Guided bone regeneration (GBR) using a combined injectable platelet-rich fibrin (i-PRF), leukocyte- and platelet-rich fibrin (L-PRF) and biocompatible bone substitute materials, is a convenient and effective method to augment a combined vertical and horizontal bone defect. This approach can create sufficient bone quality and quantity for implant surgical sites. A 55-year-old Asian woman presented with a severe bone defect in posterior mandible. The edentulous mandibular alveolar ridge was severely resorbed vertically and horizontally. A GBR procedure using i-PRF and L-PRF combined with particulate bone graft was performed. Postoperative cone beam computed tomography scans, 8 months after the augmentation, revealed a large regeneration of the alveolar bone sufficient for implant placement. A combination i-PRF/L-PRF and particulate bone graft may provide biologically active molecules as well as a scaffold for osteogenesis. This treatment protocol may be a viable option for a large bone defect required augmentation prior to implant placement.
Implant site preparation application of injectable platelet-rich fibrin for vertical and horizontal bone regeneration: A clinical report
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Prakan Thanasrisuebwong, Sirichai Kiattavorncharoen, George R Deeb, Sompop Bencharit; Implant site preparation application of injectable platelet-rich fibrin for vertical and horizontal bone regeneration: A clinical report. J Oral Implantol 2020; doi: https://doi.org/10.1563/aaid-joi-D-20-00031
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