Immediately placed dental implants in smokers with plasma rich in growth factor versus without plasma rich in growth factor: A comparison

Abstract

Introduction:The placement of implants into fresh extraction sockets was introduced in 1970. This approach has been reviewed extensively during the past decade. Immediate postextraction implant placement is a well-accepted protocol. The concept of placement of dental implants soon after the removal of a tooth in smokers, however, is still a matter of controversy.Purpose:(i) To access failure rate of dental implant in smokers (ii) To evaluate added advantage of plasma rich in growth factors (PRGFs) in immediate placement of dental implants in smokers.Materials and Methods:The sample of 30 patients was obtained from the different Outpatient Department of Faculty of Dental Sciences; King George's Medical University, Lucknow, who had visited for rehabilitation of missing teeth by implants between April 2013 and July 2015. They were randomly divided into two groups (without use of PRGF and with use of PRGF) of 15 each. Pre- and postoperative assessment included a thorough history and clinical examination, regression of pain and swelling, implant stability by resonance frequency analysis (RFA), and implant stability according to the bone type as well as radiographic interpretation for measurement of bone loss on the mesial and distal surfaces of the implant.Results:In this study, pain and swelling were significantly (P < 0.05) higher in Group A than in Group B across the time interval. RFA score for implant stability was lower in Group A across the period than Group B. At the end of 3 months, RFA score (mean) in Group A was having 72.55 ISQ value, and in Group B, it was 75.71 ISQ value. In this study, postoperative crestal bone loss was more in patients in Group A as compared to patients in Group B. There was significant difference in mesial (P = 0.003) and distal (P = 0.001) crestal bone loss at 6 months between the groups.Conclusion:The immediate placement of dental implants in smokers with use of PRGF is shown to be efficient in relation to postoperative pain and swelling, stability, stability according to bone type, as well as bone loss.

Implant Stability Parameters & Bone Density Values of Different Graft Materials with Immediately Placed Dental Implants

“…The mean ISQ value was 69 ± 9 for intraoral group and 71 ± 10 for iliac crest counterpart with no statistical difference between the two groups. On the other hand, Gangwar, et al (54) reported implant stability value of 75.71 ISQ for implants with PRGF. Results of ISQ were comparable as well to values reported by Canullo et al (55) that reported ISQ of 66.61 (SD: 4.76) at three months interval for implants placed simultaneously with sinus lifting using nanocrystalline hydroxyapatite sole bone filler.…”

Effect of Platelet Concentrates on Marginal Bone Loss of Immediate Implant Procedures: A Systematic Review and Meta-Analysis

“…After reading the full text of those 39 papers, 13 were discarded for not analyzing IIP, 6 for an absence or inadequate control group, 6 for being retrospective observational studies or case reports, 3 studies related to sinus lift, two for not assessing MBL and one for performing flapless procedures. Finally, 8 studies were included in our systematic review [ 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ] ( Figure 1 ). Only two of the three groups of Alam et al [ 38 ] study were considered in this review (PCs + bone graft group vs. only bone graft group).…”

“…The selected articles were published between 2015 and 2020 [ 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ]. One study was a CCT [ 32 ] and seven studies were RCTS [ 33 , 34 , 35 , 36 , 37 , 38 , 39 ]. Three of the selected studies had a split-mouth design [ 32 , 33 , 37 ].…”

“…The age ranged from 18 to 55 years, there being 32 males and 23 females. Systemically healthy patients were included in every study [ 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ]. Regarding the inclusion of smokers, six studies excluded smokers [ 32 , 33 , 35 , 37 , 38 , 39 ], one included smokers of less than 10 cigarettes per day [ 36 ] and one included smokers [ 34 ].…”

“…Systemically healthy patients were included in every study [ 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ]. Regarding the inclusion of smokers, six studies excluded smokers [ 32 , 33 , 35 , 37 , 38 , 39 ], one included smokers of less than 10 cigarettes per day [ 36 ] and one included smokers [ 34 ]. Concerning the periodontal status, Al Nashar et al [ 32 ] included patients with chronic periodontitis in the mandibular anterior region, Khan et al [ 35 ] excluded patients with severe periodontal bone loss, and six studies [ 33 , 34 , 36 , 37 , 38 , 39 ] included patients with good oral hygiene.…”