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Cheruvu RNS, Katuri KK, Dhulipalla R, Kolaparthy L, Adurty C, Thota KM. Evaluation of soft tissue and crestal bone changes around non-submerged implants with and without a platelet-rich fibrin membrane: A randomized controlled clinical trial. Dent Med Probl 2023; 60:437-443. [PMID: 37796049 DOI: 10.17219/dmp/150408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 05/08/2022] [Accepted: 05/25/2022] [Indexed: 10/06/2023] Open
Abstract
BACKGROUND Platelet-rich fibrin (PRF) membranes are known to enhance wound healing after periodontal surgeries and dental implant procedures. OBJECTIVES The aim of the present study was to examine the effect of PRF on soft tissue healing and the crestal bone level (CBL) around non-submerged dental implants. MATERIAL AND METHODS A total of 40 patients, aged 20-60 years, with partially edentulous posterior mandibular sites were divided into 2 groups of 20 patients each: group I received non-submerged implants with a PRF membrane; and group II was treated with non-submerged implants alone. The examined parameters included the modified plaque index (mPI), the gingival index (GI), the width of keratinized tissue (WKT), the thickness of keratinized tissue (TKT), and CBL, assessed using digital intraoral periapical radiography (IOPA). All parameters were measured at baseline (immediately post-op), and at 3-month and 6-month follow-ups. RESULTS In comparison with baseline, statistically significant increases in WKT and TKT were observed in both groups at 3 and 6 months post-op (p < 0.05). Also, significant gains were noted in group I vs. group II (p < 0.05). The CBL increased significantly in both groups at 3 and 6 months post-op (p < 0.05), with no remarkable differences from 3 to 6 months. A decreased CBL was observed in group I vs. group II at the 3- and 6-month intervals (p < 0.05). CONCLUSIONS The PRF membrane enhances peri-implant tissue wound healing, with gains in soft tissue width and thickness around non-submerged implants.
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Affiliation(s)
| | | | | | | | - Chaitanya Adurty
- Department of Periodontology, Sibar Institute of Dental Sciences, Guntur, India
| | - Krishna Mohan Thota
- Department of Prosthodontics, Sibar Institute of Dental Sciences, Guntur, India
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Kankara VR, Annavarapu S, Pathakota KR, Krishnan P. Periodontal approach in the management of alveolar cleft. J Indian Soc Periodontol 2020; 24:481-485. [PMID: 33144779 PMCID: PMC7592614 DOI: 10.4103/jisp.jisp_342_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Revised: 01/01/2020] [Accepted: 01/30/2020] [Indexed: 11/24/2022] Open
Abstract
The alveolar cleft is a bone-related developmental defect in the alveolar process of the maxillae, which is termed as cleft alveolus. The deformity occurs in 75% of the cleft palate and lip patients. Reconstructive surgery can provide both functional and esthetic benefits to such individuals. Conflicting opinions exist on the management of alveolar cleft, and these affect the treatment planning. We present the case of a 19-year-old female patient with a complaint of mobile teeth in the left frontal region of the upper jaw. On clinical examination, unilateral cleft alveolus was observed between the left lateral incisor and the canine region. A multidisciplinary approach was adopted, orthodontic treatment was started, and periodontal regenerative surgery was planned. This report also discusses the substitution of autogenous bone grafts with other materials such as allogenic grafts (demineralized freeze-dried bone allograft), platelet-rich plasma, platelet-rich fibrin membranes, and amnion membranes, which could serve as a new line of treatment for the condition.
