Peri-implantitis Surgical Treatment with L-PRF Xenograft Block- Clinical Cases PDF Download
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Author: Francisco Caramelo
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Title:Peri-implantitis surgical treatment with L-PRF/xenograft block: clinical cases. Background: Peri-implantitis (PI) has been defined has the presence of radiographic bone loss (RBL)u22653mm and/or probing depth (PD)u22656mm and profuse bleeding on probing (BoP). Evidence regarding surgical treatment of PI does not allow any specific recommendation. Leucocyte-platelet rich fibrin (L-PRF) retains cytokines and growth factors being released for a period of 7-11 days. Systematic reviews confirmed the clinical benefits of L-PRF at periodontal wound healing, bone regeneration and osseointegration.Aim: To present the clinical and radiographic results after 6 months of peri-implantitis surgical treatment with L-PRF/xenograft block.Material and Methods: Five patients (5 implants) were diagnosed with PI (RBLu22653mm; PDu22656mm; BOP). Mucosal recession (MR), PD, BoP, clinical attachment level (CAL)) and periapical X-Ray (RBL) were taken at baseline. L-PRF membranes were prepared (Choukrounu00b4s protocol) and chopped/mixed with xenograft (Creosu00ae Xenogain, Nobel Biocare, Switzerland). Fibrinogen was added to form a block. A mucoperiosteal flap was elevated, the implant rinsed with saline, calculus removed with a titanium curette (Deppeleru00ae, Switzerland) and implant cleaned with an air-flow system/glycine (Perio-mate, NSKu00ae, Japan). The peri-implant defects (no Cl Ie) were filled with L-PRF/xenograft block and covered with L-PRF membranes. Flaps were sutured. When possible implants were left submerged. Suture was removed after 10-15. At month 6 clinical and radiographic data were recorded.Changes between 0 and 6 months were analyzed (Wilcoxon test). Statistical analyses used SPSS v24 (SPSS Statistics for Windows, IBM). Significance level of P u2264 .05.Results: One female patient was a smoker (7 cigarettes/day). There were no healing complications. The baseline clinical data were PD=8.43u00b11.65mm; MR=0.00u00b10.00mm; BoP=73.33u00b124.95 and CAL=8.43u00b11.65mm. Regarding radiographic data RBL=5.86u00b11.21mm. At the 6 months evaluation PD=3.63u00b10.71mm; MR=0.07u00b10.25mm; BoP=16.67u00b10.00 and CAL=3.70u00b10.69mm. Regarding radiographic data RBL=1.75u00b11.08mm. The variation between 6-0 months (treatment effect) was PD=-4.80u00b11.12mm ([-6.19; -3.41], p=0.042); MR=0.07u00b10.09mm ([-0.05; 0.18], p=0.157); BoP=-0.57u00b10.28 ([-0.91; -0.22], p=0.041) and CAL=-4.73u00b11.17mm ([-6.19; -3.28], p=0.043), RBL=-4.11u00b11.39mm ([-5.84; -2.39], p=0.043).Conclusion and Clinical implications: Our clinical cases refer to peri-implantitis biologically more demanding defects (other than circumferential Cl Ie). Both clinical and radiographic statistical significant results were obtained with glycine decontamination and peri-implant defect fill with L-PRF/xenograft block, after a 6 months follow-up. Peri-implantitis surgical treatment with a block of L-PRF/xenograft may have a positive clinical effect.
