Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Use of PRGF to Accelerate Bone and Soft Tissue Regeneration in Postextraction Sites Use of PRGF to Accelerate Bone and Soft Tissue Regeneration in Postextraction Sites

Author(s):

Eduardo Anitua, MD, DDS, PhD;Gorka Orive, MD, DDS; Isabel Andia, PhD

Date Added:

7/6/2009


Summary:

In postextraction protocols for delayed short, medium, and long-term implant placement, it is essential to develop treatments that accelerate regeneration of the soft tissue as well as alveolar bone with the purpose of reducing the patient's waiting time and improving the quality of tissue obtaining a sufficient quantity (densities greater than 500 Hounsfield units)and quality (type II and III) of alveolar bone both inside and, more interestingly, surrounding the walls of the alveolus which insures initial stability of implants in a time frame of 8-12 weeks compared to 12 months described in the standard Branemark protocol. The treatment of postexatraction sites with PRGF and autologous fibrin is a simple, economical and predictable biotechnological procedure for the obtention of alveolar bone and keratinized tissue with significant reduction in waiting time for the patient without any adverse effects.

Related Articles
The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone

The Management of Recession Midfacial to Immediately Placed Implants in the Aesthetic Zone
Immediate placement and loading protocols are the most technique sensitive and at the highest risk of complication, especially in the aesthetic zone. The peri-implant tissues undergo a resorption pattern that may see exposure of parts supporting the restoration, otherwise intended to be submerged, with extreme aesthetic compromise or even complete failure of treatment. The literature is not definitive in terms of any one treatment modality to recover such a complication. Grafting the exposure by a guided bone regeneration technique and an adjunct soft tissue augmentation could well restore an unaesthetic recession exposure. Recovery of midfacial recession by soft tissue augmentation alone may be successful, as is presented hereafter.

Author(s): Howard Gluckman, BDS, MChD;Jonathan Du Toit
View Article>>
Labial Bone Thickness in Area of Anterior Maxillary Implants Associated with Crestal Labial Soft Tissue Thickness

Labial Bone Thickness in Area of Anterior Maxillary Implants Associated with Crestal Labial Soft Tissue Thickness
Soft tissue problems (ie, gingival recessions) are common in implantology and are often associated with thin soft tissue biotypes or buccally placed implants. Goaslind described 2 types of biotypes commonly found in the natural dentition: thick and thin. It has been suggested that thicker soft tissue biotypes are associated with less tissue recession, higher crestal bone levels, and better aesthetics. A thin tissue biotype has been shown to be more prone to tissue recession. Gingival recession is always associated with alveolar bone dehiscences. Furthermore, there is evidence that thick soft tissue may be protective against crestal bone loss (ie, tissue thickness of ,2.5 mm resulted in crestal bone loss of 1.45 mm vs. thicker tissues had 0.26 mm). This protective effect occurred, despite the supracrestal position of the implant-abutment interface.

Author(s): Bach Le, DDS, MD, FICD;Ali Borzabadi-Farahani, DDS, MScD, MOrth RCS
View Article>>
Subpapillary Continuous Sling Suturing Method for Soft Tissue Grafting with the Tunneling Technique

Subpapillary Continuous Sling Suturing Method for Soft Tissue Grafting with the Tunneling Technique
This paper describes a new suturing method, the subpapillary continuous sling suture, for use with soft tissue grafts in tunnel procedures to treat gingival recession.

Author(s): Edward P. Allen, DDS, PhD.
View Article>>
Related Videos
Ceramic Reconstruction of Soft Tissue - Digital Information Premium Member Content

Ceramic Reconstruction of Soft Tissue - Digital Information
This case demonstrates some digital tools that our dental team uses to provide as much as information as possible to the lab technician in order to achieve an acceptable result.