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Affiliation(s)
- Vinathi Reddy Kankara
- Department of Periodontics, Sri Sai College of Dental Surgery, Kotherepally, Vikarabad, Telangana, India
| | - Sahithi Annavarapu
- Department of Periodontics, Sri Sai College of Dental Surgery, Kotherepally, Vikarabad, Telangana, India
| | | | - Preethi Krishnan
- Department of Periodontics, Sri Sai College of Dental Surgery, Kotherepally, Vikarabad, Telangana, India
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Jagati A, Chaudhary RG, Rathod SP, Madke B, Baxi KD, Kasundra D. Preparation of Platelet-rich Fibrin Membrane over Scaffold of Collagen Sheet, its Advantages over Compression Method: A Novel and Simple Technique. J Cutan Aesthet Surg 2019; 12:174-178. [PMID: 31619889 PMCID: PMC6785967 DOI: 10.4103/jcas.jcas_153_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Platelet-rich fibrin (PRF) is compressed by using various tools to make platelet-rich fibrin membrane (PRFM). Preservation of platelets and plasma content of PRFM depends on the compression method used. To overcome limitations of compression method, we prepared PRFM over scaffold of collagen sheet without using any compression device. AIMS AND OBJECTIVE To prepare PRFM without using any compression device over a scaffold of collagen sheet and to evaluate its efficacy in chronic nonhealing ulcer. MATERIALS AND METHODS PRFM was prepared, with minor modification in Choukron's protocol, over a collagen sheet without using compression device. To study its efficacy and reproducibility, total 15 patients over 18 years of age with chronic, nonhealing ulcers of more than 3 months of various causes were included and patients with active wound infection were excluded. RESULTS We were able to prepare and reproduce PRFM by our technique. It overcomes the limitations of compression method with comparable efficacy to compression method. Results obtained on comparison at week 0, 3, and 6, by paired t-test, were found to be statistically significant (P < 0.0001). CONCLUSION Preparation of PRFM with the method described is easy and reproducible. Use of collagen sheet synergistically improved wound healing.
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Affiliation(s)
- Ashish Jagati
- Department of Dermatology, Smt. NHL Municipal Medical College, Sheth V. S. General Hospital, Ahmedabad, Gujarat, India
| | - Raju G. Chaudhary
- Department of Dermatology, Smt. NHL Municipal Medical College, Sheth V. S. General Hospital, Ahmedabad, Gujarat, India,Address for correspondence: Dr. Raju G. Chaudhary, Department of Dermatology, Room No. 9, Skin OPD, Sheth V. S. General Hospital, Ellis Bridge, Paldi Road, Ahmedabad, Gujarat, India. E-mail:
| | - Santoshdev P. Rathod
- Department of Dermatology, Smt. NHL Municipal Medical College, Sheth V. S. General Hospital, Ahmedabad, Gujarat, India
| | - Bhushan Madke
- Department of Dermatology, Venereology and Leprosy, Jawaharlal Nehru Medical College and Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India
| | - Kalgi D. Baxi
- Department of Dermatology, Smt. NHL Municipal Medical College, Sheth V. S. General Hospital, Ahmedabad, Gujarat, India
| | - Dixit Kasundra
- Department of Dermatology, Smt. NHL Municipal Medical College, Sheth V. S. General Hospital, Ahmedabad, Gujarat, India
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Saravanan D, Rethinam S, Muthu K, Thangapandian A. The Combined Effect of Bioactive Glass and Platelet-Rich Fibrin in Treating Human Periodontal Intrabony Defects - A Clinicoradiographic Study. Contemp Clin Dent 2019; 10:110-116. [PMID: 32015652 PMCID: PMC6975007 DOI: 10.4103/ccd.ccd_507_18] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background: Platelets are richest source for cytokine and growth factors which are two important components for the re-establishment of bone and maturation of the soft tissue. Aims and Objective: The additive effect of PRF along with a synthetic bone graft material in treating human intrabony periodontal defects has been evaluated in this study. The appropriate use of platelet-rich fibrin (PRF) as an alternate comfortable graft material to restore the lost periodontal tissues has been well documented and has given clinically promising outcome. Materials and Method: Platelet-rich fibrin (PRF) is prepared from patient's own blood which is autologous in nature. Perio Glas (PG) is an easy to use synthetic absorbable osteostimulative as well as osteoconductive bone graft material. The selected 30 sites were randomly divided into two groups such as Test (15 sites using PRF) and Control (15 sites without PRF). Results: At the end of Six months, the post-operative evaluations revealed significant reduction in PPD and gain in CAL. Radiographic evidence of bone formation was also noticed. The incorporation of PRF with synthetic bone graft (perioglas) produces effective and rapid periodontal regeneration with improved healing in intrabony osseous defects. The PRF group showed a mean Radiographic Defect Fill (RDL) of 1.24 ± 0.04 compared with 0.79 ± 0.07 of control group which is statistically significant. Conclusion: This combination technique can be used as an alternate grafting modality for the treatment of intrabony periodontal defects with satisfactory clinical consequences.
