A Comparative Clinical Evaluation of Effectiveness of Platelet-Rich Plasma, Synthetic Allograft, and Bioresorbable Xenograft During Immediate Implant Placement

Tomar, Nitin; Dahiya, Surya; Sharma, Pradeep Kumar; K, Ipe Sabu; Parihar, Anuj Singh; Mandal, Ananyo; Sahoo, Amiya Ranjan

doi:10.7759/cureus.32121

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…Intergroup statistical comparisons between gingival and plaque indices at three, six, and 12 months of follow-up in the study groups did not show statistical significance (p>0.05). Mean probing depths and bone resorption at three, six, and 12 months of follow-up were not statistically significant (p>0.05) in the intergroup comparison [18].…”

Section: Main Clinical Findingsmentioning

confidence: 67%

Maxillary sinus surgery with autologous or allogenic graft with platelet-rich plasma/fibrin for dental implants: a systematic review

Berrospi¹,

Yahuara²,

Idalgo³

et al. 2023

MedNEXT

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Introduction: In the context of bone grafts and regenerative processes, the maxillary sinus acts in the equalization of barometric pressures in the nasal cavity, which is lined by a membrane called Schneider's membrane. When grafting procedures are needed, our focus is often on the type of biomaterial to be used, and the success and predictability of our results do not depend only on the biomaterial. Objective: It was to perform a systematic review of the main clinical approaches of maxillary sinus surgery with autologous and/or allogeneic graft, using platelet-rich plasma or fibrin. Methods: The systematic review rules of the PRISMA Platform were followed. The search was carried out from December 2022 to January 2023 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases, using articles from 2005 to 2022. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 125 articles were found, 55 articles were evaluated in full and 27 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 25 studies with a high risk of bias and 20 studies that did not meet GRADE. It can be concluded from the present study that there is no statistical superiority observed between platelet-rich plasma, PerioGlas, or Bio-Oss in terms of their use as a grafting material along with the immediate implant placement procedure. Furthermore, the combination of autograft/xenograft and plasma rich in growth factors in the periosteal pocket flap technique is a simpler, cheaper, and faster technique than the guide bone regeneration technique to achieve moderate lateral bone augmentation in implant treatment. Tricalcium β-phosphate is a promising biomaterial for clinical situations that require bone augmentation. However, the addition of platelet-rich plasma results in decreased bone loss around dental implants.

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Section: Main Clinical Findingsmentioning

confidence: 67%

Maxillary sinus surgery with autologous or allogenic graft with platelet-rich plasma/fibrin for dental implants: a systematic review

Berrospi¹,

Yahuara²,

Idalgo³

et al. 2023

MedNEXT

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Immediate extraction-implantation and provisionalization (IIP): Esthetic evaluation of IIP surgical protocols via the Pink Esthetic Score: a retrospective cross-sectional study of 39 implants

Coiffic,

Soulas,

Hamon

2024

J Oral Med Oral Surg

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A general protocol has been accepted by the scientific community for using the extraction immediate implantation and provisionalization (EIIP), in the replacement a compromised tooth in the antero-maxillary region, but the multiplicity of biomaterials used leads to diversity of application of the protocol. The aims of this study were to compare the Pink esthetic Score (PES) according to the EIIP protocol, evaluate abutment visibility according to surgical protocol, and assess whether the type of tooth rehabilitated had an impact on PES or abutment visibility. A retrospective study evaluating the PES of 39 implants in 3 treatment units compared the esthetic results of surgical techniques (xenogeneic graft, alloplastic, PRF, connective tissue graft, membrane) after the crown had been in use for at least 3 weeks. When indicated, EIIP treatment appears to be the treatment's choice for the management of compromised teeth in the antero-maxillary region, whatever the biomaterial used in the protocol (xenogeneic graft, platelet-rich fibrin, connective tissue graft, membrane, alloplastic substitute). Each of the PES observed was rated as “acceptable”, and no statistical differences were found in the study between biomaterials, tooth situation (central or lateral) or abutment visibility.

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A Comparative Clinical Evaluation of Effectiveness of Platelet-Rich Plasma, Synthetic Allograft, and Bioresorbable Xenograft During Immediate Implant Placement

Cited by 2 publications

References 21 publications

Maxillary sinus surgery with autologous or allogenic graft with platelet-rich plasma/fibrin for dental implants: a systematic review

Maxillary sinus surgery with autologous or allogenic graft with platelet-rich plasma/fibrin for dental implants: a systematic review

Immediate extraction-implantation and provisionalization (IIP): Esthetic evaluation of IIP surgical protocols via the Pink Esthetic Score: a retrospective cross-sectional study of 39 implants

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