Osteotome-Mediated Sinus Floor Elevation Using Only Platelet-Rich Fibrin: An Early Report on 110 Patients

Toffler, Michael; Toscano, Nicholas; Holtzclaw, Dan

doi:10.1097/id.0b013e3181f57288

Cited by 78 publications

(89 citation statements)

References 28 publications

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“…Toffler et al. (2010) reported on 110 cases of osteotome‐mediated SFE, with L‐PRF as sole filling material during implant placement. The mean increase in the height at implant sites was 3–4 mm (range 2.5–5 mm), similar to the traditional osteotomes procedures.…”

Section: Discussionmentioning

confidence: 99%

Regenerative potential of leucocyte‐ and platelet‐rich fibrin. Part B: sinus floor elevation, alveolar ridge preservation and implant therapy. A systematic review

Castro

Meschi

Temmerman

et al. 2017

J Clinic Periodontology

156

133

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AimTo analyse the effect of leucocyte‐ and platelet‐rich fibrin (L‐PRF) on bone regeneration procedures and osseointegration.Materials and MethodsAn electronic and hand search was conducted in three databases (MEDLINE, EMBASE and Cochrane). Only randomized clinical trials, written in English where L‐PRF was applied in bone regeneration and implant procedures, were selected. No follow‐up restrictions were applied.ResultsA total of 14 articles were included and processed. Three subgroups were created depending on the application: sinus floor elevation (SFE), alveolar ridge preservation and implant therapy. In SFE, for a lateral window as well as for the trans‐alveolar technique, histologically faster bone healing was reported when L‐PRF was added to most common xenografts. L‐PRF alone improved the preservation of the alveolar width, resulting in less buccal bone resorption compared to natural healing. In implant therapy, better implant stability over time and less marginal bone loss were observed when L‐PRF was applied. Meta‐analyses could not be performed due to the heterogeneity of the data.ConclusionsDespite the lack of strong evidence found in this systematic review, L‐PRF might have a positive effect on bone regeneration and osseointegration.

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Section: Discussionmentioning

confidence: 99%

Regenerative potential of leucocyte‐ and platelet‐rich fibrin. Part B: sinus floor elevation, alveolar ridge preservation and implant therapy. A systematic review

Castro

Meschi

Temmerman

et al. 2017

J Clinic Periodontology

156

133

View full text Add to dashboard Cite

show abstract

“…[77][78][79] For this purpose, to obtain promising results from PRP in comparison with PRF, combination therapy should be used. Hence, strategies to improve the slow release of GF mechanisms, such as the new concentration of scaffold preparations and related studies, provide promising perspectives for future exploration.…”

Section: Future Perspectivesmentioning

confidence: 99%

Untitled

Zhou¹

2017

AJP

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In oral surgery, there is an increased concern for soft and hard tissue wound healing processes, and the development of bioactive additives for targeted surgical sites has become an important challenge in the past three decades. Recently, platelet concentrates (PCs) have been identified as satisfactory bioactive materials that increase the speed of the healing process in peri-implant surgical sites. Moreover, recent convincing results in several clinical studies and literature reviews have demonstrated the importance of these bioactive materials in the stimulation of the healing process and have provided promising results for the use in the future. To stimulate and ensure the healing for both soft and hard tissues in the oral region, there is convincing evidence that PCs can serve as an autologous source of growth factors and healing cytokine biomolecules, such as platelet-rich plasma, platelet-poor plasma, and platelet-rich fibrin (PRF) release, which plays a crucial role in promoting hemostasis and the wound healing process. In the recent studies, the primary concern has been the PCs in general, and particularly, PRF. The following review attempts to discuss the current data for researchers and clinicians to understand the value of combining biological additives with platelet-derived products for the healing of surgical sites. This approach is of particular concern, as the critical processes and effect on the speed of action are a controversial topic for both researchers and clinicians alike.

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“…4) Radiological bone change was measured by examining the digital panoramic radiographs and CT images taken 18 reported high success rate of 97.8%. This study also showed similar success rate of 95.3%.…”

Section: Vertical Bone Gain After Hpise Surgery (Table 2)mentioning

confidence: 99%

Multicenter clinical study on the hydrodynamic piezoelectric internal sinus elevation (HPISE) technique

Lee

Moon

Lee

et al. 2012

J Korean Assoc Oral Maxillofac Surg

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(J Korean Assoc Oral Maxillofac Surg 2012;38:85-9) Objectives: This study was to evaluate the effect of vertical bone gain and success rate and analyze the failure cases using the hydrodynamic piezoelectric internal sinus elevation (HPISE) technique. Materials and Methods: Patients who had been operated in the three centers including Daegu Catholic University Medical Center were selected for this study. The mucoperiosteal flap was elevated, and the sinus floor was then broken by specially designed piezoelectric insert, with hydraulic pressure applied to the sinus membrane for even elevation. Afterward, implants were placed. Panoramic radiogram or computed tomogram was taken before and after surgery and at the second operation and prosthesis placement. Later, changes in vertical height were measured and compared. The survival rate was based on the criteria of Buser et al. and Cochran et al. Results: In this study, 8 implants failed out of a total of 169 implants, resulting a success rate of 95.3%. These failure cases were due to insufficient initial stability or sinus membrane perforation. The mean of radiographic vertical height change at prosthesis placement was 5.7 mm (0.5-10.5 mm). Conclusion: In this study, HPISE technique was found to be a predictable treatment for atrophic maxilla and an alternative technique to the lateral approach.

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Osteotome-Mediated Sinus Floor Elevation Using Only Platelet-Rich Fibrin: An Early Report on 110 Patients

Abstract: Early review of the OMSFE/PRF technique presented for localized sinus floor elevation and implant placement demonstrates a high degree of safety and success at sites with 5- to 8-mm residual subantral bone height.

Cited by 78 publications

References 28 publications

Regenerative potential of leucocyte‐ and platelet‐rich fibrin. Part B: sinus floor elevation, alveolar ridge preservation and implant therapy. A systematic review

Regenerative potential of leucocyte‐ and platelet‐rich fibrin. Part B: sinus floor elevation, alveolar ridge preservation and implant therapy. A systematic review

Untitled

Multicenter clinical study on the hydrodynamic piezoelectric internal sinus elevation (HPISE) technique

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