title: Immediate postextraction implant placement using plasma rich in growth factors technology in maxillary premolar region: a new strategy for soft tissue management.
abstract: Achieving an excellent aesthetic outcome in postextraction dental implant placement in the anterior maxilla is a challenging procedure for clinicians. In fact, there is an increased risk for soft tissue recession at the facial aspect which may require supplementary connective tissue grafts to accomplish the final aesthetic result. The aim of this case report is to describe a regenerative technique using autologous plasma rich in growth factors fibrin plug for preservation of soft tissue architecture around an implant immediately placed into an extraction site in the anterior maxilla. Such a procedure allowed for guided bone regeneration without the need for vertical releasing incisions and primary healing, thus showing a pleasant gingival contour at the facial aspect after a single stage surgery. Integrating this technique into common practice could provide important benefits for the patients regarding aesthetics, without any risk of infection or transmission of diseases.
authors.affiliation: Department of Biomedical, Surgical and Dental Sciences, Dental Clinic, Galeazzi Orthopaedic Institute, Università degli Studi di Milano, Milan, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Rosano
authors.forename: Silvio
authors.initials: S
authors.lastname: Taschieri
authors.forename: Massimo
authors.initials: M
authors.lastname: Del Fabbro
mesh_terms: D000328:Adult; D001641:Bicuspid; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019250:Dental Implants, Single-Tooth; D005260:Female; D006133:Growth Substances / Q000627:therapeutic use*; D006801:Humans; D008437:Maxilla / Q000601:surgery; D010949:Plasma / Q000737:chemistry*; D062326:Re-Epithelialization; D013997:Time Factors; D014081:Tooth Extraction; D020390:Tooth Socket / Q000601:surgery*
chemical_list: D006133:Growth Substances