Platelet rich fibrin integration in impacted third molar extraction sockets for bony regeneration: A case report


Article PDF :

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Article type :

Case Report

Author :

Richa Bahadur, Ritik Kashwani*, Hemant Sawhney, Sumana Kumar, Geetanjali Gupta

Volume :

6

Issue :

1

Abstract :

Impacted third molars often lead to complications necessitating extraction. Platelet rich fibrin (PRF), a matrix rich in platelet cytokines and growth factors, shows promise in expediting bone healing post-extraction. This article investigates PRF's efficacy in a 23-year-old female patient with pericoronitis, exploring its role in bone regeneration. The patient underwent a meticulous extraction procedure, incorporating PRF into the socket. Radiographic evaluation at three and six months exhibited progressive bony healing, endorsing PRF's efficacy in fostering bone regeneration post-extraction. PRF preparation, blood withdrawal, centrifugation, and PRF placement in the extraction socket were carefully executed. Postoperative care and monitoring were conducted, revealing substantial bone healing at follow-up visits serves as a promising adjunct in impacted molar extractions, stimulating osseous regeneration and expediting bone healing. The case study and literature review underscore PRF's potential in dental surgeries for improved patient outcomes and accelerated healing. Further long-term trials are imperative for comprehensive understanding. The last erupted tooth (3 molar) is considered 33–58.7% being impacted. Partially or completely impacted third molar are often associated with various complications such as pericoronitis, regional pain, trismus, odontogenic abscess, distal caries, cysts, tumors etc. This report describes incorporation of platelet rich fibrin (PRF) into the impacted mandibular third molar extraction socket to evaluate bony regeneration. It is reported that PRF improves and fastens bone healing in the extracted socket within 6 months after surgery.

Keyword :

Extraction socket, Impaction, Platelet rich fibrin, Bony healing, 3rd Molar