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26 Dental Tribune Middle East & Africa Edition | March-April 2015referral clinic Always a perfect healing with P.R.F. (platelet - rich fibrin) You performed the removal nicely but you are now prepar- ing the second step, which is not fully in your hands: the healing. As you are a good dentist, your patient expect nothing less than perfection. As a practitioner, however you are facing: X-Ray Tube Sutures PRF set inside PRF already set Versailles Dental Clinic Al Razi Building 64, Block A , First Floor , 1006 Dubai Healthcare City Dubai, UAE www.versaillesdentalclinic.com +971 4 4298288 Contact Information By Dr. Dominique Caron A fter any weird wisdom tooth extraction here is a first quick introduction to a smart technique. You are happy, your bony com- plicated 38, looking like a plug for hollow brick, is out. - Gums: Out and set apart - Bone: Naked, scratched and wounded - Empty socket welcoming food collection - Dental nerve often naked at the bottom of the socket. Of course, you hope for a quick healing with no infection, no swelling nor pain. There is a very efficient way of helping nature, to give the times and the means to recover. You can bring massively in the socket the natural angiogenic, cicatricial rebuilding materials that the body naturally brings too slowly. You need fibrin, platelets, leu- kocytes, cytokines and growth factors. All of these components are available in patient’s blood, all you have to do is to extract it and concentrate it in the socket. The process Just before starting the surgery, a nurse draws blood from the patient into plain tubes, about 10 ml. The clotting cascade starts im- mediately so try to be quick with the blood collection and im- mediate centrifugation: around 2800 rpm 10 mm. While the nurse is taking care of the blood, you extract the wis- dom tooth in a smart way, as I am sure you know. You begin to set the stitches as usual but before doing the knots, fill the socket with PRF. What does it change? - Hemostasis: You get a quick clot filling the socket (that al- lows much less food collection) - The dental nerve is immedi- ately protected References 1. Zabalegui B, Garro J. Causes of endodontic treatment failure. RCOE 1996. 2. Pineda F, Kuttler Y. mesiodis- tal and buccolingual roentge- nographic investigation of 7,275 root canals. Oral Surg Oral Med Oral Pathol 1972; 33 (1): 101-10. 3. Weine FS, Healey HJ, Gerstein H, Evanson L. Canal configura- tion in the mesiobuccal root of the maxillary first molar and its endodontic significance. Oral Surg Oral Med Oral Pathol 1969; 28 (3): 419-25. 4. Vertucci FJ Root canal anat- omy of the human permanent teeth. Oral Surg Oral Med Oral Pathol 1984; 58: 589-99. 5. Brown P, E Herbranson 3D Interactive Anatomy & Den- tal Tooth Atlas: Version 3.0. Ed Quintessence. 6. Martínez-Berná A, Ruiz- Badanelli P. Maxillary first molar With six canals. Endod J 1983; 9 (9): 375-81. 7. Buhrley LJ, MJ Barrows, Bégole EA, Wenckus CS. Effect of magnification on locating the MB2 canal in maxillary molars. J Endod 2002; 28 (4): 324-327. < Page 24 Dr. Carlos Vidal Tudela Licenced in Dentistry, General Medical Centre (GMC) - Dubai GMC Jumeirah - Dental Box 11962 / Dubai, U.A.E. T 04 344 9150 www.groupgmc.com Contact Information 8. Wolcott J, Ishley D, W Ken- nedy, Johnson S, S Minnich. Clinical investigation of second mesiobuccal canals in endo- dontically Treated and retreated maxillary molars. J Endod 2002; 28: 477-479.S 9. ert S, Bayirli GS, Evaluation of the root Canal configuration on the mandibular and maxillary permanent teeth by gender in the Turkish Population. J Endod. 2004:30:391-8 10. Wolcott J, Ishley D, Ken- nedy W, Johnson S, Minnich S. Clinical investigation of second mesiobuccal canals in endo- dontically treated and retreated maxillary molar. J Endod. 2002; 28:477-9 - Inflammation is lower during the following days - Pain is reduced - Even lower risk of infection - Fast neovascularization. - Accelerated tissue remodeling: stem cells stimulate the mito- genic response. - Bone resorption is much less significant In short P.R.F. is: - SAFE: No biochemical han- dling, strictly autologous. - QUICK: Very simple prepara- tion. - EFFICIENT: Enhances the body’s natural healing. To conclude, this smart French technique can render your pa- tient’s life and yours much hap- pier! Stay tuned for further articles with all other applications. References 1 P.R.F. a second generation platelet concentrate J. Chouk- roun, A. Diss, A.Simonpieri, M.D. Giraud, C. Schoeffler, S.L. Dohan, J. Mouhyi, D. Dohan Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiol- ogy and Endodontology N 101 March 2006 Dr. Dominique Caron, Better healing and lower discomfort for the patient with P.R.F. Study on 37 patients between 2010- 2014. +97144298288 T 043449150