To assess the efficacy of socket plug technique using platelet rich fibrin with or without the use of bone substitute in alveolar ridge preservation: a prospective randomised controlled study

被引:32
作者
Girish Kumar N. [1 ]
Chaudhary R. [1 ]
Kumar I. [1 ]
Arora S.S. [1 ]
Kumar N. [1 ]
Singh H. [1 ]
机构
[1] Department of Oral and Maxillofacial Surgery, Swami Devi Dyal Hospital & Dental College, Barwala, Panchkula
关键词
Atraumatic extraction; Plaster of Paris; Platelet rich fibrin;
D O I
10.1007/s10006-018-0680-3
中图分类号
学科分类号
摘要
Aim: The purpose of this study is to evaluate the efficacy of Platelet Rich Fibrin (PRF) as a socket plug with or without use of Plaster of Paris (POP) as bone substitute to preserve the alveolar ridge post-extraction. Material and methods: A prospective randomised single blind controlled study, was conducted for 18 months from November 2014 to May 2016 on 48 patients requiring extraction. All teeth were extracted atraumatically using periotomes and luxators without raising mucoperiosteal flap. Sockets were randomly allotted to groups A, B and C. Group A sockets were chosen as control, where figure of eight suture was placed. In group B sockets, PRF obtained by centrifugation was used as a socket plug and stabilised with figure of eight suture. Group C sockets were filled with POP and then covered with PRF. The socket was then closed with a figure of eight suture. Patients were informed of need for 6 months follow-up. Results: Ninety sockets in 48 patients were subjected to our study. We found that results in the sockets where we have grafted POP showed better ridge preservation and post-operative comfort even though the difference in ridge resorption between the three groups was not statistically significant. Powered by Editorial Manager® and ProduXion Manager® from the Aries Systems Corporation. Conclusion: Atraumatic extraction may minimise the post-operative pain and discomfort to patient as well as the post-extraction alveolar height and width changes. The use of PRF and/or bone substitute even though clinically contributes to better post-operative healing and minimal loss of alveolar width and height, the values were not statistically significant. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.
引用
收藏
页码:135 / 142
页数:7
相关论文
共 34 条
  • [1] Irinakis T., Rationale for socket preservation after extraction of a single rooted tooth when planning for future implant placement, J Can Dent Assoc, 72, 10, pp. 917-922, (2006)
  • [2] Kubilius M., Kubilis R., Gleiznys A., The preservation of alveolar bone ridge during tooth extraction, Stomatologija, 14, pp. 3-11, (2012)
  • [3] Journal of IMAB–Annual Proceeding (Scientific Papers) 2009
  • [4] Pagini G., Pellegrini G., Giannobile W.V., Rasperini G., Postextraction alveolar ridge preservation: biological basis and treatments, Int J Dentistry, pp. 1-13, (2012)
  • [5] Casey D.M., Lauciello F.R., A review of the submerged root concept, J Prosthet Dent, 43, 2, pp. 128-132, (1980)
  • [6] Von Wowern N., Winther S., Submergence of roots for alveolar ridge augmentation: a failure (4-year follow-up study), Int J Oral Surg, 10, pp. 247-250, (1980)
  • [7] Anson D., Calcium sulfate: a 4-year observation of its use as a resorbable barrier in guided tissue regeneration of periodontal defects, Compend Contin Educ Dent, 17, pp. 895-899, (1996)
  • [8] Vance G.S., Greenwell H., Miller R.L., Hill M., Johnston H., Scheetz J.P., Comparison of an allograft in an experimental putty carrier and a bovine-derived xenograft used in ridge preservation: a clinical and histologic study in humans, Int J Oral Maxillofac Implants, 19, pp. 491-497, (2004)
  • [9] Kim S.-G., Chug C.-H., Kim Y.K., Park J.C., Lim S.C., The use of particulate dentin-plaster of Paris combination with/without platelet rich plasma in the treatment of bone defects around implants, Int J Oral Maxillofac Implants, 17, 1, pp. 86-94, (2002)
  • [10] Ricci J., Alexander H., Nadkarni P., Et al., Biological mechanisms of calcium sulfate replacement by bone, (2000)