2021, Number 1
Fibrin-rich plasma and connective tissue graft in dental implant installation
Language: Spanish
References: 18
Page: 1-11
PDF size: 781.03 Kb.
ABSTRACT
Introduction: Combining regenerative treatments with soft tissue grafts prevents atrophy of the peri-implant tissue and alterations in esthetics. The results of this combination are discussed in the current literature.Objective: To describe the regenerative treatment, combining Fibrin-rich plasma and connective tissue graft in the installation of a dental implant in the upper anterior sector.
Case presentation: Forty-year-old male patient with facial trauma. He has no history of systemic diseases. On clinical examination, a fractured porcelain crown was found at the vestibular cervical level. There was purulent discharge in the healing process and altered gingival contour. Radiographic examination revealed a periapical lesion with apparent root resorption. The tooth was extracted; fibrin-rich plasma was placed to improve healing. Six weeks after, an implant was placed. After the first four months, the second phase was performed with a connective tissue graft and placement of the scar tissue; two weeks after, a porcelain crown was placed.
Conclusions: In the present case, the combination of Fibrin-rich plasma and connective tissue graft favored the peri-implant esthetic appearance without evidence of complications during the postoperative period. Keywords: Prostheses and implants; immediate loading of dental implant; dental alveolus; case report
REFERENCES
Tonetti MS, Jung RE, Ávila Ortiz G, Blanco J, Cosyn J, Fickl S, et al. Management of the extraction socket and timing of implant placement: Consensus report and clinical recommendations of group 3 of the XV European Workshop in Periodontology. J Clin Periodontol [Internet]. 2019 [Citado 09/12/2020];46(Supl 21):183-94. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/31215112/
Hämmerle CH, Chen ST, Wilson TG. Consensus statements and recommended clinical procedures regarding the placement of implants in extraction sockets. Int J Oral and Maxillofacial Implants [Internet]. 2004 [Citado 08/12/2019];19(Supl 26):26-8. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/15635943
Lindeboom JA, Tjiook Y, Kroon FH. Immediate placement of implants in periapical infected sites: A prospective randomized study in 50 patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod [Internet]. 2006 [Citado 12/12/2019];101:705-10. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/16731387
Cordaro L, Torsello F, Roccuzzo M. Clinical outcome of submerged vs. non-submerged implants placed in fresh extraction sockets. Clin Oral Implants Res [Internet]. 2009 [Citado 12/12/2019];20:1307-13. Disponible en: Disponible en: https://www.ncbi.nim.nih.gov/pubmed/?term=Clinical+outcome+of+submerged+vs.+non-sumerged+implants+placed+in+fresh+extraction+sockets
Zuiderveld EG, Meijer HJA, Den Hartog L, Vissink A, Raghoebar GM. Effect of connective tissue grafting on peri-implant tissue in single immediate implant sites: A RCT. J Clin Periodontol [Internet]. 2018 [Citado 09/12/2020];45(2):253-64. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/28941303/
Lee CT, Tao CY, Stoupel J. The Effect of Subepithelial Connective Tissue Graft Placement on Esthetic Outcomes After Immediate Implant Placement: Systematic Review. J Periodontol [Internet]. 2016 [Citado 09/12/2020];87(2):156-67. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/26469808/
Diana C, Mohanty S, Chaudhary Z, Kumari S, Dabas J, Bodh R. Does platelet-rich fibrin have a role in osseointegration of immediate implants? A randomized, single-blind, controlled clinical trial. Int J Oral Maxillofac Surg [Internet]. 2018 [Citado 09/12/2020];47(9):1178-88. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/29402513/