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Affiliation(s)
- Deepshika Saravanan
- Department of Periodontics, RVS Dental College and Hospital, Coimbatore, Tamil Nadu, India
| | - Saravanan Rethinam
- Department of Oral Surgery, RVS Dental College and Hospital, Coimbatore, Tamil Nadu, India
| | - Kavitha Muthu
- Department of Oral Pathology, RVS Dental College and Hospital, Coimbatore, Tamil Nadu, India
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Soni R, Priya A, Yadav H, Mishra N, Kumar L. Bone augmentation with sticky bone and platelet-rich fibrin by ridge-split technique and nasal floor engagement for immediate loading of dental implant after extracting impacted canine. Natl J Maxillofac Surg 2019; 10:98-101. [PMID: 31205397 PMCID: PMC6563640 DOI: 10.4103/njms.njms_37_18] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Nowadays, dental implants are the best treatment option for tooth loss, but implant placement requires sufficient bone volume. In defect area of alveolar ridge, augmentation is done by various available methods. Utilizing the growth factors such as platelet-rich fibrin (PRF) derived from patient's blood platelets improve treatment outcome. PRF accelerates the wound healing, enhances osteogenic activity as well as regulates the inflammation. Bone grafting, guided bone regeneration, and ridge-split technique promote new bone formation. The aim of this case report is to demonstrate an efficient method of bone augmentation using sticky bone along with PRF membrane, followed by ridge-split technique and engagement of nasal floor to place implant.
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Affiliation(s)
- Romesh Soni
- Department of Prosthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - Aditi Priya
- Department of Prosthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - Himanshi Yadav
- Department of Prosthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - Nitesh Mishra
- Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - Lakshya Kumar
- Department of Prosthodontics, Crowns and Bridges, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
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Santhakumar M, Yayathi S, Retnakumari N. A clinicoradiographic comparison of the effects of platelet-rich fibrin gel and platelet-rich fibrin membrane as scaffolds in the apexification treatment of young permanent teeth. J Indian Soc Pedod Prev Dent 2018; 36:65-70. [PMID: 29607842 DOI: 10.4103/jisppd.jisppd_180_17] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIMS This triple blinded clinical trial was undertaken to check whether Platelet rich firin in its membrane form is as reliable as when it is in the gel form. SETTINGS AND DESIGN Triple blinded randomized clinical trial. METHODS AND MATERIAL 20 patients in PRF gel group and 20 patients in PRF membrane group selected after randomization and considering inclusion and exclusion criteria were taken up for this study. The samples were clinically and radiographically evaluated for success. RESULTS AND CONCLUSIONS Regenerative endodontics with PRF membrane is easier and less time consuming. They have similar clinical success.PRF gel gave a better radiographic success in 12 months period.
