Maxillary sinus augmentation with platelet-rich plasma and fibrinogen cryoprecipitate: a tomographic pilot study

Implant Dent. 2005 Mar;14(1):63-9. doi: 10.1097/01.id.0000156387.35521.bf.

Abstract

The purpose of this study was to evaluate the clinical efficacy of platelet-rich plasma, autologous bone, and autologous fibrinogen as cryoprecipitate in maxillary sinus augmentation procedures. Six patients (age range, 29-58) undergoing sinus augmentation procedures were included in the study. Platelet-rich plasma and autologous fibrinogen in the form of cryoprecipitate were prepared from 300 ml of blood. Sinus augmentation was performed with intraoral bone grafts, platelet-rich plasma, and cryoprecipitate. The amount of regeneration was then evaluated quantitatively and qualitatively with Spiral TC (Dentascan) pre- and postoperatively 6 months after the intervention. Orthopantomography was performed preoperatively 3 and 6 months after the surgery. A mean platelet concentration of 320.5% was obtained from the baseline platelet blood count. The tomographic analysis indicated an average bone augmentation of 6.27 mm (range, 3.5-10 mm). Radiologically, a satisfactory morphological recovery of the maxillary jaw was obtained. No graft resorption was noticed. Orthopantomography indicated mineralization as early as 3 months postoperatively in the entire study population. This technique appeared to be safe and effective. Our preliminary results encourage the clinical use of platelet-rich plasma associated with cryoprecipitate.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Alveolar Ridge Augmentation / methods
  • Blood Platelets / metabolism*
  • Bone Regeneration*
  • Bone Transplantation / diagnostic imaging*
  • Bone Transplantation / methods
  • Factor VIII / therapeutic use*
  • Fibrinogen / therapeutic use*
  • Gels
  • Humans
  • Maxillary Sinus* / diagnostic imaging
  • Middle Aged
  • Pilot Projects
  • Plasma
  • Radiography, Panoramic
  • Tomography, Spiral Computed

Substances

  • Gels
  • cryoprecipitate coagulum
  • Factor VIII
  • Fibrinogen