Author: Francisco Caramelo
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Title:Peri-implantitis surgical treatment with L-PRF/xenograft block: clinical cases. Background: Peri-implantitis (PI) has been defined has the presence of radiographic bone loss (RBL)u22653mm and/or probing depth (PD)u22656mm and profuse bleeding on probing (BoP). Evidence regarding surgical treatment of PI does not allow any specific recommendation. Leucocyte-platelet rich fibrin (L-PRF) retains cytokines and growth factors being released for a period of 7-11 days. Systematic reviews confirmed the clinical benefits of L-PRF at periodontal wound healing, bone regeneration and osseointegration.Aim: To present the clinical and radiographic results after 6 months of peri-implantitis surgical treatment with L-PRF/xenograft block.Material and Methods: Five patients (5 implants) were diagnosed with PI (RBLu22653mm; PDu22656mm; BOP). Mucosal recession (MR), PD, BoP, clinical attachment level (CAL)) and periapical X-Ray (RBL) were taken at baseline. L-PRF membranes were prepared (Choukrounu00b4s protocol) and chopped/mixed with xenograft (Creosu00ae Xenogain, Nobel Biocare, Switzerland). Fibrinogen was added to form a block. A mucoperiosteal flap was elevated, the implant rinsed with saline, calculus removed with a titanium curette (Deppeleru00ae, Switzerland) and implant cleaned with an air-flow system/glycine (Perio-mate, NSKu00ae, Japan). The peri-implant defects (no Cl Ie) were filled with L-PRF/xenograft block and covered with L-PRF membranes. Flaps were sutured. When possible implants were left submerged. Suture was removed after 10-15. At month 6 clinical and radiographic data were recorded.Changes between 0 and 6 months were analyzed (Wilcoxon test). Statistical analyses used SPSS v24 (SPSS Statistics for Windows, IBM). Significance level of P u2264 .05.Results: One female patient was a smoker (7 cigarettes/day). There were no healing complications. The baseline clinical data were PD=8.43u00b11.65mm; MR=0.00u00b10.00mm; BoP=73.33u00b124.95 and CAL=8.43u00b11.65mm. Regarding radiographic data RBL=5.86u00b11.21mm. At the 6 months evaluation PD=3.63u00b10.71mm; MR=0.07u00b10.25mm; BoP=16.67u00b10.00 and CAL=3.70u00b10.69mm. Regarding radiographic data RBL=1.75u00b11.08mm. The variation between 6-0 months (treatment effect) was PD=-4.80u00b11.12mm ([-6.19; -3.41], p=0.042); MR=0.07u00b10.09mm ([-0.05; 0.18], p=0.157); BoP=-0.57u00b10.28 ([-0.91; -0.22], p=0.041) and CAL=-4.73u00b11.17mm ([-6.19; -3.28], p=0.043), RBL=-4.11u00b11.39mm ([-5.84; -2.39], p=0.043).Conclusion and Clinical implications: Our clinical cases refer to peri-implantitis biologically more demanding defects (other than circumferential Cl Ie). Both clinical and radiographic statistical significant results were obtained with glycine decontamination and peri-implant defect fill with L-PRF/xenograft block, after a 6 months follow-up. Peri-implantitis surgical treatment with a block of L-PRF/xenograft may have a positive clinical effect.
Author: Francisco Caramelo
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
TitlePeri-implantitis surgical treatment with L-PRF: clinical cases. Background: Peri-implantitis (PI) has been defined has the presence of radiographic bone loss (RBL)u22653mm and/or probing depth (PD)u22656mm and profuse bleeding on probing (BoP). There are no evidence made recommendation regarding surgical treatment of PI. Leucocyte-platelet rich fibrin (L-PRF) improves the recruitment and proliferation of a variety of cells like endothelial cells and osteoblasts. Clinical benefits at bone regeneration and osseointegration healing are confirmed by systematic reviews.Aim: To present the 6 months clinical and radiographic results of peri-implantitis surgical treatment with L-PRF.Material and Methods: Five patients (1 implant/patient) were diagnosed with PI (RBLu22653mm; PDu22656mm; BOP). Mucosal recession (MR), PD, BoP, clinical attachment level (CAL)) and periapical X-Ray (RBL) were taken at baseline. After venipuncture L-PRF membranes were prepared (Choukrounu00b4s protocol). A mucoperiosteal flap was elevated and the presence of Cl Ie defects confirmed. The implant was rinsed with saline, calculus removed with a titanium curette (Deppeleru00ae, Switzerland), and implant cleaned with an air-flow system/glycine (Perio-mate, NSKu00ae, Japan). The peri-implant defects were totally filled and then covered with L-PRF membranes. Flaps were sutured. When possible implants were left submerged. Suture was removed after 10-15. At month 6 clinical and radiographic data were recorded.Changes between 0 and 6 months were analyzed (Wilcoxon test). Statistical analyses used SPSS v24 (SPSS Statistics for Windows, IBM). Significance level of P u2264 .05.Results: Two weeks post-operative one implant was lost. The implants had 7.4u00b13.5 years in function. The baseline clinical data were PD=7.23u00b12.50mm; MR=0.00u00b10.00mm; BoP=90.00u00b120.00 and CAL=7.23u00b12.50mm. Regarding radiographic data RBL=4.38u00b10.77mm. At the 6 months evaluation PD=3.75u00b11.42mm; MR=0.00u00b10.00mm; BoP=16.67u00b10.00 and CAL=3.75u00b11.42mm. Regarding radiographic data RBL=5.86u00b11.21mm. The variation between 6-0 months (treatment effect) was PD-2.79 u00b1 1.38mm ([-4.99; -0.59], p=0.068); MR=0.00u00b10.00mm ([0.00; 0.00], p=1.000); BoP=-0.54 u00b1 0.28 ([-0.99; -0.09], p=0.068) and CAL=-2.79 u00b1 1.38mm ([-4.99; -0.59], p=0.068), RBL=-0.58 u00b1 0.99mm ([-2.16; 1.00], p=0.273).Conclusion and Clinical implications: All peri-implant defects were circumferential Cl I e. This allowed to confine and stabilize the L-PRF membranes within the defect. This was also helped by the final membranes placed over the filled defect. The tested surgical treatment did not allowed to obtain clinical and radiographic statistical significant results, after a 6 months follow-up. Peri-implantitis surgical treatment with L-PRF seems not to have a positive treatment effect.
