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The Influence of Combining Platelet Rich Fibrin with Bone Grafts In Apiectomy

تأثير مشاركة الفيبرين الغني بالصفيحات مع الطعوم العظمية في عملية قطع الذروة

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 Publication date 2016
and research's language is العربية
 Created by Shamra Editor




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The aim of this study is to evaluate the combination of autologous factors, platelet rich fibrin (PRF), with bone grafts, beta tricalcium phosphate (βTCP), In Improving the Prognosis of Surgical Treatment of periapical lesions .

References used
Angerame,D, 2015, Application of platelet-rich fibrin in endodontic surgery: a pilot study. Giornale Italiano di Endodonzia, Vol 29, P:51–57
CHOUKROUN,J 2001 ,Une opportunité en paro-implantologie: le PRF. Implantodontie ,Vol: 42,P:55-62
CHOUKROUN, J, 2006, Platelet-rich fibrin (PRF): A second-generation platelet concentrate. Part I: Technological concepts and evolution, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, VOL: 101, P: 37-44
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The aim of the study was to evaluate the effectiveness of platelet-rich fibrin (PRF) for closer of oroantral communication (OAC) during two months of clinical and radiographical follow-up. Eleven patients of both sexes(45.5% males ,54.5% females) included in this study who had (OAC) after dental extraction. The closer was done by using fibrin clot which was plugged into the alveolar socket of the extraction site that contains the communication, and then we sutured the fibrin membrane to the gingival borders above it. The results revealed that (PRF) can close the oroantral communication successfully in 81.8% of the sample with the following complications :pain 27.3% , edema 18.2% , dehiscence 18.2%. We conclude that platelet-rich fibrin can close oroantral communication that results from dental extraction when it has been used as a clot and membrane together with simple complicated subsequent clinical symptoms and without radiographical signs of inflammation of the maxillary sinus.
Maxillary sinus augmentation is frequently necessary before placement of dental implants in the posterior maxilla. Besides autogenous bone graft, various bone substitutes have been used widely to augment the maxillary sinus,successful bone augmenta tion in the maxillary sinus without bone grafting and osseointegration of implants have been reported in several studies, recently, successful bone reformation in the sinus using autologous platelet-rich fibrin (PRF) concentrateas an alternative to bone grafting has been reported. The aim of this study: was to assess the useof PRF clots and membranes as the sole filling material during a lateral sinus lift with immediate implantation using radiologic exam (cone beam ct).
This study was aimed to evaluate the effect of the use of Platelet- Rich Fibrin on immediat complication following impacted mandibular third molar surgery. forty extractions of bilateral impacted mandibular third molars were performed in 20 volunt eers (18 to 25 years old). After extraction of right and left mandibular third molars, the socket at 1 side received the autologous PRF (test group) and the other was filled with blood clot (control group) .
The common problem that may encounter surgeons were the change of the volume of iliac bone grafts which used in atrophic region in the alveolar bone because of the resorption of this grafts during healing period. This study aimed to compare between block graft which taken by surgical bur (trephine)and grafts which collected by bone scraper ,in this way the bone graft look like small chips .This study included 10 patients who presented the oral and maxillofacial department in dentistry faculty in Damascus university between 2010-2012 A.D. the patients suffered from sever atrophy in upper and lower alveolar bone for different underlying causes and needed to compromise these atrophy to create a suitable area for dental implantation .The iliac bone grafts were turned into a real bone in the grafted area but the block grafts were saving their volumes more than the grafts collected by bone scraper. We used Mann-Whitney U and SPSS to evaluate the data that collected during the research and the results revealed that the block iliac bone graft which used to compromise the atrophic region would resorb less than the grafts which collected by bone scraper . But these grafts showed that it would be more exposed after surgery than the bone scraper grafts .
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