Socket Preservation at Molar Site using Platelet Rich Fibrin and Bioceramics for Implant Site Development

Abstract

ABSTRACTBackgroundThe extraction socket preservation technique conserves the alveolar architecture and prevents hard and soft tissue collapse that minimizes the necessity for future augmentation procedures. Also, considerable interest has recently emerged over the potential benefits of using platelet rich fibrin (PRF), a highly concentrated form of platelets power packed with growth factors encased in a leukocyte rich matrix that enhances osteogenic differentiation and bone repair. This article describes the currently improved technique utilizing alloplasts with autologous PRF to be implemented for preserving a future implant site.Materials and MethodsFollowing the atraumatic extraction of the periodontally compromised tooth, the socket bony walls were debrided and decorticated to facilitate regional acceleratory phenomenon. Venous blood was drawn from the antecubital fossa of the patient and was centrifuged according to Choukroun's method to yield autologous PRF that was minced into uniformly sized bits. Except for 2 to 3 mm of the coronal aspect of the socket, the rest was filled with particles of a slowly resorbing bone substitute material mixed homogeneously with minced PRF. A collagen membrane was used to seal the coronal end of the socket and was stabilized using 3-0 black braided silk sutures.ResultsClinically and radiographically satisfactory and successful regeneration of the deficient ridge's hard and soft tissues was demonstrated after 6 months post therapy.ConclusionSocket preservation surgery utilizing bioceramics and PRF is an effective procedure for posterior socket preservation coupled with rapid healing and aids in providing sound bone quality for successful implant placement.How to cite this articleGupta HS, Chowdhary KY, Pathak TS, Kini VV, Pereira R, Mistry A. Socket Preservation at Molar Site using Platelet Rich Fibrin and Bioceramics for Implant Site Development. J Contemp Dent 2013;3(2):102-107.