Cargando…

A Comparative Evaluation of Soft and Hard Tissue Changes Around Dental Implants Placed With and Without Platelet-Rich Fibrin

Background: A patient's ability to maintain a healthy bone-implant interface seems to be a major predictor of implant longevity over the long term. The implant surface is protected from the oral environment, the bone, and the implant itself by the peri-implant tissues. Platelet-rich fibrin (PRF...

Descripción completa

Detalles Bibliográficos
Autores principales: Sharma, Kanchan, Roy, Suparna, Kumari, Archana, Bhargavi, Marupaka, Patel, Sumati, Ingale, Prasad, Laddha, Rashmi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148605/
https://www.ncbi.nlm.nih.gov/pubmed/37128513
http://dx.doi.org/10.7759/cureus.36908
_version_ 1785035008901120000
author Sharma, Kanchan
Roy, Suparna
Kumari, Archana
Bhargavi, Marupaka
Patel, Sumati
Ingale, Prasad
Laddha, Rashmi
author_facet Sharma, Kanchan
Roy, Suparna
Kumari, Archana
Bhargavi, Marupaka
Patel, Sumati
Ingale, Prasad
Laddha, Rashmi
author_sort Sharma, Kanchan
collection PubMed
description Background: A patient's ability to maintain a healthy bone-implant interface seems to be a major predictor of implant longevity over the long term. The implant surface is protected from the oral environment, the bone, and the implant itself by the peri-implant tissues. Platelet-rich fibrin (PRF) has been shown to help in the regeneration of bone and other connective tissues. Since there has been inadequate information on the role of PRF in maintaining soft tissue integrity and crestal bone changes, the present study aimed to evaluate these challenges clinically and radiographically in human patients who had dental implants placed with PRF. Materials and methods: There were a total of 15 patients who were recalled for the analysis, and they were split into two groups. PRF was used to complete the implant procedure in the experimental group, but PRF was not used in the control group. Cone beam computed tomography (CBCT) was used to evaluate the amount of alveolar bone prior to dental implant placement and intra-oral periapical radiograph (IOPAR) for postoperative assessment. Gingival index, plaque index, probing depths, papilla bleeding index, and crestal bone changes were used to document clinical limits. IOPAR using a similar approach was used to evaluate the crestal bone level alterations. Patients were evaluated clinically and radiographically for changes in the peri-implant soft tissue and crestal bone during implant placement, six and nine months postoperatively. Results: From baseline (p=0.02) to six months (p=0.04) and nine months (p=0.04), both groups showed changes in crestal bone loss and soft tissue although the changes in the test group were smaller. Soft tissue changes showed significant differences for probing depth and papilla index score at baseline and at the end of the six and nine months (p<0.05), whereas no significant difference was noted with bleeding index and plaque index score during the follow-up (p>0.05). Conclusion: To conclude, the provided data demonstrated that the local injection of PRF during implant placement has the potential to favorably stimulate bone formation, and may be used as a therapeutic adjuvant in the clinical setting of implant placement.
format Online
Article
Text
id pubmed-10148605
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-101486052023-04-30 A Comparative Evaluation of Soft and Hard Tissue Changes Around Dental Implants Placed With and Without Platelet-Rich Fibrin Sharma, Kanchan Roy, Suparna Kumari, Archana Bhargavi, Marupaka Patel, Sumati Ingale, Prasad Laddha, Rashmi Cureus Dentistry Background: A patient's ability to maintain a healthy bone-implant interface seems to be a major predictor of implant longevity over the long term. The implant surface is protected from the oral environment, the bone, and the implant itself by the peri-implant tissues. Platelet-rich fibrin (PRF) has been shown to help in the regeneration of bone and other connective tissues. Since there has been inadequate information on the role of PRF in maintaining soft tissue integrity and crestal bone changes, the present study aimed to evaluate these challenges clinically and radiographically in human patients who had dental implants placed with PRF. Materials and methods: There were a total of 15 patients who were recalled for the analysis, and they were split into two groups. PRF was used to complete the implant procedure in the experimental group, but PRF was not used in the control group. Cone beam computed tomography (CBCT) was used to evaluate the amount of alveolar bone prior to dental implant placement and intra-oral periapical radiograph (IOPAR) for postoperative assessment. Gingival index, plaque index, probing depths, papilla bleeding index, and crestal bone changes were used to document clinical limits. IOPAR using a similar approach was used to evaluate the crestal bone level alterations. Patients were evaluated clinically and radiographically for changes in the peri-implant soft tissue and crestal bone during implant placement, six and nine months postoperatively. Results: From baseline (p=0.02) to six months (p=0.04) and nine months (p=0.04), both groups showed changes in crestal bone loss and soft tissue although the changes in the test group were smaller. Soft tissue changes showed significant differences for probing depth and papilla index score at baseline and at the end of the six and nine months (p<0.05), whereas no significant difference was noted with bleeding index and plaque index score during the follow-up (p>0.05). Conclusion: To conclude, the provided data demonstrated that the local injection of PRF during implant placement has the potential to favorably stimulate bone formation, and may be used as a therapeutic adjuvant in the clinical setting of implant placement. Cureus 2023-03-30 /pmc/articles/PMC10148605/ /pubmed/37128513 http://dx.doi.org/10.7759/cureus.36908 Text en Copyright © 2023, Sharma et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Dentistry
Sharma, Kanchan
Roy, Suparna
Kumari, Archana
Bhargavi, Marupaka
Patel, Sumati
Ingale, Prasad
Laddha, Rashmi
A Comparative Evaluation of Soft and Hard Tissue Changes Around Dental Implants Placed With and Without Platelet-Rich Fibrin
title A Comparative Evaluation of Soft and Hard Tissue Changes Around Dental Implants Placed With and Without Platelet-Rich Fibrin
title_full A Comparative Evaluation of Soft and Hard Tissue Changes Around Dental Implants Placed With and Without Platelet-Rich Fibrin
title_fullStr A Comparative Evaluation of Soft and Hard Tissue Changes Around Dental Implants Placed With and Without Platelet-Rich Fibrin
title_full_unstemmed A Comparative Evaluation of Soft and Hard Tissue Changes Around Dental Implants Placed With and Without Platelet-Rich Fibrin
title_short A Comparative Evaluation of Soft and Hard Tissue Changes Around Dental Implants Placed With and Without Platelet-Rich Fibrin
title_sort comparative evaluation of soft and hard tissue changes around dental implants placed with and without platelet-rich fibrin
topic Dentistry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148605/
https://www.ncbi.nlm.nih.gov/pubmed/37128513
http://dx.doi.org/10.7759/cureus.36908
work_keys_str_mv AT sharmakanchan acomparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT roysuparna acomparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT kumariarchana acomparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT bhargavimarupaka acomparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT patelsumati acomparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT ingaleprasad acomparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT laddharashmi acomparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT sharmakanchan comparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT roysuparna comparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT kumariarchana comparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT bhargavimarupaka comparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT patelsumati comparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT ingaleprasad comparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin
AT laddharashmi comparativeevaluationofsoftandhardtissuechangesarounddentalimplantsplacedwithandwithoutplateletrichfibrin