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Socket Preservation using A-PRF+ in a maxillary premolar

 

Socket Preservation using Advanced Platelet Rich Fibrin, A-PRF+, in a cracked premolar on the upper left. Three tubes of blood were drawn from her arm and spun in the centrifuge to fabricate A-PRF+ plugs for the surgery. Sutured in with 4.0PTFE apical mattress and interrupted sutures.

Below is a picture of the premolar showing a fistula, or pimple, about to extrude on the alveolar tissue under the first premolar. This was due to a crack in the tooth from previous endodontic therapy weakienng the tooth, even though there was a crown placed to support the tooth.

 Below are three tubes of Fibrin after spinning in the centrifuge for 8 minutes at 200 g force

Below is a picture of the three fibrin tubes after removing the Red Blood cells tail, laying on the PRF tray before they are placed in the well and a piston compresses them for insertion into the extraction socketBelow is an occlusal mirror shot of the surgical site at initial presentation of this emergency patientBelow is an occlusal mirror shot of the extraction socket after the tooth is removed atraumatically. Below is an occlusal mirror shot of the socket preservation using 4.0 PTFE apical mattress and interrupted sutures to close the surgical siteBelow is an occlusal mirror shot of the socket preservation 24 hours later and healing painlessly and uneventfullyBelow is an occlusal mirror shot of the socket preservation seven days later and the tissue has filled in and covered the site to mature in order to place an implant in 6-8 weeks. Notice the complete disappearance of the fistula.