J Korean Assoc Oral Maxillofac Surg.  2017 Jun;43(3):160-165. 10.5125/jkaoms.2017.43.3.160.

Platelet rich fibrin in the management of established dry socket

• Chakravarthi S

• KMID: 2386360
• DOI: http://doi.org/10.5125/jkaoms.2017.43.3.160

Abstract

OBJECTIVES
Dry socket may occur secondary to the removal of any tooth. However, most dry socket cases develop in the third molar region. Dry socket is multifactorial in nature and has been treated using various modalities with varying success rates. This study assessed the efficacy of platelet rich fibrin (PRF) in established dry socket.
MATERIALS AND METHODS
Ten patients of either sex aged from 41 to 64 years with established dry socket according to established criteria were treated using PRF. Evaluation was performed by observing the reduction of pain using visual analogue scale, analgesic tablet use over the follow-up period, and healing parameters.
RESULTS
Pain was reduced on the first day in all patients with decreased analgesic use. Pain was drastically reduced during follow-up on the first, second, third, and seventh days with a fall in pain score of 0 to 1 after the first day alone. The pain scores of all patients decreased to 1 by the first day except in one patient, and the scores decreased to 0 in all patients after 48 hours. Total analgesic intake ranged from 2 to 6 tablets (aceclofenac 100 mg per tablet) over the follow-up period of 7 days. Healing was satisfactory in all patients by the end of the seventh day.
CONCLUSION
PRF showed early pain reduction in established dry socket with minimal analgesic intake. No patients had allergic reactions to PRF as it is derived from the patient's own blood. PRF showed good wound healing. Our study suggests that PRF should be considered as a treatment modality for established dry socket.

Keyword

Osteogenesis; Tooth extraction; Tooth impaction; Wound Healing; Pain reduction

MeSH Terms

Blood Platelets*
Dry Socket*
Fibrin*
Follow-Up Studies
Humans
Hypersensitivity
Molar, Third
Osteogenesis
Tablets
Tooth
Tooth Extraction
Wound Healing
Fibrin
Tablets

Figure

• 

  Fig. 1 A. Photograph Showing Prepared Platelet Rich Fibrin (Prf). B. Intraoral Photograph Showing Dry Socket In Right Mandibular First Molar Region. C. Intraoperative Photograph Showing Placement Of Prf Into Dry Socket. D. Intraoperative Photograph Showing Closure Of Socket With A 3-0 Mersilk Suture. E. Intraoral Photograph Showing Healed Socket After 1 Week.

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