Author: Mohammad A. Sabeti
Publisher: Quintessence Publishing (IL)
ISBN: 9780867158274
Category : Dental materials
Languages : en
Pages : 0
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Book Description
"This handbook will help clinicians understand and use PRF in endodontics by discussing the science, clinical applications, and techniques for specialists and general practitioners"--
Author: Fouad Khoury
Publisher: Quintessenz Verlag
ISBN: 3868675914
Category : Medical
Languages : en
Pages : 1395
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Book Description
With contributions from: R. Gruber, Th. Hanser, Ph. Keeve, Ch. Khoury, J. Neugebauer, J. E. Zöller Bone and Soft Tissue Augmentation in Implantology addresses useful methods of bone grafting procedures in implant treatment based on current biologic principles and constitutes a unique reference in this field. The book describes, in over 760 pages and 2837 mostly color illustrations, the different possibilities available to augment the bone volume in width and height. The information presented includes not only the underlying scientific concepts of the different augmentation techniques with autogenous bone, but also the associated soft tissue management, from safe approaches to different possibilities for soft tissue augmentation and papilla reconstruction techniques. The book provides surgeons with a basic understanding of the biologic response to bone grafting procedures. Experienced implantologists will benefit from the in-depth background information, details of high-level surgical techniques, and scientific results, which will enable them to optimize their surgical procedures. Each chapter offers a wealth of information on the specific topic covered, with much attention given to the scientific concepts behind each one. Extensive case reports with step-by-step documentation allow readers to gain an impression of what is possible today in the 3D reconstruction procedures of the alveolar crest. Important criteria for success are presented as well as possible complications and their treatment. Bone and Soft Tissue Augmentation in Implantology is a must-read for every implantologist, oral and maxillofacial surgeon, and any dentist interested in surgery.
Author: Eduardo Anitua Aldecoa
Publisher:
ISBN: 9788487673115
Category :
Languages : en
Pages : 277
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Book Description
Author: Randolph Resnik
Publisher: Elsevier Health Sciences
ISBN: 0323478263
Category : Medical
Languages : en
Pages : 1267
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Book Description
**Selected for Doody's Core Titles® 2024 with "Essential Purchase" designation in Dentistry** Dental implant surgery is an artform. To help you advance your skills and become a master of implant prosthetics, Misch's Contemporary Implant Dentistry, 4th Edition uses a multidisciplinary approach to cover the industry's most current processes and surgical procedures. The new edition of this text continues to provide comprehensive, state-of-the-art information on the science and discipline of contemporary implant dentistry. Covering the breadth of dental implant surgery, it includes full-color, in-depth coverage of both simple and complicated clinical cases, with practical guidance on how to apply the latest research, diagnostic tools, treatment planning, implant designs, and materials. New author Randolph R. Resnik, is an internationally known educator, clinician, and researcher in the field of Oral Implantology and Prosthodontics who will continue Dr. Misch's legacy and teachings. - Content reflects original author's philosophy and surgical protocols for dental implants giving you a system for achieving predictable outcomes. - Evidence-based approach to dental implant procedures features state-of-the-art guidance supported by the best available research evidence. - Rich art program throughout text highlights and clarifies key clinical concepts and techniques with over 2,500 images, radiographs, full-color clinical photographs, line art, and diagrams. - Definitive resource in implant dentistry provides you with authoritative state-of-the art guidance by recognized leader in the field. - Internationally known author, Randolph R. Resnik, DMD, MDS is a leading educator, clinician, author and researcher in the field of Oral Implantology and Prosthodontics. - Surgical protocols provide the latest, most up-to-date literature and techniques that provide a proven system for comprehensive surgical treatment of dental implant patients. - Thoroughly revised content includes current diagnostic pharmacologic and medical evaluation recommendations to furnish the reader with the latest literature-based information. - Proven strategies and fundamentals for predictable implant outcomes - Latest implant surgical techniques for socket grafting and ridge augmentation procedures - Proven, evidence-based solutions for the treatment of peri-implant disease - Includes the use of dermal fillers and botox in oral implantology - Up-to-date information on advances in the field reflects the state-of-the-art dental implantology. - Addition of an ExpertConsult site allows you to search the entire book electronically.