Presented By:: Ricardo Gapski, CD, DDS, MSc
Presentation Style: Video
Community Rating:
 
Watch Now>>
Biologic Strategies to Enhance Clinical and Aesthetic Success in Oral Implantology Premium Member Content

Biologic Strategies to Enhance Clinical and Aesthetic Success in Oral Implantology
This webinar will discuss clinical strategies for treatment of the complex implant site involving bone grafting and implant placement. Our understanding of cellular pathways, and our ability to control the wound response, expands our capacity to effect better aesthetic outcomes and compress treatment time. The reduction of the inflammatory phase of tissue regeneration speeds up osseointegration, prevents crestal bone loss, maintains papillary form, increases the density of peri-implant bone and increases tissue biotype. This enhanced tissue response allows us to predictably treat even the most complex surgical cases, compress time to final reconstruction, and to maintain these favorable tissue outcomes over an extended period of time. The use of dental implants with advanced biologic features and the incorporation autologous growth factors will be demonstrated.

Presented By:: Robert J. Miller, DDS, FACD, DABOI
Presentation Style: Video
Community Rating:
 
Watch Now>>
Minimally Invasive Protocols for Total Esthetic Reconstructions Premium Member Content

Minimally Invasive Protocols for Total Esthetic Reconstructions
One of the biggest challenges that we dentists have are those cases that require a multidisciplinary approach which traditionally were managed using invasive and long term treatments. Nowadays, and depending on the case, the contemporary dentist can offer minimally invasive treatments which allow us to modify the shape of the hard and soft tissues. The combination of surgical lip repositioning with periodontal plastic surgery yields highly effective results in the treatment of gummy smiles. During patient examination it is important to establish the etiology responsible for the excessive gingival display. The combined technique can be considered as an alternative option to more invasive procedures. The prognosis is acceptable and the patient realizes that the esthetic problem has been minimized.

Presented By:: Kenneth P. Valladares, DDS, CDT
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Surgical Veneer Grafting Protocol: Step-by-Step Utilization in the Esthetic Zone Premium Member Content

Surgical Veneer Grafting Protocol: Step-by-Step Utilization in the Esthetic Zone
In the surgical part, it will be described the criteria necessary for successfully utilizing minimally invasive protocols within the esthetic zone and the possibility of placing or not placing a bone graft in the “gap” and the opportunity to use a connective tissue graft to overbuild the site bucco-lingually, performing the Surgical Veneer Grafting Protocol, idea'ed by the Agnini brothers. In the digital prosthetic part, the authors will analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of new materials and daily advances in new software's.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 2 of 2 Premium Member Content

Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 2 of 2
Esthetics plays a key role in a modern society and the average dental health of the population is improving every day. In such environment, the demands of dental treatments are different and dentists should approach their patients in a different way: they should be prepared to implement different and modern techniques around teeth and implants. Soft tissue grafting techniques provide the dentist with an armamentarium that makes possible to prevent and solve many problems and complications around teeth and implants, making more predictable the treatments results. This presentation is focused in the importance of soft tissue grafting techniques around teeth and implants and how to do it in a predictable, modern and a minimally invasive way. We present many different techniques illustrated with clinical cases.

Presented By:: Ramon Gomez Meda, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Fibrin Assisted Soft Tissue Promotion (FASTP) Premium Member Content

Fibrin Assisted Soft Tissue Promotion (FASTP)
Soft tissue recession around teeth and implants is an epidemic problem in the field of dentistry. A predictable and long-term soft tissue augmentation outcome is primarily dependent on proper diagnosis, prognosis and treatment planning. Harvesting limitations of autogenous tissue from the palate represent a true challenge when treating patients with multiple recessions or gingival deformities around teeth and dental implants. The Advanced Platelet Rich Fibrin (APRF) and injectable platelet-rich fibrin (iPRF) are promising tissue promoters that can be a suitable alternative option.

Presented By:: Alina Krivitsky, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free


Featured Products
B.T.I. Biotechnology Institute
PRGF Endoret



Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login ·