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Affiliation(s)
- Madhu Santhakumar
- Department of Pedodontics, Government Dental College, Thrissur, India
| | - Shivsankar Yayathi
- Department of Conservative Dentistry and Endodontics, Madha Dental College and Hospital, Chennai, Tamil Nadu, India
| | - N Retnakumari
- Department of Pedodontics, GDC, Kozhikode, Kerala, India
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Ensari N, Gür ÖE, Öztürk MT, Süren D, Selçuk ÖT, Osma Ü. The effect of platelet-rich fibrin membrane on the repair of perforated tympanic membrane: an experimental study. Acta Otolaryngol 2017; 137:695-699. [PMID: 28498077 DOI: 10.1080/00016489.2017.1282169] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
CONCLUSION Platelet-rich fibrin (PRF) membrane could be used successfully in the repair of tympanic membrane perforation and wound healing. OBJECTIVES To evaluate the effect of platelet-rich fibrin membrane in the repair of perforated tympanic membrane. METHODS After otoscopic examination, a 3-mm perforation was made in the posterior quadrant of both tympanic membranes of 50 adult male Sprague-Dawley rats. Venous blood was withdrawn from the rats, then centrifuged. PRF was obtained in membrane form. The membrane was placed on the right tympanic membrane perforation. The perforations on the left side were left to spontaneously heal and, thus, formed the control group. Daily examinations were made of 20 rats and the time to healing of the tympanic membrane was recorded. The remaining 30 rats were separated into five groups of six, and histopathological examination was made. Evaluation was made in respect of the presence of oedema in the lamina propria, neovascularization, fibroblastic reaction, and inflammatory cells. RESULTS The healing time of the tympanic membrane perforation was determined as mean 10.3 ± 2.18 days in the study group applied with PRF and 17 ± 2.40 days in the control group. Higher values in respect of fibrosis and neovascularization were obtained in the study group.
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Affiliation(s)
- Nuray Ensari
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
| | - Özer Erdem Gür
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
| | | | - Dinç Süren
- Department of Pathology, Antalya Education and Research Hospital, Antalya, Turkey
| | - Ömer Tarık Selçuk
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
| | - Üstün Osma
- Department of ENT, Antalya Education and Research Hospital, Antalya, Turkey
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Garg S, Arora SA, Chhina S, Singh P. Multiple Gingival Recession Coverage Treated with Vestibular Incision Subperiosteal Tunnel Access Approach with or without Platelet-Rich Fibrin - A Case Series. Contemp Clin Dent 2017; 8:464-468. [PMID: 29042736 PMCID: PMC5644008 DOI: 10.4103/ccd.ccd_142_17] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Background: Gingival recession involves both soft tissue and hard tissue loss. In this evolutionary era of dentistry, newer techniques have evolved for complete coverage of isolated recession defects. Since 2012, vestibular incision subperiosteal tunnel access (VISTA) technique was used with various regenerative membranes to treat multiple recession defects (MRDs). Platelet-rich fibrin (PRF) membrane, a pool of growth factors but have any added advantage to recession coverage techniques is controversial. Thus, in this case series, we compare the effect of VISTA with or without PRF-membrane for the treatment of Classes I and III MRDs. Subjects and Methods: Four patients between of age 30 and 40 years (two patients having bilateral Class I and another two having bilateral Class III MRDs) were selected from the Department of Periodontics, ITS Dental College, Greater Noida and designated as Case I–IV simultaneously. Recession defects at antagonist sites in each patient were corrected by VISTA approach with or without PRF-membrane. Recorded clinical parameters included recession depth, recession width, pocket probing depth, and clinical attachment level (CAL) at baseline and 6 months postoperatively. Results: Patients having Class I recession defects showed almost complete root coverage with VISTA technique alone and reflected no added advantage of PRF-membrane. However, patients with Class III recession defects treated with VISTA + PRF-membrane showed more reduction in recession depth and gain in CAL as compared to sites treated with VISTA only. Conclusion: VISTA alone is a convenient technique for treatment of Class I MRDs. Addition of PRF-membrane for Class III recession defects give better outcome in term of reduction of recession depth and gain in CAL 6 month postoperatively.
