Platelet-rich Fibrin, a Physiological Concentrate in the Management of Buccal Dehiscence of Implant – A Case Report


  • Pravara Rural Medical and Dental College, Department of Periodontics, Maharashtra, India
  • Government Dental College and Hospital, Nagpur, Department of Periodontics, Maharashtra, India


Introduction: Successful implant dentistry is based on proper selection of patients, careful surgery, preplanned restorations, and postoperative and supportive care. Although implant therapy is highly successful and predictable, it is not without early and/or late complica- tions. Placement of dental implants in narrow or atrophic edentulous ridges often leads to complications, such as dehiscence and fenestration.

Case Report: This case report presents the successful management of buccal dehiscence of single-staged implant for replacement of left central incisor with the platelet-rich fibrin (PRF) and autogenous bone graft material. The initial mobility was completely resolved after 12 weeks and final restoration was given to patient.

Discussion: The treatment for dehiscence requires the use of various regenerative procedures but PRF belongs to a new generation of platelet concentrates geared to simplify preparation without biochemical blood handling. Adjunctive implantation of PRF does appear to significantly improve the healing response, which has resulted in rapid, clinically relevant bone closure of dental implant dehiscence defect in the present case.


Dental Implant, Dehiscence, Platelet-rich Fibrin

Subject Discipline


Full Text:


Luca L, Sabatucci D. Plastic surgery at the time of membrane removal around mandibular endosseous implants: a modified technique for implant uncovering. Int J Periodont Restor Dent. 2001;21:281–287.

Dohan DM, Choukroun J, Diss A, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part I: Technological concepts and evolution. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:37–44.

Choukroun J, Girard M, Schoeffler C, Steve L. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: Clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:56–60.

Kivanc A, Burack D, Attila D. Platelet rich plasma and bone healing: a histologic study in titanium bone chambers. Int J Periodont Restor Dent. 2007;27:387–392.

Zitzmann N, Marinello C, Schüpbach P, Berglundh T. Alveolar ridge augmentation with Bio-Oss: a histologic study in humans. Int J Periodont Restor Dent. 2001;21:289–295.

Choukroun J, Adda F, Schoeffler C, Vervelle A. Une opportunité en paro-implantologie: le PRF. Implantodontie. 2000;42:55–62.

Choukroun J, Antoine Girard M, Schoeffler C. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part V: Histologic evaluations of PRF effects on bone allograft maturation in sinus lift. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:299–303.

Sadig W, Almas K. Risk factors and management of dehiscent wounds in implant. Implant Dent. 2004;13:140–147.

Cho KS, Choi SH, Han KH, Chai JK, Wikesjö UM, Kim CK. Alveolar bone formation at dental implant dehiscence defects following guided bone regeneration and xenogeneic freeze-dried demineralized bone matrix. Clin Oral Implant Res. 1998;9:419–428.

Mizuno D, Kagami H, Mizuno H, Mase J, Usami K, Ueda M. Bone regeneration of dental implant dehiscence defects using a cultured periosteum membrane. Clin Oral Implant Res. 2008;19:289–294.

Saluja H, Dehane V, Mahindra U. Platelet-rich fibrin: a second generation platelet concentrate and a new friend of oral and maxillofacial surgeons. Ann Maxillofac Surg. 2011;1:53–57.


  • There are currently no refbacks.