Aesthetic tissue augmentation with an association of synthetic biomaterial and L-PRF

Authors

DOI:

https://doi.org/10.33448/rsd-v9i7.4502

Keywords:

Platelet-rich fibrin, Dental implants, Bone transplantation.

Abstract

Rehabilitation with osseointegrated implants is a therapeutic option consolidated in the literature and has a high rate of success and predictability. However, the loss of dental elements leads to tissue collapse that often make the installation of dental implants unfeasible, causing atrophic defects in the jaws of varying magnitudes. The objective of this case report was to demonstrate the association of a synthetic biomaterial with Fibrin Rich in Platelets (LPRF) with the purpose of gingival tissue augmentation in aesthetic area. The patient underwent preoperative, clinical and radiographic examinations (Cone Beam computed tomography) of the maxilla region with the making of a prototype and one year and four months of follow-up. A homogeneous onlay graft was performed with a cortico-medullary block in the region of the bone defect. After seven months of bone remodeling, the patient underwent a new computed tomography and dental implants were inserted, concomitant with grafting of particulate biomaterial of inorganic mineral hydroxyapatite, which received an association of L-PRF in liquid phase and was later covered with the L-PRF membrane. After six months, a new computed tomography scan was performed to evaluate the previous procedure and followed with the reopening and placement of provisionals with the conditioning of the gingival tissue. After 3 months, personalized molding was performed and the fixed metal-ceramic prosthesis was made in the region of elements 12 to 22. We can conclude with the clinical case that grafting synthetic biomaterial associated with L-PRF proved to be an effective technique in increasing tissue volume.

Author Biographies

  • Carlos Kiyoshi Moreira Massuda, Universidade Santo Amaro
    Mestrando em Implantodontia na Universidade Santo Amaro
  • Ricardo Violante de Souza, Universidade Salgado de Oliveira
    Coordenador do Curso de Especialização em Implantodontia
  • Caio Vinicius Gonçalves Roman-Torres, Universidade Santo Amaro

    Doutor e Mestre em Periodontia

    Prof. da Pós-Graduação em Implantodontia da UNISA

  • Heloisa Fonseca Marao, Universidade Santo Amaro
    Profa. da Pós-Graduação em Implantodontia da UNISA
  • Wilson Roberto Sendyk, Universidade Santo Amaro
    Coordenador da Pós-Graduação em Implantodontia da UNISA
  • Angelica Castro Pimentel, Universidade Santo Amaro

    Doutora, Mestre e Especialista em Implantodontia

    Profa. da Pós Graduação (Doutorado e Mestrado) de Implantodontia da UNISA

    Profa. da Graduação em Cirurgia BucoMaxiloFacial da UNISA

    Coordenadora dos cursos de Especialização em Implantodontia e Ortodontia da APIO

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Published

2020-05-30

Issue

Vol. 9 No. 7

Section

Health Sciences

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How to Cite

Aesthetic tissue augmentation with an association of synthetic biomaterial and L-PRF. Research, Society and Development, [S. l.], v. 9, n. 7, p. e578974502, 2020. DOI: 10.33448/rsd-v9i7.4502. Disponível em: https://rsdjournal.org/rsd/article/view/4502. Acesso em: 30 jul. 2025.