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Affiliation(s)
- Surbhi Garg
- Department of Periodontics, ITS Dental College, Greater Noida, Uttar Pradesh, India
| | - Sachit Anand Arora
- Department of Periodontics, ITS Dental College, Greater Noida, Uttar Pradesh, India
| | - Shivjot Chhina
- Department of Periodontics, ITS Dental College, Greater Noida, Uttar Pradesh, India
| | - Padam Singh
- Department of Periodontics, ITS Dental College, Greater Noida, Uttar Pradesh, India
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Sam G, Vadakkekuttical RJ, Amol NV. In vitro evaluation of mechanical properties of platelet-rich fibrin membrane and scanning electron microscopic examination of its surface characteristics. J Indian Soc Periodontol 2015; 19:32-6. [PMID: 25810590 PMCID: PMC4365153 DOI: 10.4103/0972-124x.145821] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2014] [Accepted: 07/18/2014] [Indexed: 01/24/2023] Open
Abstract
Background: The aim of this study was to evaluate the mechanical properties of the platelet-rich fibrin (PRF) membrane and to compare these properties with that of commercially available collagen membranes used for guided tissue regeneration (GTR) procedures. Scanning electron microscopic (SEM) examination of PRF membrane was also performed to determine the cell distribution pattern within the different regions of the membrane. Materials and Methods: Modulus of elasticity and hardness of (i) PRF membrane (ii) bovine collagen membrane and (iii) fish collagen membrane were assessed by performing surface indentation test using T1 950 Triboindenter. The in vitro degradation tests were conducted by placing the (i) PRF membrane (ii) bovine collagen membrane and (iii) fish collagen membrane of equal sizes (10 mm × 5 mm) in 5 ml of pH 7.4 phosphate buffer solution on a shaker set at 40 rpm for 1-week. The degradation profiles were expressed as the accumulated weight losses of the membrane. SEM evaluation of the PRF membrane was done under both low and high magnification. Results: Young's Modulus of elasticity was found to be 0.35 GPa for PRF membrane, 2.74 GPa for bovine collagen membrane and 1.92 GPa for fish collagen. The hardness was 10.67 MPa for PRF membrane, 110.7 MPa for bovine collagen membrane and 90.5 MPa for fish collagen membrane. PRF membrane degraded by about 36% of initial weight after a 1-week in vitro shaking test. Fish collagen membrane degraded by about 8% of initial weight, bovine collagen membrane degraded by about 3% of initial weight. Dense clusters of platelets formed due to extensive aggregation, and few leukocytes were observed in buffy coat area. Conclusions: The preliminary findings from the assessment of the mechanical properties of PRF membrane showed that it was lacking in several desired properties when compared to commercially available collagen membranes. Lack of rigidity and faster degradation may limit its application in GTR procedures.
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Affiliation(s)
- George Sam
- Department of Periodontics, Government Dental College, Kottayam, India
| | | | - Nagrale Vijay Amol
- Department of Periodontics, Government Dental College, Calicut, Kerala, India
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Gupta S, Deshmukh J, Khatri R, Kulkarni VK, Karthik B. From hopeless to good prognosis: journey of a failing tooth. J Int Oral Health 2015; 7:53-7. [PMID: 25859109 PMCID: PMC4377152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Accepted: 11/03/2014] [Indexed: 11/02/2022] Open
Abstract
Chronic periodontitis, along with associated clinical findings such as pathologic tooth migration, diastema, functional and aesthetic aberrations, poses an immense challenge to a dental professional. These findings convert clinical decision making into a daunting task and adversely affect the prognosis and the treatment plan for the presenting clinical problem. An interdisciplinary approach aimed at restoring functional and aesthetic needs of the affected individual within the limitations of such a compromised clinical scenario may be a viable alternative to any radical treatment causing loss of natural tooth structure such as extraction. This article reports the usefulness of the interdisciplinary route for managing an otherwise hopeless clinical situation of chronic periodontitis complicated with extreme mobility and pathologic tooth migration, which resulted in compromised function and aesthetics.
