THE USE OF AUTOGENOUS BONE WITH AND WITHOUT PLATELET RICH FIBRIN AROUND IMMEDIATELY PLACED DENTAL IMPLANT

Elkhawass, Abla I.; Saleh, Magda M.; Osman, Saeeda M.

doi:10.21608/adjalexu.2018.57600

THE USE OF AUTOGENOUS BONE WITH AND WITHOUT PLATELET RICH FIBRIN AROUND IMMEDIATELY PLACED DENTAL IMPLANT

Document Type : Original Article

Authors

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

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

10.21608/adjalexu.2018.57600

Abstract

INTRODUCTION The success of implant therapy depends primarily on appropriate treatment planning, case selection, properly performed implant placement surgery and good implant to bone adhesion. This can be achieved by several types of grafts around the implant. OBJECTIVES: To evaluate clinically and radiographically the use of autogenous bone graft with and without platelet rich fibrin around immediately inserted implants and to evaluate implant stability by resonance frequency analysis device (Osstell). MATERIALS AND METHODS: Clinical trial on 14 patients indicated for maxillary anterior teeth extraction selected from the outpatient clinic in oral and maxillofacial surgery department, Alexandria University were divided into two groups. In group A: the implant was inserted with autogenous bone collected from freshly extracted socket mixed with platelet rich fibrin as a filling of the gap, while in group B: the implant was inserted with autogenous bone collected from freshly extracted socket as filling of the gap. RESULTS clinical and radiographical evaluation of the implants showed good osseointegration between the bone and the immediate implant in both groups. CONCLUSIONS: The results show that the harvested autogenous bone may be useful when small amount of bone is required and that the PRF helps in bone formation and osseointegration in a short period of time

Keywords

References

1- Branemark PI, Zarb GA, Albrektsson T. Tissue-integrated prostheses: Osseointegration in clinical dentistry. 1985; 11-71.

2- Belser UB, Bernard D. Implant placement in the esthetic zone. In: Lindhe J, Karring T, Lang NP. Clinical periodontology and implant dentistry. 4th ed: Oxford, Berlin Paris: B Lackwell Munksguard publishing co; 2003; 915-9.

3- Sennerby L, Gottlow J. Clinical outcomes of immediate/early loading of dental implants. A literature review of recent controlled prospective clinical studies. Austl Dent J. 2008; 53: 82-8.

4- Chen ST, Wilson TG, Hammerle CH. Immediate or early placement of im-plants following tooth extraction: review of biologic basis, clinical procedures, and outcomes. Int J Oral Maxillofac Implants. 2004; 19:12-25.

5- Ashman A. Postextraction ridge preservation using synthetic alloplast. Implant Dent 2000; 9: 168-76.

6- Lee H, Choi B, Jung J, Zhu S, Lee S. Maxillary sinus floor augmentation using autogenous bone grafts and plateletenriched fibrin glue with simultaneous implant placement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 103: 329- 33.

7- Soffer E, Ouhayoun JP, Anagnostou F. Fibrin sealants and platelet preparations in bone and periodontal healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 95: 521-8.

8- Lucarelli E, Beretta R, Dozza B, Tazzari P, O´Connell S, Ricci F, et al. A recently developed bifacial platelet-rich fibrin matrix. Eur Cell Mater 2010; 20: 13-23.

9- Sunitha Raja V, Munirathnam Naid E. Platelet-rich fibrin: evolution of a second-generation platelet concentration. Indian J Dent Res 2008; 19: 42-6.

10-Kathuria A, Chaudhry S, Talwar S, Verma M. Endodontic management of single rooted immature mandibular second molar with single canal using MTA and platelet rich fibrin membrane barrier: A case report J Clin Exp Dent 2011; 3: 487- 90.

11-Lee H, Choi B, Jung J, Zhu S, Lee S, Huh J, et al. Maxillary sinus floor augmentation using autogenous bone grafts and platelet rich fibrin glue with simultaneous implant placement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103: 329-33.

12-Mombelli A, Van Oosten MA, Schürch E Jr, Land NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol 1987; 2: 145-51. 13-Kasat V, Ladda R. Smoking and dental implants. J Int Soc Prev Community Dent 2012; 2: 38-41.

14-Moy PK. Clinical experience with osseous site development using autogenous bone, bone graft substitutes and membrane barriers. Oral Maxillofac Surg Clin North Am. 2001; 13: 493- 509.

15-Kumar P, Vinitha B, Fathima G. Bone graft in dentistiry. J Pharm Bioallied Sci. 2013; 5: 125-7. 16-Santagata M, Tozzi U, Prisco RV, Tartaro G, D´Amato S. Autologous bone graft harvested during implant site preparation: histological study. Plast Aesthet Res. 2014;1: 94-7.

17-Thorat M, Pradeep A, Pallavi B. Clinical effect of autologous platelet-rich fibrin in the treatment of intra-bony defects: a controlled clinical trial. J Clin Periodontol. 2011; 38: 925-32.

18-EL Kenawy M H., El Shinnawi UM., Salem A M. and Fakhrdin A H.. Efficacy of platelet rich fibrin (PRF) membrane in immediate dental implant. Mansoura journal of dentistry 2014; 1(3); 78-84.

19- Boora P, Rathee M and Bhoria M. Effect of platelet rich fibrin (PRF) on peri-implant soft tissue and crestal bone in one stage implant placement: A randomized controlled trial. J Clin Diagn Res. 2015; 9-4.

20-Huwiler MA, Pjetursson BE, Bosshardt DD, Salvi GE, Lang NP. Resonance Frequency analysis to jawbone characteristics and during early healing of implant installation. Clin Oral Implant Res. 2007; 18: 275-80.

21-Rompen E, DaSilva D, Lundgren AK, Gottlow J, Sennerby L. Stability measurements of a double-threaded titanium implant design with turned or oxidised surface. Appl Osseointegration Res. 2000; 1: 18-20.

22-Qabbani AA, Razak NHA, Kawas SA, Sheikh Abdul Hamid S, Wahbi S, Samsudin AR: The efficacy of immediate implant placement in extraction socket for alveolar bone preservation: A clinical evaluation using three dimensional cone beam computerized tomography and resonance frequency analysis value: J Craniofac Surg, 2017; 28(4): e318-e325.