Does platelet-rich fibrin enhance osseointegration around immediate implants?
Randomized clinical trial
Objectives: The use of Injectable Platelet Rich Fibrin (I-PRF) around the immediate implant provided a superior and advanced benefit to the soft and hard tissues. Methods: Patients were divided into two groups; group I was treated with an Immediate implant procedure and bone graft, while group II was treated with an Immediate implantation procedure using I-PRF and bone graft. Pain assessment was recorded clinically. Presurgical cone beam radiographs pre-operative and at the end of the study, the period was done to record changes in bone density and soft tissue thickness, and marginal bone loss. Results: No significant difference was recorded between both groups regarding the gender of the patient and the pain assessment. The wound healing index shows a significate difference between both groups. Proper wound healing was found in group II more than in group I. Regarding the assessment of soft tissue thickness there was a major increase in thickness within group II than in group I. The radiographic assessment showed an increase in bone density in both groups, however, group II reported a significant increase in bone density with less marginal bone loss around dental implants than group I. Conclusions: The use of injectable platelet-rich fibrin enhances soft and hard tissues around immediate dental implants, improving their prognoses and predicted long-term survival rate.