CosmognathicGeneral MedicineOral & Maxillofacial Surgery

What is PRP and PRF in Dentistry

PRF PRP Surgery

Regenerative medicine is transforming healthcare, and dentistry is no exception. Platelet-Rich Plasma (PRP) and Platelet-Rich Fibrin (PRF) are two exciting advancements gaining ground for their ability to accelerate healing and tissue regeneration. These innovative therapies utilize the body’s natural healing potential, offering significant advantages in dental surgeries. By understanding the applications, benefits, and key differences between PRP and PRF, both dentists and patients can make informed choices for optimal dental care.

Dr. Chirag Chamria, Oral & Maxillofacial Surgeon at Royal Dental Clinics discussing PRP & PRF. So, heres Dr. Chirag Chamria explaining the science behind PRP & PRF and its myriad uses in dentistry.

What is PRP (platelet-rich plasma)?

PRP, or Platelet-Rich Plasma, is a treatment that utilizes your own blood to promote healing and rejuvenation. PRP is a concentration of platelets and growth factors obtained from the patient’s blood. The process of creating PRP involves drawing a small amount of the patient’s blood and then centrifuging it to separate the plasma from red and white blood cells. The plasma layer, which is rich in platelets, is collected and used as PRP. This platelet-rich plasma contains essential growth factors that can accelerate healing and tissue regeneration.

Platelets are small cell fragments in the blood that are primarily known for their role in blood clotting. However, they also contain growth factors and cytokines that are vital for tissue repair and regeneration. When PRP is applied to a surgical site, these growth factors are released, stimulating the body’s natural healing processes. This results in faster tissue regeneration, reduced inflammation, and improved healing outcomes.

1. Bone Grafting

PRP is commonly used in bone grafting procedures to enhance bone regeneration. It is applied to the graft site to promote the integration of the graft with the existing bone, improving the success rate of the procedure.

2. Dental Implants

During dental implant placement, PRP can be used to promote osseointegration, which is the process by which the implant fuses with the jawbone. This leads to improved stability and faster healing of the implant site.

3. Periodontal Surgery

PRP is beneficial in periodontal surgeries aimed at treating gum disease. It helps regenerate soft tissue and bone that have been lost due to periodontal disease, promoting healthier gums and teeth.

4. Tooth Extractions

Applying PRP to extraction sites can reduce postoperative pain and swelling, as well as accelerate the healing process. This is particularly useful in cases where the extraction site needs to heal quickly for subsequent dental procedures.

5. Sinus Lifts

In sinus lift procedures, PRP can be used to enhance bone regeneration in the upper jaw, making it easier to place dental implants in patients with insufficient bone height.

  • Accelerated Healing: PRP significantly enhances the body’s natural healing processes, leading to faster recovery times.
  • Reduced Inflammation: The growth factors in PRP help to minimize inflammation and pain after dental procedures.
  • Improved Tissue Regeneration: PRP promotes the regeneration of both hard and soft tissues, which is crucial for successful dental surgeries.
  • Autologous Treatment: Since PRP is derived from the patient’s own blood, there is minimal risk of allergic reactions or infections.
  • Minimally Invasive: The process of obtaining and applying PRP is simple and minimally invasive, making it easy to integrate into various dental procedures.

How is PRP made?

It consists of a gel thats formed by mixing PRP, derived from centrifugation of autologous whole blood with thrombin and calcium chloride. Adding thrombin and calcium chloride activates alpha granules which release growth factors. Growth factors such as PDGF TGF beta VEGF, EGF. 

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platelet rich plasma for dental procedures

What is PRF (Platelet-rich fibrin)?

PRF is derived from the patient’s blood, similar to Platelet-Rich Plasma (PRP), but the preparation process differs slightly. Blood is drawn from the patient and then centrifuged at a slower speed without the use of anticoagulants. This results in a fibrin matrix that traps platelets and white blood cells, creating a gel-like substance rich in growth factors and cytokines. This fibrin matrix provides a scaffold for tissue regeneration and promotes a prolonged release of growth factors, which is beneficial for sustained healing.

