Socket Sealing Using Free Gingival Grafts: A Randomized Controlled Trial

Dentistry Journal, Journal Year: 2025, Volume and Issue: 13(1), P. 24 - 24

Published: Jan. 7, 2025

Background: Post-extraction ridge resorption is an inevitable phenomenon that cannot be eliminated but significantly reduced using additional surgical techniques known as socket preservation. They aim to create favorable conditions for implant placement and prosthetic restoration. This study aims assess the effect of sealing (SS) with free gingival grafts on vertical walls at premolar molar regions over 3 months. Methods: randomized two-arm controlled trial parallel groups (1:1 allocation) was conducted Department Oral Surgery, Medical University-Varna, Bulgaria, from 27 June 2022 20 April 2023. Forty patients aged 30-65 were equally randomly allocated SS or control groups. Atraumatic tooth extraction performed. In group, left secondary wound healing. orifice "sealed" FGG harvested hard palate maxillary tuberosity. Results: Data analysis demonstrated a successful method reducing post-extraction walls. addition, this confirms thickness buccal wall significant factor in its resorption. Conclusions: Socket valuable eliminates need flap reflection compensates soft tissue deficit when immediate bone augmentation required. Further research necessary determine role different factors influencing compare preservation methods.

Language: Английский

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Alveolar Ridge Preservation with Autologous Platelet-Rich Fibrin (PRF): Case Reports and the Rationale

Dentistry Journal, Journal Year: 2023, Volume and Issue: 11(10), P. 244 - 244

Published: Oct. 23, 2023

In dental implantology, alveolar ridge preservation (ARP) has emerged as a standard technique to address dimensional changes that affect morphology following tooth loss. Various alternative graft materials, including xenografts, alloplasts, and allografts, have been effectively employed in fresh extraction sites for ARP. Current evidence suggests these materials primarily serve bio-scaffolds, which are slowly incorporated, thus necessitating waiting period of at least 4–6 months before implant placement. Consequently, the ARP extends overall duration treatment by several months. Recently, incorporation form autologous platelet concentrate, known platelet-rich fibrin (PRF), advocated conjunction with method bioenhancement soft- hard-tissue healing regeneration. PRF contains platelet-derived growth factors, hormones, bioactive components like cytokines demonstrated ability stimulate angiogenesis tissue regeneration throughout all phases wound healing. Additionally, concentration leukocytes present matrix plays vital role part osteoimmune response. The reported advantages incorporating autogenous concentrates during encompass reduced time, improved bone regeneration, socket sealing through matrix, antibacterial properties, decreased post-extraction pain infection risk. Therefore, objective this paper is review existing regarding application extraction. Two clinical case studies presented, wherein was enhanced PRF, followed placement within relatively short 8 weeks. These cases further proof concept supporting adjuvant use enhance accelerate after

Language: Английский

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Extraction Socket Augmentation with Autologous Platelet Rich Fibrin (PRF): Case Reports and the Rationale for PRF

Published: Sept. 7, 2023

Alveolar bone atrophy after tooth extraction presents significant difficulties when planning delayed-immediate implant treatment to replace a lost tooth. Socket augmentation is an effective therapy that limits the post volumetric changes and facilitates placement whilst reducing need for staged grafting. However, socket osteoconductive graft conversion slow process could take 4-6 months. PRF its variants have bio-enhancement effect on wound healing regeneration through release of platelet drived growth factors, bioactive substances, cytokines. Leukocytes in also play role enhancing tissue as part osteo-immune response. Use during highly site integration by angiogenesis, cell proliferation, recruitment, differentiation factors substances mediated platelets leukocytes. with SA recommended adjunct sole biomaterial or combination xenograft allograft substitutes enhance reduce risk infection, osteitis postoperative pain sockets

Language: Английский

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The Long-Term Esthetic and Radiographic Outcome of Implants Placed in the Anterior Maxilla after Ridge Preservation, Combining Bovine Xenograft with Collagen Matrix

Dentistry Journal, Journal Year: 2024, Volume and Issue: 12(3), P. 80 - 80

Published: March 20, 2024

The objective of the study was to evaluate long-term esthetic and radiographic results implants placed in anterior maxilla after ridge preservation, combining bovine xenograft with collagen matrix. Fifteen patients who required a single tooth extraction because fracture, root resorption, or extended caries were included study. After extraction, all sites grafted using Deproteinized Bovine Bone Mineral (DBBM) covered by resorbable matrix (CM). Five months socket grafting, successfully installed. implant diameter range between 3.8 4.2 mm. All monitored for over 7 years, both clinically radiographically. Three independent observers evaluated outcome, employing Pink Esthetic Score (PES) technique. Over period exceeding seven 100% survival rate observed 15 implants, minimal marginal bone loss. mean PES 11.40 (±1.44) at first assessment 11.38 (±1.63) second assessment. difference not statistically significant (p = 0.978), scores measurements indicated excellent even years. Based on these preliminary results, it seems that placing fresh socket, matrix, can preserve alveolar provide stable results.

Language: Английский

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Platelet-Rich Fibrin Treatment Evaluation in Patients with Medication-Related Osteonecrosis of the Jaw and Osteoradionecrosis

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(12), P. 3473 - 3473

Published: June 14, 2024

Background. Medication-related osteonecrosis of the jaw (MRONJ) and osteoradionecrosis (ORN) are associated with severe disability continuous pain, both which very difficult to control. This study aims evaluate outcome platelet-rich fibrin (PRF) treatment compared iodoform gauze packing primary suture oral mucosa in patients MRONJ ORN. Methods. Patients suffering from ORN who were treated Oral Maxillofacial Surgery Clinic Cluj-Napoca last 10 years selected for this hospital database. Results. PRF proved be a reliable method help heal necrotic bone sites. High-ASA risk immunosuppressed more prone recurrence persistent signs symptoms. Intravenous bisphosphonates produce intense symptomatology administration. The posterior mandible is treat other Conclusions. quality life may improved by protocol that reduces pain hospitalization.

Language: Английский

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