RESEARCH ARTICLE


Clinical and Histological Comparison of Extraction Socket Healing Following the Use of Autologous Platelet-Rich Fibrin Matrix (PRFM) to Ridge Preservation Procedures Employing Demineralized Freeze Dried Bone Allograft Material and Membrane



B.I Simon1, *, A.L Zatcoff1, J.J.W Kong1, S.M O’Connell2
1 New Jersey Dental School, USA
2 Dept. of Surgery, Englewood Hospital-Mt. Sinai School of Medicine/Cascade Medical Enterprises, USA

Article Information


Identifiers and Pagination:

Year: 2009
Volume: 3
First Page: 92
Last Page: 99
Publisher ID: TODENTJ-3-92
DOI: 10.2174/1874210600903010092

Article History:

Received Date: 5/12/2008
Revision Received Date: 4/1/2009
Acceptance Date: 17/3/2009
Electronic publication date: 20/5/2009
Collection year: 2009

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Creative Commons License
© Simon et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the New Jersey Dental School, Department of Periodontics, C-781, 110 Bergen Street, Newark, New Jersey 07103, USA; Tel: 973-972-8603; Fax: 973-972-2594; E-mail: simonbi@umdnj.edu


Abstract

Background:

The healing potential of platelet growth factors has generated interest in using Platelet-Rich Plasma (PRP) in ridge preservation procedures. A canine study was performed to determine if extraction sites treated with platelet-rich fibrin matrix (PRFM) exhibit enhanced healing compared to sites treated with non-viable materials.

Methods:

Four dog’s extraction sockets were treated individually with PRFM, PRFM and membrane, Demineralized Freeze-Dried Bone Allograft (DFDBA) and membrane, PRFM and DFDBA, and untreated control. Treatment sequencing permitted clinical and histologic evaluation of healing at 10 days, 2, 3, 6 and 12 weeks.

Results:

Healing was more rapid in the PRFM and PRFM and membrane sites. By 3 weeks those sockets had osseous fill. Sites containing DFDBA had little new bone at 6 weeks. By 12 weeks those sockets had osseous fill but DFDBA particles were still noted in coronal areas.

Conclusions:

PRFM alone may be the best graft for ridge preservation procedures. Advantages: faster healing, and elimination of disadvantages involved in using barrier membranes.

Key Words: Platelet growth factors, wound healing, guided bone regeneration, ridge preservation, platelet rich fibrin matrix.