Abstract
Background. This study evaluated the viability of platelet-rich plasma for enhancement of osseous and associated soft tissue healing around single-piece implants, subjected to immediate loading and to compare it with a control site not treated with PRP. Methods. Twenty completely edentulous patients were selected and 2 one-piece implants with O-ball head were placed for mandibular overdenture. The implant on the right side was treated with PRP whereas the left side implant served as a control. All the cases were immediately loaded and marginal bone loss, probing depth, percussion, implant mobility and peri-implantitis were assessed and compared at 3, 6, 9 and 12 months. Results. Overall analysis of the results showed less marginal bone loss, probing depth, percussion, implant mobility and periimplantitis around implants treated with PRP; however, the results were insignificant statistically. Conclusion. PRP can be used as a viable treatment adjunct in immediately loaded one-piece implants.
Highlights
Branemark pioneered osseointegration in 1977.1 According to the earlier concepts of Branemark, a minimum healing period of at least 3–4 months was advocated, without loading in order to achieve osseointegration of dental implants.[2]
This study evaluated the viability of platelet-rich plasma for enhancement of osseous and associated soft tissue healing around single-piece implants, subjected to immediate loading and to compare it with a control site not treated with Platelet-rich plasma (PRP)
Overall analysis of the results showed less marginal bone loss, probing depth, percussion, implant mobility and periimplantitis around implants treated with PRP; the results were insignificant statistically
Summary
Branemark pioneered osseointegration in 1977.1 According to the earlier concepts of Branemark, a minimum healing period of at least 3–4 months was advocated, without loading in order to achieve osseointegration of dental implants.[2]. The advantages of implant-supported overdentures include ease to carry out oral hygiene procedures, control of denture movement and enhancing function and phonetics.[3] Based on the 2002 MacGill Consensus Statement on overdentures, two-implant overdenture is considered the standard of care for edentulous patients.[4] The standard two-piece implants cannot be used for severely resorbed cases. In such situations mini-implants can be used. This study evaluated the viability of platelet-rich plasma for enhancement of osseous and associated soft tissue healing around single-piece implants, subjected to immediate loading and to compare it with a control site not treated with PRP
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