IADR Abstract Archives
The platelet-rich fibrin (PRF) with xenograft in the treatment of periodontal intra-bony defect.
Objectives: Periodontal disease is marked by prolonged inflammation of the periodontal tissues resulting in attachment loss, gingival recession and alveolar bone resorption. The fundamental objective of periodontal therapy is regeneration of the lost periodontal tissues. The aim of this case report; to investigate the clinical and radiological (bone fill) effectiveness of PRF with the use of xenograft in the treatment of intra-bony defect..
Methods: 40-year-old patient had generalized had chronic periodontitis without any systemic disease. Radiographic evaluation revealed a vertical defect on the right mandibular canine requiring open flap debridement with regenerative methods. The teeth numbered #43 disto-vestibule and disto-lingual values; for periodontal pocket depth (PPD) was 7 mm and 5 mm, for gingival recession (GR) 5 mm and 1 mm, respectively. Careful instructions on proper oral hygiene measures was given and scaling+ root planning was performed. After phase 1 therapy; the area was treated with open flap debridement. The defect was filled with xenograft material and PRF membrane was covered on the graft. 3 months later, additional free gingival graft was applied on that region due to absence of keratinized tissue. Postoperative results showed uneventful wound healing without any complications after 1 year. The site presented with a significantly clinical attachment gain; disto-vestibule: 6 mm and disto-lingual: 3 mm In addition, periapical radiography revealed bone fill in that area and keratinized tissue gain was 6 mm on the vestibule side of the #43.
Results: Vertical bone defects are successfully treated with graft materials and PRF is a promising membrane substitute. In addition, muco-gingival operations are performed to support the keratinized tissue if needed.
Conclusions: When combined with lack of keratinized tissue, periodontal bone defects worsen rapidly. In order to succeed, immediate treatment must be performed and further studies are required to prove the effectiveness of PRF as a regenerative material in the treatment of periodontal intrabony defects.
Methods: 40-year-old patient had generalized had chronic periodontitis without any systemic disease. Radiographic evaluation revealed a vertical defect on the right mandibular canine requiring open flap debridement with regenerative methods. The teeth numbered #43 disto-vestibule and disto-lingual values; for periodontal pocket depth (PPD) was 7 mm and 5 mm, for gingival recession (GR) 5 mm and 1 mm, respectively. Careful instructions on proper oral hygiene measures was given and scaling+ root planning was performed. After phase 1 therapy; the area was treated with open flap debridement. The defect was filled with xenograft material and PRF membrane was covered on the graft. 3 months later, additional free gingival graft was applied on that region due to absence of keratinized tissue. Postoperative results showed uneventful wound healing without any complications after 1 year. The site presented with a significantly clinical attachment gain; disto-vestibule: 6 mm and disto-lingual: 3 mm In addition, periapical radiography revealed bone fill in that area and keratinized tissue gain was 6 mm on the vestibule side of the #43.
Results: Vertical bone defects are successfully treated with graft materials and PRF is a promising membrane substitute. In addition, muco-gingival operations are performed to support the keratinized tissue if needed.
Conclusions: When combined with lack of keratinized tissue, periodontal bone defects worsen rapidly. In order to succeed, immediate treatment must be performed and further studies are required to prove the effectiveness of PRF as a regenerative material in the treatment of periodontal intrabony defects.