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富血小板纤维蛋白及可注射富血小板纤维蛋白联合骨替代材料用于牙槽嵴增高术——病例报告

Application of Platelet-Rich Fibrin and Injectable Platelet-Rich Fibrin in Combination of Bone Substitute Material for Alveolar Ridge Augmentation - a Case Report.

作者信息

Chenchev Ivan L, Ivanova Vasilena V, Neychev Deyan Z, Cholakova Radka B

机构信息

Department of Oral Surgery, Faculty of Dental Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria

出版信息

Folia Med (Plovdiv). 2017 Sep 1;59(3):362-366. doi: 10.1515/folmed-2017-0044.

Abstract

BACKGROUND

Different barrier membranes and augmentation techniques are used in oral surgery to recover lost bone structures with varied success. Recently, a combination between bone graft materials and Platelet-Rich-Fibrin (PRF) is implemented in the periodontology and implantology.

AIM

The aim of this case report was to assess the possibility for augmentation of the alveolar ridge in the frontal region of the upper jaw, utilizing a combination of bone graft material, injectable platelet-rich-fibrin (i-PRF) and advanced platelet-rich fibrin (A-PRF).

MATERIALS AND METHODS

An 18 year-old male with expulsion of tooth 11 and partial fracture of the alveolar ridge was treated with augmentation of the alveolar ridge using bone graft material, injectable platelet-rich-fibrin(i-PRF) and advanced platelet-rich-fibrin (A-PRF). Clinical results were reviewed 4 months after the augmentation and a dental implant was placed.

RESULTS

The postoperative period was uneventful. The control CBCT scan showed good organization of new bone allowing placement of a dental implant.

CONCLUSION

The successful clinical and radiographic results of the case suggest that using A-PRF and i-PRF can be beneficial for bone augmentation of the alveolar ridge before implant placement.

摘要

背景

口腔外科中使用不同的屏障膜和骨增量技术来恢复缺失的骨结构,成功率各不相同。最近,骨移植材料与富血小板纤维蛋白(PRF)的联合应用已在牙周病学和种植学中得到应用。

目的

本病例报告的目的是评估在上颌前部区域使用骨移植材料、注射用富血小板纤维蛋白(i-PRF)和高级富血小板纤维蛋白(A-PRF)联合应用来增高牙槽嵴的可能性。

材料与方法

一名18岁男性,11号牙脱出且牙槽嵴部分骨折,采用骨移植材料、注射用富血小板纤维蛋白(i-PRF)和高级富血小板纤维蛋白(A-PRF)进行牙槽嵴增高治疗。增高术后4个月复查临床结果并植入牙种植体。

结果

术后过程顺利。对照CBCT扫描显示新骨组织良好,允许植入牙种植体。

结论

该病例成功的临床和影像学结果表明,在种植体植入前使用A-PRF和i-PRF对牙槽嵴骨增量可能有益。

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