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To assess the efficacy of socket plug technique using platelet rich fibrin with or without the use of bone substitute in alveolar ridge preservation: a prospective randomised controlled study

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Abstract

Aim

The purpose of this study is to evaluate the efficacy of Platelet Rich Fibrin (PRF) as a socket plug with or without use of Plaster of Paris (POP) as bone substitute to preserve the alveolar ridge post-extraction.

Material and methods

A prospective randomised single blind controlled study, was conducted for 18 months from November 2014 to May 2016 on 48 patients requiring extraction. All teeth were extracted atraumatically using periotomes and luxators without raising mucoperiosteal flap. Sockets were randomly allotted to groups A, B and C. Group A sockets were chosen as control, where figure of eight suture was placed. In group B sockets, PRF obtained by centrifugation was used as a socket plug and stabilised with figure of eight suture. Group C sockets were filled with POP and then covered with PRF. The socket was then closed with a figure of eight suture. Patients were informed of need for 6 months follow-up.

Results

Ninety sockets in 48 patients were subjected to our study. We found that results in the sockets where we have grafted POP showed better ridge preservation and post-operative comfort even though the difference in ridge resorption between the three groups was not statistically significant. Powered by Editorial Manager® and ProduXion Manager® from the Aries Systems Corporation.

Conclusion

Atraumatic extraction may minimise the post-operative pain and discomfort to patient as well as the post-extraction alveolar height and width changes. The use of PRF and/or bone substitute even though clinically contributes to better post-operative healing and minimal loss of alveolar width and height, the values were not statistically significant.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Swami Devi Dyal Hospital & Dental College, Barwala, Panchkula, India

    N. Girish Kumar, Rupanzal Chaudhary, Ish Kumar, Srimathy S. Arora, Nilesh Kumar & Hem Singh

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  1. N. Girish Kumar
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  2. Rupanzal Chaudhary
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  3. Ish Kumar
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Correspondence to Ish Kumar.

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The authors declare that they have no competing interests.

Please state whether Ethical Approval was given, by whom and the relevant Judgement’s reference number

Yes, ethical approval had been taken from Ethical Committee of Pt. B.D. Sharma University of Health Sciences.

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Girish Kumar, N., Chaudhary, R., Kumar, I. et al. To assess the efficacy of socket plug technique using platelet rich fibrin with or without the use of bone substitute in alveolar ridge preservation: a prospective randomised controlled study. Oral Maxillofac Surg 22, 135–142 (2018). https://doi.org/10.1007/s10006-018-0680-3

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  • DOI: https://doi.org/10.1007/s10006-018-0680-3

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