Author: Richard J. Miron
Publisher: John Wiley & Sons
ISBN: 1119406803
Category : Medical
Languages : en
Pages : 407
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Book Description
The first book devoted exclusively to the subject, Platelet Rich Fibrin in Regenerative Dentistry offers comprehensive, evidence-based coverage of the biological basis and clinical applications of PRF in dentistry. Co-edited by a leading researcher in tissue regeneration and the inventor of the PRF technique, it brings together original contributions from expert international researchers and clinicians. Chapters cover the biological foundation of PRF before addressing specific uses of the technology within clinical dentistry. Topics describe the use of PRF in many dental applications, including extraction socket management, sinus lifting procedures, root coverage, periodontal regeneration, soft tissue healing around implants, guided bone regeneration, and facial esthetics. The text is supplemented with color photographs and explanatory illustrations throughout. Platelet Rich Fibrin in Regenerative Dentistry: Biological Background and Clinical Indications is an indispensable professional resource for periodontists, oral surgeons and oral and maxillofacial surgeons, as well as general dentists who use PRF or are interested in introducing it into their practices. It is also an excellent reference for undergraduate and postgraduate dental students.
Author: Boyd J. Tomasetti
Publisher: Springer Nature
ISBN: 3030441997
Category : Medical
Languages : en
Pages : 334
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Book Description
This comprehensive guide to short implants will take the reader through their research and development, explain the clinical indications, evaluate the outcomes achieved with various implants, and explore restorative and laboratory considerations. Short implants have steadily gained greater market share in the last decade as practitioners sought alternatives to traditional length implants in order to avoid grafting procedures. Current manufacturers offer a variety of implant lengths and widths, allowing surgeons and restorative dentists the ability to select the best implant for each clinical circumstance. Cutting edge information is provided on the research and clinical results achieved utilizing a range of implants, specifically those developed by Nobel Biocare, Straumann, Jack Hahn, and Bicon. Readers will also find an extensive description of the role of ultra-short implants involving reconstruction in both cleft patients and cancer patients who have lost portions of their mandible and/or maxilla. This book is a must-have for those interested in learning how the use of short and ultra-short implants offers both surgeons and restorative dentists an opportunity to stand out from those that use only the traditional length implants.
Author: Ajay Vikram Singh
Publisher: Elsevier Health Sciences
ISBN: 8131233251
Category : Medical
Languages : en
Pages : 689
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Book Description
The book, primarily written keeping in mind fresher as well as experienced implant dentists, provides all the new and relevant information of basic to advanced implantology for the undergraduate as well as postgraduate dental students. Current concepts of implantology are beautifully presented with illustrations and clinical cases making this book a complete literature for the dentists to learn the basic science and various advanced techniques of implantology like sinus grafting, nasal floor grafting, block grafting, ridge splitting, distraction osteogenesis, soft tissue grafting, 'all-on-4'/'all-on-6' techniques and many more. - Consists of 24 chapters with more than 3000 illustrations including hundreds of clinical cases - Provides step-by-step guidelines for implantology techniques - Describes concepts under introduction, indications, contraindications, advantages, disadvantages, step-by-step technique, key points and summary headings - Covers basic to advanced techniques with high quality clinical photographs and line illustrations - Shares expertise of contributors from across the globe A useful reference for dental students, practitioners and experienced implantologists
Author: Salvador Nares
Publisher: Springer
ISBN: 3030123103
Category : Medical
Languages : en
Pages : 252
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Book Description
This book describes practical, contemporary, and evidence-based surgical approaches for the treatment of diseases and conditions affecting the periodontium, including advanced forms of periodontal disease, gingival recession, and complex cases requiring interdisciplinary management. The book opens by identifying key considerations in periodontal surgery, for example with regard to diagnosis and prognosis, and by presenting decision trees that will be useful in daily practice. Cutting-edge resection and regeneration techniques for the treatment of periodontitis and mucogingival surgical procedures for the management of soft tissue deficiencies are then described and illustrated in detail, highlighting important tips and tricks as well as potential difficulties and complications. The final part of the book is devoted to interdisciplinary care, which is of key importance when periodontal surgery is indicated in the management of cases requiring orthodontic, endodontic, and restorative therapy. Advances in Periodontal Surgery will be of value for practitioners at all levels of experience as well as for students entering the field.
