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Natl J Maxillofac Surg. 2018 Jul-Dec;9(2):209-214. doi: 10.4103/njms.NJMS_1_18.

Comparison of stability with two-time use of platelet-rich growth factor versus one-time use of platelet-rich growth factor in immediate placement of dental implant in infected socket.

Author information

1
Department of Oral and Maxillofacial Surgery, Crowns and Bridges, King George's Medical University, Lucknow, Uttar Pradesh, India.
2
Department of Prosthodontics, Crowns and Bridges, King George's Medical University, Lucknow, Uttar Pradesh, India.

Abstract

Purpose:

The aim is to evaluate the outcome and compare the stability with two-time use of platelet-rich growth factor (PRGF) versus one-time use of PRGF in immediate placement of dental implant in infected socket.

Materials and Methods:

This study comprised placement of immediate implant in infected sockets in 100 patients with two-time use of PRGF (Group B) versus one-time use of PRGF (Group A). Proper administration of antibiotics, careful debridement of the socket, and meticulous suturing were done in every case. In Group A, it was placed at the time of immediate implant placement. In Group B, it was placed twice: at the time of placement of implant and 1 month after placement of implant. Clinical assessment of pain and swelling was done. Stability was assessed by radiofrequency analyzer immediately after placement and at follow-up of 2 months and 3 months.

Results:

The stability of implants with two-time placement of PRGF was more than that with one-time placement of dental implant. All except 14 implants osseointegrated in this study. There was significant decrease of pain and swelling in both the groups from day 1 to week 1 and was nil by 12 weeks.

Conclusion:

It can be concluded that placement of immediate implant in infected socket with two-time use of PRGF is an effective and better alternative for rehabilitation. However, more studies with longer follow-up and large number of patients are needed to confirm the results of this study.

KEYWORDS:

Immediate implant; infected socket; platelet-rich growth factor

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