Socket Preservation Using Platelet-Rich Fibrin and Free Gingival Grafts
ABSTRACT: Objective: The present randomised controlled trial is based on the null hypothesis that there is no difference in crestal bone levels (CBLs) following socket preservation (SP) using platelet-rich fibrin (PRF) and free gingival graft (FGG). The aim was to evaluate CBLs following SP using P...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | International Dental Journal |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0020653924001576 |
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| author | Haya Hesham Abdel-Latif Afifi Shaimaa Saieed Nasr Munerah Saleh BinShabaib Shatha Subhi Alharthi Mona Shoeib |
| author_facet | Haya Hesham Abdel-Latif Afifi Shaimaa Saieed Nasr Munerah Saleh BinShabaib Shatha Subhi Alharthi Mona Shoeib |
| author_sort | Haya Hesham Abdel-Latif Afifi |
| collection | DOAJ |
| description | ABSTRACT: Objective: The present randomised controlled trial is based on the null hypothesis that there is no difference in crestal bone levels (CBLs) following socket preservation (SP) using platelet-rich fibrin (PRF) and free gingival graft (FGG). The aim was to evaluate CBLs following SP using PRF and FGG. Methods: This study is a parallel-arm randomised controlled trial. Patients in the test and control groups underwent SP using PRF and FGG, respectively. Intraoral visual examination was performed to clinically assess signs of swelling, pus/abscess, and stability of sutures and graft. Self-rated postoperative pain was assessed after 1 week and 6 months using the visual analogue scale (VAS). At the 6-month follow-up, cone-beam computed tomography was performed to evaluate CBL in mesiodistal and buccolingual dimensions. The preoperative cone-beam computed tomographic images were superimposed with those taken at the 6-month follow-up to compare CBLs. Statistical comparisons were performed and level of significance was set at P < .05. Results: The test and control groups each comprised 13 individuals with comparable ages. All teeth included in the test and control groups were located in the maxillary aesthetic zone. At the 1-week follow-up, VAS scores were higher in the control than in the test group (P < .01). At the 6-month follow-up, none of the participants reported self-rated pain. The change in buccolingual dimension was greater in the control group than in the test group (P < .05). Conclusions: Both FGG and PRF are effective techniques for SP; however, the latter technique is more effcacious in maintaining buccolingual dimensions of the extraction socket. |
| format | Article |
| id | doaj-art-52fc347463954277a97c429d3a4f6df1 |
| institution | Kabale University |
| issn | 0020-6539 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Dental Journal |
| spelling | doaj-art-52fc347463954277a97c429d3a4f6df12025-01-21T04:12:42ZengElsevierInternational Dental Journal0020-65392025-02-01751345351Socket Preservation Using Platelet-Rich Fibrin and Free Gingival GraftsHaya Hesham Abdel-Latif Afifi0Shaimaa Saieed Nasr1Munerah Saleh BinShabaib2Shatha Subhi Alharthi3Mona Shoeib4Faculty of Dentistry, Modern Science and Arts University, Cairo, EgyptOral Medicine and Periodontology Department, Faculty of Dentistry, Fayoum University, Fayoum, Egypt; Oral Medicine and Periodontology Department, Faculty of Dentistry, 6th. Of October for Modern Science and Arts Univeristy, Cairo, EygptDepartment of Preventive Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia; Corresponding author. Department of Preventive Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.Department of Preventive Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi ArabiaOral Medicine and Periodontology Departments, Faculty of Dentistry, Cairo University, Cairo, EgyptABSTRACT: Objective: The present randomised controlled trial is based on the null hypothesis that there is no difference in crestal bone levels (CBLs) following socket preservation (SP) using platelet-rich fibrin (PRF) and free gingival graft (FGG). The aim was to evaluate CBLs following SP using PRF and FGG. Methods: This study is a parallel-arm randomised controlled trial. Patients in the test and control groups underwent SP using PRF and FGG, respectively. Intraoral visual examination was performed to clinically assess signs of swelling, pus/abscess, and stability of sutures and graft. Self-rated postoperative pain was assessed after 1 week and 6 months using the visual analogue scale (VAS). At the 6-month follow-up, cone-beam computed tomography was performed to evaluate CBL in mesiodistal and buccolingual dimensions. The preoperative cone-beam computed tomographic images were superimposed with those taken at the 6-month follow-up to compare CBLs. Statistical comparisons were performed and level of significance was set at P < .05. Results: The test and control groups each comprised 13 individuals with comparable ages. All teeth included in the test and control groups were located in the maxillary aesthetic zone. At the 1-week follow-up, VAS scores were higher in the control than in the test group (P < .01). At the 6-month follow-up, none of the participants reported self-rated pain. The change in buccolingual dimension was greater in the control group than in the test group (P < .05). Conclusions: Both FGG and PRF are effective techniques for SP; however, the latter technique is more effcacious in maintaining buccolingual dimensions of the extraction socket.http://www.sciencedirect.com/science/article/pii/S0020653924001576Alveolar ridgeExtractionFree gingival graftSocket preservationPlatelet-rich fibrin |
| spellingShingle | Haya Hesham Abdel-Latif Afifi Shaimaa Saieed Nasr Munerah Saleh BinShabaib Shatha Subhi Alharthi Mona Shoeib Socket Preservation Using Platelet-Rich Fibrin and Free Gingival Grafts International Dental Journal Alveolar ridge Extraction Free gingival graft Socket preservation Platelet-rich fibrin |
| title | Socket Preservation Using Platelet-Rich Fibrin and Free Gingival Grafts |
| title_full | Socket Preservation Using Platelet-Rich Fibrin and Free Gingival Grafts |
| title_fullStr | Socket Preservation Using Platelet-Rich Fibrin and Free Gingival Grafts |
| title_full_unstemmed | Socket Preservation Using Platelet-Rich Fibrin and Free Gingival Grafts |
| title_short | Socket Preservation Using Platelet-Rich Fibrin and Free Gingival Grafts |
| title_sort | socket preservation using platelet rich fibrin and free gingival grafts |
| topic | Alveolar ridge Extraction Free gingival graft Socket preservation Platelet-rich fibrin |
| url | http://www.sciencedirect.com/science/article/pii/S0020653924001576 |
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