Effect of Platelet Rich Fibrin (PRF) on Peri-implant Soft Tissue and Crestal Bone in One-Stage Implant Placement: A Randomized Controlled Trial
- PMID: 26023636
- PMCID: PMC4437152
- DOI: 10.7860/JCDR/2015/12636.5788
Effect of Platelet Rich Fibrin (PRF) on Peri-implant Soft Tissue and Crestal Bone in One-Stage Implant Placement: A Randomized Controlled Trial
Abstract
Introduction: The viability of Platelet Rich Fibrin (PRF) on enhancement of osseous and associated tissue healing has been substantiated well in literature. However, paucity in the applicability of PRF to enhance peri-implant healing in oral region is not well-corroborated.
Purpose: This prospective study evaluated the effect of Platelet PRF on peri-implant tissue response following one-stage implant placement with non-functional immediate provisionalization in maxillary anterior region.
Materials and methods: A Prospective, Randomized Controlled Trial (RCT) was conducted across 20 (15 male, 5 Female) systemically healthy subjects with maintainable oral hygiene. Subjects were broadly divided into two groups i.e. Study group (PRF group) and Control group (Non-PRF group). Twenty standard SLA- AB/AE (alumina oxide blasted/acid etched surface treated) tapered threaded dental implants were randomly placed with and without PRF and immediately provisionalized. The subjects were evaluated clinically and radiographically at baseline (at time of implant placement), one month and three month post-operatively for peri-implant soft tissue and crestal bone responses.
Results: At 3 months, all implants remained osseointegrated. The mean marginal bone changes were observed from baseline to 3 months in both groups with lesser changes observed in PRF Group. No significant differences in probing depth and bleeding on probing were noted during follow-up.
Conclusion: Within the limitations of this study, PRF could be considered as a healing biomaterial with potential beneficial effect on peri-implant tissue and can be used as a therapeutic adjuvant in clinical scenario of one stage, single tooth implant placement procedure in maxillary anterior region.
Keywords: Dental Implants; Fibrin membrane; Immediate loading.
Figures
References
-
- Lahmouzi J, Simain F, Legrand R. Osseointegrated endosseous implants, University of Liege concepts. Various clinical applications. Rev Med Liege. 1998;53(4):175–79. - PubMed
-
- Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981;10(6):387–416. - PubMed
-
- Barber HD, Seckinger RJ, Silverstein K, Abughazaleh K. Comparison of soft tissue healing and osseointegration of implants placed in one-stage and two-stage techniques: a pilot study. Implant Dent. 1996;5(1):11–14. - PubMed
-
- Avila G, Galindo P, Rios H, Wang HL. Immediate implant loading: current status from available literature. Implant Dent. 2007;16(3):235–45. - PubMed
-
- Choukroun J, Diss A, Simonpieri A, Girard MO, Schoeffler C, Dohan SL, et al. Platelet rich fibrin (PRF): A second-generation platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(3):56–60. - PubMed
LinkOut - more resources
Full Text Sources
Medical