The fibrin matrix formed during the PRF preparation process acts as a natural scaffold that supports cell migration and tissue regeneration. When applied to a surgical site, PRF gradually releases growth factors over an extended period, enhancing the body’s natural healing processes. This slow release of growth factors leads to improved tissue regeneration, reduced inflammation, and faster recovery.

1. Bone Grafting

PRF is extensively used in bone grafting procedures to enhance bone formation and integration. It promotes the healing of bone grafts, making it an ideal adjunct in procedures like ridge augmentation and socket preservation.

2. Dental Implants

During dental implant surgery, PRF can be applied to the implant site to improve osseointegration, the process by which the implant fuses with the jawbone. This leads to better stability and quicker healing of the implant site.

3. Periodontal Surgery

PRF is highly beneficial in periodontal surgeries aimed at treating gum disease and regenerating lost tissues. It helps in the regeneration of soft tissues and bone, enhancing the overall health of the gums and supporting structures of the teeth.

4. Tooth Extractions

Applying PRF to extraction sites can significantly reduce postoperative pain and swelling. It also accelerates the healing process, which is especially useful when rapid recovery is needed for future dental treatments.

5. Sinus Lifts

In sinus lift procedures, PRF is used to promote bone regeneration in the upper jaw, facilitating the placement of dental implants in patients with insufficient bone height.

6. Soft Tissue Grafting

PRF enhances the healing of soft tissue grafts, reducing postoperative discomfort and promoting faster recovery. It is particularly effective in procedures aimed at covering exposed roots or enhancing gum thickness.

How is PRF made?

For preparation of PRF, only centrifuged blood without any addition of anticoagulant and bovine thrombin is required. In addition, a blood sample is taken without anticoagulant in 10-mL tubes in a glass or glass-coated plastic tube and immediately centrifuged at 3000 rpm for 10 minutes. The resultant product consists of the following three layers. The top-most layer consists of an acellular plasma, a PRF clot in the middle, and a red corpuscle base at the bottom. Compression between two sterile gauzes or in a specific PRF tool enables the clot to be transformed into a membrane.

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What are the uses of PRF in dental surgery?

PRF is used in cases of periodontal regeneration, sinus lift, gingival recession, and perio-endo lesions. The advantages of this same are:

  1. Firstly, simplified preparation and efficient technique
  2. Secondly, accelerates the healing rate of the grafted bone
  3. It is available through an autologous blood sample
  4. Minimal blood manipulation
  5. It can be used solely or in combination with other grafts
  6. The natural fibrin framework with growth factors impart prolonged stimulation regeneration
  7. Above all, when used along with bony grafts, it is a quick as well as economical alternative when compared with recombinant growth factors

Difference Between PRP and PRF

FeaturePRPPRF
Processing SpeedFaster centrifugationSlower centrifugation
Cell ConcentrationHigh concentration of plateletsPlatelets, white blood cells, stem cells, and fibrin
Scaffolding MaterialNo fibrinFibrin matrix for sustained release
Potential BenefitsQuicker initial healing, promotes new bone growthQuicker initial healing promotes new bone growth

Conclusion

We at Royal Dental Clinics are equipped with a Remi centrifugal machine which helps us to procure platelet-rich plasma and PRF immediately and carry out full mouth rehabilitation cases in a single day thereby facilitating healing of immediate implant cases.

In conclusion, both treatment options PRF and PRP have evolved in the long run. Each of them have a remarkable value in the speedy recovery and enhanced healing after surgical dental procedures. These effects are also gained while their use in cosmetic surgeries. PRP and PRF represent significant advancements in dental surgery, offering enhanced healing and tissue regeneration. These treatments, by utilizing the body’s natural healing mechanisms, provide safe, effective, and minimally invasive options for a variety of dental procedures. As research and technology continue to advance, PRP and PRF are poised to play increasingly important roles in improving patient outcomes in dental surgery.

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1 Comment

  1. Royal Dental Clinics are equipped with Remi centrifugal machine which helps us to procure platelet rich plasma and PRF immediately and carry out full mouth rehabilitation cases. Best clinic in Mumbai.

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