160.
- Keceli HG., et al. “The adjunctive effect of Platelet‐Rich Fibrin to Connective Tissue Graft in the treatment of buccal recession defects: results of a randomized, parallel‐group controlled trial”. Journal of Periodontology11 (2015): 1221-1230.
- Rajan SA., et al. “Comparative Evaluation of Different Soft Tissue Coverage Techniques at Immediate Implant Sites: A Cohort Study”. The Journal of Contemporary Dental Practice 11 (2022): 1268-1274.
- Dohan DM., et al. “Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part I: technological concepts and evolution”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 3 (2006): e37-44.
- Zucchelli G., et al. “Patient morbidity and root coverage outcome after subepithelial connective tissue and de‐epithelialized grafts: a comparative randomized‐controlled clinical trial”. Journal of Clinical Periodontology (2010): 728-738.
- Stimmelmayr M., et al. “Use of a combination epithelized-subepithelial connective tissue graft for closure and soft tissue augmentation of an extraction site following ridge preservation or implant placement: description of a technique”. International Journal of Periodontics and Restorative Dentistry4 (2010).
- Buser D., et al. “Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late?” Periodontology 20001 (2013): 84-102.
- Bhola M., et al. “Immediate implant placement: clinical decisions, advantages, and disadvantages”. Journal of Prosthodontics 7 (2018): 576-581.
- Becker W and Goldstein M. “Immediate implant placement: treatment planning and surgical steps for successful outcome”. Periodontology 20001 (2008): 79-89.
- Zucchelli G., et al. “Esthetics in periodontics and implantology”. Periodontology 20001 (2018): 7-18.
- Singla Y and Sharma R. “Latest trends in atraumatic extraction of teeth”. International Journal of Applied Dental Sciences4 (2020): 361-366.
- Tsoukaki M., et al. “Clinical, radiographic, microbiological, and immunological outcomes of flapped vs. flapless dental implants: a prospective randomized controlled clinical trial”. Clinical Oral Implants Research 9 (2013): 969-976.
- Seyssens L., et al. “Immediate implant placement with or without socket grafting: A systematic review and meta‐analysis”. Clinical Implant Dentistry and Related Research3 (2022): 339-351.
- Del Corso M., et al. “Use of an autologous leukocyte and platelet-rich fibrin (L-PRF) membrane in post-avulsion sites: an overview of Choukroun’s PRF”. Journal of Implant and Advanced Clinical Dentistry 9 (2010): 27-35.
-
Citation
Copyright