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Affiliation(s)
- Saurabh Gupta
- Reader, Department of Periodontology, Rishi Raj College of Dental Sciences & Research Centre, Bhopal, Madhya Pradesh, India
| | - Jeevanand Deshmukh
- Professor & Head, Department of Periodontology, Rishi Raj College of Dental Sciences & Research Centre, Bhopal, Madhya Pradesh, India,Correspondence: Dr. Deshmukh J. Department of Periodontology, Rishi Raj College of Dental Sciences & Research Centre, Gandhinagar, Bhopal - 462 036, Madhya Pradesh, India. Phone: +91-9806088606.
| | - Richa Khatri
- Postgraduate Student, Department of Periodontology, Rishi Raj College of Dental Sciences & Research Centre, Bhopal, Madhya Pradesh, India
| | - Vinaya Kumar Kulkarni
- Professor, Department of Pedodontics, Modern Dental College & Research Centre, Indore, Madhya Pradesh, India
| | - B Karthik
- Senoir Lecturer, Department of Oral Pathology, Rishi Raj College of Dental Sciences & Research Centre, Bhopal, Madhya Pradesh, India
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Johns DA, Shivashankar VY, Shobha K, Johns M. An innovative approach in the management of palatogingival groove using Biodentine™ and platelet-rich fibrin membrane. J Conserv Dent 2014; 17:75-9. [PMID: 24554867 PMCID: PMC3915392 DOI: 10.4103/0972-0707.124156] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2013] [Revised: 10/15/2013] [Accepted: 10/26/2013] [Indexed: 11/04/2022] Open
Abstract
Palatogingival groove is an anatomical malformation that often causes severe periodontal defects. Treatments of such an anomaly present a clinical challenge to the operator. Careful endodontic and periodontal procedures may restore the form and function. In the present case; root canal therapy, apicectomy, and sealing of the groove with Biodentine™ were done. Bone graft was placed followed by platelet-rich fibrin (PRF) membrane. This treatment modality resulted in gain in attachment, reduction in pocket depth, and deposition of bone in the osseous defect. A 24 month follow-up is included.
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Affiliation(s)
| | | | - K Shobha
- Department of Endodontics Government Dental College, Kottayam, Kerala, India
| | - Manu Johns
- Department of Prosthodontics, KVG College, Sullia, Karnataka, India
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Rastogi P, Saini H, Singhal R, Dixit J. Periodontal regeneration in deep intrabony periodontal defect using hydroxyapatite particles with platelet rich fibrin membrane-a case report. J Oral Biol Craniofac Res 2011; 1:41-3. [PMID: 25756017 PMCID: PMC3942002 DOI: 10.1016/s2212-4268(11)60010-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Growth factors such as platelet-derived growth factors exert potent effect on wound healing including the regeneration of periodontium. Platelet-rich fibrin (PRF) membrane provides a concentrate of such growth factors, accelerating the wound healing process. MATERIALS AND METHODS In this case report, regeneration of the deep periodontal intrabony defect was attempted using hydroxyapatite particles mixed in the PRF membrane to assess if regeneration of new bone is possible. RESULTS AND CONCLUSION This resulted in a rapid and complete healing with the decrease in the pocket depth and a gain in the clinical attachment level. Rapid regeneration of the periodontium can be achieved with bone substitutes by incorporating the various growth factors from autogenous blood.
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Affiliation(s)
- Pavitra Rastogi
- Assistant Professor, Department of Periodontics, Faculty of Dental Sciences, Chhatrapati Shahuji Maharaj Medical University (Erstwhile King George Medical College), Lucknow, India
| | - Himani Saini
- Postgraduate Student, Department of Periodontics, Faculty of Dental Sciences, Chhatrapati Shahuji Maharaj Medical University (Erstwhile King George Medical College), Lucknow, India
| | - Rameshwari Singhal
- Lecturer, Department of Periodontics, Faculty of Dental Sciences, Chhatrapati Shahuji Maharaj Medical University (Erstwhile King George Medical College), Lucknow, India
| | - Jaya Dixit
- Professor and Head, Department of Periodontics, Faculty of Dental Sciences, Chhatrapati Shahuji Maharaj Medical University (Erstwhile King George Medical College), Lucknow, India
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