Clinical and Radiographic Evaluation of the Labial Bone Plate after Using Plasma Rich Fibrin in Immediate Implant in Esthetic zone

Document Type : Original Article


1 Department Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Modern University for Technology and Information,

2 Department Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Nahda University, Egypt


Background: When a dental implant is placed into a fresh extraction socket, a space between the implant periphery and
surrounding bone occurs. This gap should be filled specially in the labial side to support inheritably thin labial plate of bone in
esthetic zone. Sohn’s Poncho technique is a method to utilize the healing capacity of platelet-rich fibrin/concentrated growth
factor (PRF/CGF) autologous membranes in an open wound.
Aim of the Study: Clinical and radiographic evaluation of the amount and contour of labial bone plate (LBP) after using
plasma rich fibrin by using Sohn’s Poncho technique in immediate implant in esthetic zone.
Materials and Methods: Sixteen implants were included in maxillary anterior region in this study (n = 16). They were
divided into two groups; group I: Includes eight immediate implants using of plasma rich fibrin (PRF). Group II: Includes eight
immediate implant placements without PRF. All implants were evaluated immediately and along six months postoperatively.
Evaluation was performed clinically via pink esthetic score (PES) and radiographically by (CBCT) to assess (LBP) thickness
and height.
Results: There was no statistically significant difference was recorded (P > 0.05) between both groups in all the measured
parameters. However, group I was recorded higher scores than group II in all measurements.
Conclusion: (PRF/CGF) may have some benefits in preservation of alveolar bone integrity and improving the esthetic outcome
in immediate implant.