“STICKY TOOTH”. SOCKET PRESERVATION BY USING AN AUTOLOGOUS DENTINE GRAFT IN COMBINATION WITH PLASMA RICH FIBRIN. CASE REPORT AND A TWO YEARS FOLLOW UP.

Abstract

Introduction: The present report describes the preservation of two post extraction sockets in the same 75 years old female patient by using an autologous dentin graft of the two extracted teeth and the clinical-radiographic evaluation after two years. Case presentation: the extracted teeth (33,43) were properly processed due to the protocol and device of Smart Dentin Grinder of KometaBio company as an autologous dentin graft and mixed with the S-PRF (platelet rich fibrin) as a “sticky tooth” and filled the post extraction sockets for preservation. The sockets covered by PRF membranes and simple sutures were placed. The clinical and radiographic evaluation of the patient one and two years after the placement of the autologous dentin graft showed the stability and the complete osseointegration of the graft without any complication. Results: although the “sticky tooth” method is new, its efficiency in the socket preservation and the quality of the new bone formation is documented by the literature. The advantages of this method are: financial cost reduce, patient’s acceptance, storage feasibility for future use of the dentin graft and better quality of new formed bone. The disadvantages compared to the usual method of placing other grafting materials are probably the purchasing cost of the device and the needed time for the preparation and production of the graft. Compared to the autologous bone graft it seems to have the same osseo-inductive and osseo-compatible features, without the trauma of the donor site, resulting as a promising grafting material.