Document Type : Original Article
Authors
1
Oral and maxillofacial surgery,Faculty of Dentistry Suez canal University, Ismailia,Egypt
2
Oral and maxillofacial Surgery Department, faculty of Dentistry, Suez Canal University, Ismailia, Egypt.
3
Oral and Maxillofacial Radiology Faculty of Dentistry Suez Canal University, Ismailia, Egypt
4
Oral and Maxillofacial Surgery, Faculty of Dentistry, Suez Canal University, Ismailia, Egypt
Abstract
Introduction: Third molar surgical extraction can lead to several complications like
pain and edema. Platelet-rich fibrin (PRF) promotes healing, tissue regeneration, and
bone growth, offering a cost-effective, biocompatible solution for improved recovery in
dental surgeries. Aim: To assess the effect of platelet-rich fibrin on postoperative clinical
outcomes and radiographic findings after surgical extraction of impacted Mandibular
third molar. Materials and Methods: The present study involved 20 individuals with
bilaterally impacted mandibular third molar, aged from 20 to 40 years. The patients were
divided into two groups utilizing the split-mouth technique: Group I (Control Group):
Included 20 impacted mandibular third molar which were removed, and the extraction
sockets were left empty, then the socket was sutured. Group II (Study Group): Included
20 impacted mandibular third molars that were extracted, and the dental sockets were
filled with PRF followed by suturing of the sockets. Results: Clinical findings showed
significantly lower edema and pain levels in the study group compared to the control
group, with no significant difference in maximal mouth opening. Radiographically,
bone density increased in both groups over time. Although no significant
difference was found at one month between both groups, the study group showed
significantly higher bone socket density levels than the control group at four months.
Conclusion: Application of PRF following the surgical removal of impacted third
molars reduces clinical post-surgical complications as discomfort and edema, in
addition, it improves healing and increases bone density of the dental socket.
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