Restoration of peri-implant defects in immediate implant installations by Choukroun platelet-rich fibrin and silk fibroin powder combination graft

Eun Sik Jang, Jun Woo Park, Haeyong Kweon, Kwang Gill Lee, Seok Woo Kang, Dong Heon Baek, Je Yong Choi, Seong Gon Kim

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66 Scopus citations

Abstract

Objective: The objective of this study was to determine the capability of silk fibroin powder as a biomaterial template for the restoration of peri-implant defects when mixed with Choukroun platelet-rich fibrin (PRF) in vivo. Study design: Ten New Zealand white rabbits were used for this study. Using a trephine bur (diameter 7.0 mm), 2 monocortical defects were prepared. Subsequently, 2 dental implants were installed into the tibia (diameter 3.0 mm, length 10.0 mm). In the experimental group, the peri-implant defect was filled with a combination graft of silk fibroin powder and Choukroun PRF. The control was left in an unfilled state. The animals were killed at 8 weeks. Subsequently, a removal torque test and a histomorphometric analysis were done. Results: The removal torque for the experimental group was 30.34 ± 5.06 N·cm, whereas it was 21.86 ± 3.39 N·cm for the control. The difference between the 2 groups was statistically significant (P =.010). Mean new bone formation was 51.93 ± 27.90% in the experimental group and 11.67 ± 15.12% in the control (P =.003). Mean bone-to-implant contact was 43.07 ± 21.96% in the experimental group and 15.37 ± 23.84% in the control (P =.002). Conclusion: A peri-implant defect can be successfully repaired by the application of Choukroun PRF and silk fibroin powder.

Original languageEnglish
Pages (from-to)831-836
Number of pages6
JournalOral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Volume109
Issue number6
DOIs
StatePublished - 2010

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