CLINICAL EVALUATION OF USING FIBLIN GLUE VERSUS TITANIUM PLATELET-RICH FIBRIN IN LATERAL SINUS LIFTING PROCEDURE (RANDOMIZED CONTROLLED CLINICAL TRIAL)

Document Type : Original Article

Authors

1 Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University, Egypt.

2 Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University, Alexandria, Egypt

Abstract

Background: Sinus lift is one of the techniques that provides enough room for implant placement in the atrophic posterior maxilla. Blood clot can be thought of as bone-forming osteogenic graft material to which Osseo progenitors can circulate, differentiate, and regenerate bone.
Aim of the study: This study was conducted with the aim of evaluating the effectiveness of using Fibrin glue versus Titanium platelet-rich fibrin (T-PRF) as the sole filling material in lateral sinus augmentation and concurrent implant placement.
Materials and methods: There were three groups made up of thirty participants: Study Groups 1 and 2 (S1 and S2), which received Fibrin glue and T-PRF as filling materials, respectively; and the negative Control Group (C). In the three groups, sinus floor augmentation via the lateral osteotomy approach and concurrent implant installation were done. The patients were evaluated clinically immediately postoperatively, after one week, and six months later.
Results: Between the three groups under study, no significant difference in pain or edema was revealed, either immediately following surgery or one week later. Regarding implant stability, there was a significant increase in the mean ISQ (Implant Stability Quotient) value between Study Group 1 (S1), Study Group 2 (S2), and the Control Group (C) (p2<0.001, p3=0.015, respectively). However, no significant difference was found between the two study groups (p1 = 0.273).
Conclusion: Graftless sinus lifting is regarded as a dependable and safe procedure. The use of Fibrin glue or T-PRF as a filling material significantly increased implant stability without causing any additional postoperative complications.

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Alexandria Dental Journal
Volume 49, Issue 3
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
December 2024
Pages 36-43

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