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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2023, vol. 29, issue2
Subject Area: Dental Medicine
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DOI: 10.5272/jimab.2023292.4882
Published online: 21 April 2023
Case report
J of IMAB. 2023 Apr-Jun;29(2):4882-4887
APPLICATION OF A-PRF IN AN AREA WITH NON-INTEGRATED XENOGRAFT
Antoaneta Mlachkova1
, Zdravka Pashova-Tasseva1, Hristina Maynalovska1, Krassimira Gogova2, Ivan Ivanov1, 2
,
1) Department of Periodontology, Faculty of Dental medicine, Medical University of Sofia, Bulgaria.
2) Private practice, Sofia, Bulgaria.
ABSTRACT:
Background: Xenografts are well-studied materials that are often used in regenerative dentistry. Nowadays the number of surgeries involving bovine‑derived xenografts in implant dentistry has increased significantly. However, the long-term success of these materials is still not well studied. A-PRF has been used as an autogenous product that can increase the predictability of the clinical procedure by introducing many platelets growth factors.
Purpose: to describe a difficult for diagnostic and treatment clinical case and to propose a clinical protocol for resolving similar complications that can occur after guided bone regeneration.
Materials and methods: 41 years old woman complains of pain, edema and inability to chew on the upper right quadrant after a history of placed dental implants and GBR procedure. A full thickness flap was reflected starting from tooth #11 to #16. A thorough decontamination of the affected area has been done with Piezoelectric instruments and A-PRF has been introduced to improve healing process. The flap was repositioned to its original position and sutured with single interrupted resorbable 6/0 sutures. Two weeks after the procedure of surgical removal of the xenograft the patient is relieved from all preoperative symptoms and complaints.
Results: The normal architecture of the residual bone and alveolar mucosa is restored. A new CBCT is taken to evaluate the new clinical situation.
Conclusion: The case demonstrates that the use of bone substitutes and especially xenografts should be done with caution because they are not resorbable and a potential infection around the graft particles may have long-term biological complications.
Keywords: xenograft, implant, bone regeneration, complication, A-PRF,
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Please cite this article as: Antoaneta Mlachkova A, Pashova-Tasseva Z, Maynalovska H, Gogova K, Ivanov I. Application of A-PRF in an area with non-integrated xenograft. J of IMAB. 2023 Apr-Jun;29(2):4882-4887. DOI: 10.5272/jimab.2023292.4882
Correspondence to: Ivan Ivanov, Department of Periodontology, Faculty of dental medicine, Medical University – Sofia; 1, Georgi Sofiiski Str., Sofia, Bulgaria; E-mail: ivan.ivanov.dmd@gmail.com
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Received: 23 October 2022
Published online: 21 April 2023