PRF Instead of Bone Graft

When the buccal and palatal flaps are raised, there is no obvious bony defect.  The localized discomfort is more related to soft tissue defect.  There is more thread exposure in the distal of #5 than #4.  After removal of the exposed threads with a diamond bur, The buccal lips between the 3 implants are trimmed for soft tissue adaptation.  Titanium brushes are used to clean the rough surface of the implants.  PRF membranes are placed between the implants as well as buccal and palatal, followed buccal and palatal flap approximation by suture. 

Return to Upper Premolar Immediate Implant, IBS, #15

Xin Wei, DDS, PhD, MS 1st edition 04/27/2017, last revision 05/17/2017