Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 6, 2019; 7(19): 3153-3159
Published online Oct 6, 2019. doi: 10.12998/wjcc.v7.i19.3153
Flapless immediate implant placement into fresh molar extraction socket using platelet-rich fibrin: A case report
Xiao-Lin Sun, Mahmoud Mudalal, Man-Lin Qi, Yue Sun, Liu-Yi Du, Zhan-Qi Wang, Yan-Min Zhou
Xiao-Lin Sun, Mahmoud Mudalal, Man-Lin Qi, Yue Sun, Liu-Yi Du, Zhan-Qi Wang, Yan-Min Zhou, Department of Dental Implantology, School and Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, China
Author contributions: Zhou YM and Sun XL contributed to study conception and design, reviewed the article, and contributed to manuscript supervision; Mudalal M, Du LY, and Qi ML reviewed the literature and contributed to manuscript drafting; Sun Y and Du LY analyzed and interpreted the imaging findings; Wang ZQ was responsible for the revision of the manuscript for important intellectual content; all authors issued final approval of the version to be submitted.
Supported by Interdisciplinary Project for Ph.D. students of Jilin University, No. 10183201846 X.S.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yan-Min Zhou, DDS, PhD, Chairman, Chief Doctor, Professor, Department of Dental Implantology, School and Hospital of Stomatology, Jilin University, 1500 Qinghua Rd, Chaoyang District, Changchun 130021, Jilin Province, China. zhouym62@126.com
Telephone: +86-431-88796025
Received: April 25, 2019
Peer-review started: May 8, 2019
First decision: August 1, 2019
Revised: August 16, 2019
Accepted: September 9, 2019
Article in press: September 9, 2019
Published online: October 6, 2019
Processing time: 158 Days and 5.5 Hours
Abstract
BACKGROUND

There are some challenges concerning immediate implant placement in the molar region. Platelet-rich fibrin (PRF), an autologous biomaterial, has been used widely for periodontal intra-bony defects, sinus augmentation, socket preservation, and gingival recession. However, the literature remains scarce for reports on immediate implants with PRF, particularly in the case of fresh molar extraction socket.

CASE SUMMARY

The patient was a 43-year-old woman with maxillary molar vertical crown-root fracture. She underwent flapless immediate implant placement into the fresh molar socket with PRF. At the follow-up visit 15 d post procedure, the vascularization of soft tissue was visible. There was no swelling or pain after the surgery. Six months postoperatively, the regeneration of bone and soft tissues was visible. Subsequently, the definitive restoration was placed. The patient was satisfied with the aesthetic outcomes.

CONCLUSION

The flapless immediate implant placement into the fresh molar socket with PRF is a feasible procedure. This case report demonstrates that PRF promotes bone and soft tissue regeneration apart from having an enhanced anti-inflammatory ability. Furthermore, the procedure involves a minimally invasive technique, thus reducing the surgical complexity.

Keywords: Immediate implant placement; Platelet-rich fibrin; Molar tooth; Bone augmentation; Soft tissue regeneration; Case report

Core tip: The advantages of flapless immediate molar implant placement with platelet-rich fibrin included: (A) Promotion of bone and soft tissue regeneration; (B) Enhancement of the anti-inflammatory ability; (C) Minimally invasive procedure; and (D) Low surgical complexity.