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Bone Regeneration in Extraction Sockets with Autologous Platelet Rich Fibrin Gel
Authors:S Girish Rao  Preethi Bhat  K S Nagesh  Gundu H R Rao  Bharthi Mirle  Lubna Kharbhari  B Gangaprasad
Institution:1. Department of Oral and Maxillofacial Surgery, DAPMRV Dental College & Hospital, Bangalore, 560078, India
2. Department of Oral Medicine and Radiology, DAPMRV Dental College & Hospital, Bangalore, 560078, India
3. Department of Biomedical Engineering Institute, University of Minnesota, Minneapolis, MN, USA
4. Department of Pathology, DAPMRV Dental College & Hospital, Bangalore, 560078, India
Abstract:

Aim

To evaluate the effects of autologous platelet rich fibrin gel (PRF gel) on bone regeneration following extraction.

Materials and Methods

The study design was approved by the Institutional Ethical Committee. Study sample consisting of a total of 22 patients requiring bilateral transalveolar third molar extractions were included after written informed consent. One side was randomly chosen as case and the other side was the control. Autologous PRF gel was prepared from Fresh blood obtained from the patient. The PRF gel was placed in the extraction site and primary closure was obtained. The patient was called for a follow up on the first post op day, 1st week, one month, three month and six months post op. Regeneration of bone was measured using serial radiographs (RVG) at immediate post op, one, three and six months. This was then compared with the bone regeneration seen in the control group, with the radiographs taken at same intervals, to estimate the difference in bone regeneration if any. RVGs were assessed for amount of radiologic bone filling by the method described by Matteo Chiapasco et al.

Results and Conclusion

Higher mean pixels was recorded in cases compared to controls at all the time intervals viz., immediate post op, 1 month post op, 3 months post op and 6 months post op. However, the difference in the mean pixels recorded between the two groups was not statistically significant (P > 0.05). For complete analysis, further follow up of the present patients and a larger sample size is required to obtain a conclusive result of the Bone Regeneration in extraction sockets with PRF gel.
Keywords:Platelet rich fibrin  Platelet gel  Post extraction socket  Bone regeneration
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