ASSESSMENT OF SINUS TENTING OF SIMULTANEOUS DENTAL IMPLANTS WITH AND WITHOUT SOLID PLATELET RICH PLASMA FOR MAXILLARY SINUS LIFT WITHOUT GRAFTING | ||||
| Dental Science Updates | ||||
| Article 19, Volume 6, Issue 1, March 2025, Page 169-185 PDF (1 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/dsu.2025.327106.1266 | ||||
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| Authors | ||||
Ahmed Mohammed Shraki1; Ahmed Abdelmohsen Younis Ahmed Ali   2
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| 1Periodontology, Faculty of Dentistry, Zagazig University, Zagazig, Egypt | ||||
| 2oral and Maxillofacial Surgery, Faculty of Dentistry, Suez Canal University, Ismailia, Egypt | ||||
| Abstract | ||||
| Introduction: Platelet-rich plasma (PRP) is an autologous product with a native content of fibrinogen and a high concentration of platelets (5–10 times higher than whole blood) Platelets contain growth factors that can trigger cell reproduction and stimulate tissue regeneration or healing. So, we used PRP around implants to accelerate healing and enhance bone formation quality. Aim: This clinical study aimed to assess sinus tenting of simultaneous dental implants with and without PRP for maxillary sinus lift without bone grafting. Methods: This clinical, trial was carried out on ten patients required bilateral sinus lifts in upper posterior region. Implants inserted simultaneously with the sinus lift procedure without grafting. Bilateral sinus tenting was performed for each patient, then the patients were grouped as: Group I (patients’ one side as a study group): obtained a solid PRP was administered above and around the implant. Group < br />B (patients’ other side as a control group): left without loading solid PRP. The secondstage surgery had been conducted to expose the implant fixture & for prosthetic phase completion after 6 months. Assessments were done clinically by Visual analog scale for pain, measurement of edema, implant stability assessment by Osstel (ISQ), surgery time factor and postoperative complication; and radiographically to assess the bone density, vertical bone gain after six months and crestal bone changes. Results: No significant difference existed between two groups in pain, edema scores, implant stability, bone density and vertical bone gain at T0, no significance differences between two groups were found in bone density, vertical and crestal bone changes at T6. Significance differences between both groups existed with better results in study groups in pain and edema at T1 and T2 and higher values of implant stability in study group at T6. Surgical time was longer in study group. Tenderness and nasal obstruction were lesser in study group and no nasal bleeding in both groups. Conclusions: Application of solid PRP in sinus tenting procedure of simultaneous dental implants for maxillary sinus lift without bone grafting can improve pain, edema scores and implant stability. | ||||
| Keywords | ||||
| Platelet-Rich Plasma; Sinus Tenting; Dental Implant | ||||
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