Multilayered Platelet-rich Fibrin as a Barrier Membrane in Guided Bone Regeneration with Simultaneous Implant Placement: A 3-year Follow-up

JOURNAL TITLE: World Journal of Dentistry

Author
1. Himanshi Yadav
2. Vikram Kumar
3. Romesh Soni
4. Aditi Priya
5. Nitesh Mishra
ISSN
0976-6006
DOI
10.5005/jp-journals-10015-1738
Volume
11
Issue
4
Publishing Year
2020
Pages
4
Author Affiliations
    1. Department of Prosthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
    1. Department of Prosthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Uttar Pradesh, India
    1. Department of Prosthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
    1. St John’s Medical College Hospital, Bengaluru, Karnataka, India
    2. Medanta, The Medicity Hospital, Gurgaon, Harayana, India
    3. Medanta-The Medicity, Gurgaon, Haryana, India
    1. Meenakshi Medical College and Research Institute, Enathur, Kancheepuram, Tamil Nadu, India
  • Article keywords

    Abstract

    Aim: To demonstrate the use of multilayered platelet-rich fibrin (PRF) membranes as a barrier membrane in the guided bone regeneration (GBR) procedure. Background: Ridge deformities, defects, and insufficient volume at the intended implant sites are common challenge. Simultaneous implant placement along with GBR gives benefits of reduced treatment cost, time, and need of additional surgical procedure. Platelet-rich fibrin has a versatile nature and is a regenerative tool in both hard and soft tissue surgery. This case report presented an alternative approach using PRF as a membrane (multilayered) in GBR to correct buccal wall defect in conjunction with implant placement. Case description: A 23-year-old male was referred for rehabilitation of edentulous area concerning to 32 and 33 regions. After clinical and radiological evaluation and discussion of various treatment modalities, GBR with simultaneous implant placement was planned. Ridge augmentation was done in defect using sticky bone formed by bio-oss bone granules of particle size 1.0–2.0 mm and PRF membranes after implant placement. A proper surgical procedure was followed and postoperative follow-up was done from time to time. Conclusion: Sufficient bone volume was achieved through GBR as shown clinically at second-stage surgery done after 4 months. Three years’ follow-up reveals stable implant prosthesis and healthy interdental papilla and gingival tissue. The multilayered PRF membrane is safe, more economical, and may be feasible as a barrier membrane and could be used in some selected scenarios. Clinical significance: Platelet-rich fibrin membranes can act as resorbable barrier and allow faster healing, improve bone formation, provide soft tissue regeneration, and improve the soft tissue profile.

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