Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2022; 10(6): 2015-2022
Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.2015
Implant site development using titanium plate and platelet-rich fibrin for congenitally missed maxillary lateral incisors: A case report
Tian-Shou Zhang, Mahmoud Mudalal, Si-Cong Ren, Yan-Min Zhou
Tian-Shou Zhang, Department of Prosthodontics, School and Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, China
Mahmoud Mudalal, Si-Cong Ren, Yan-Min Zhou, Department of Dental Implantology, School and Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, China
Mahmoud Mudalal, Department of Oral and Maxillofacial Surgery and Periodontology, Faculty of Dentistry, The Arab American University, Jenin 240, Palestine
Author contributions: Zhou YM contributed to conceptualization and supervision; Mudalal M contributed to investigation and editing; Zhang TS contributed to investigation and data curation; Ren SC contributed to manuscript reviewing and formal analysis.
Supported by Developmental Plan Project of Science and Technology at Jilin Province, No. 20200201302JC.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Min Zhou, PhD, Chief Doctor, Professor, Department of Dental Implantology, School and Hospital of Stomatology, Jilin University, No. 1500 Qinghua Road, Chaoyang District, Changchun 130021, Jilin Province, China. zhouym@jlu.edu.cn
Received: September 2, 2021
Peer-review started: September 2, 2021
First decision: November 19, 2021
Revised: November 29, 2021
Accepted: January 19, 2022
Article in press: January 19, 2022
Published online: February 26, 2022
Abstract
BACKGROUND

Bone deficiency and soft tissue atrophy in the absence of maxillary lateral incisors are among the most challenging problems for implant clinicians. Autologous bone grafting is the gold standard for bone augmentation, but not without limitations. Platelet-rich fibrin (PRF), a biodegradable autologous biomaterial, has been widely used for bone and soft tissue management. Moreover, titanium plate is an advantageous barrier due to its good space-maintaining ability. However, there is a lack of literature on implant site development using titanium plate and PRF for congenitally missing maxillary lateral incisors.

CASE SUMMARY

The patient was a 19-year-old girl with a congenitally missing tooth (#12). She underwent implant placement and simultaneous autologous bone grafting with titanium plate and PRF. At the follow-up visit 15 d post-procedure, the vascularization of soft tissue was visible. There was no swelling or pain after the surgery. Six months postoperatively, bone regeneration was evident. Subsequently, the definitive restoration was placed, and the patient was satisfied with the esthetic outcomes.

CONCLUSION

Implant site development using titanium plate and PRF for congenitally missing maxillary lateral incisors is a feasible procedure. In this case, the labial bone plate was displaced but remained connected to the base bone, ensuring blood supply. The titanium plate fixed the labial bone plate and maintained the osteogenic space, while the PRF provided growth factors and leukocytes for bone and soft tissue regeneration. Furthermore, the procedure reduced the surgical complexity and adverse reactions, displaying outstanding esthetic outcomes.

Keywords: Implant placement, Platelet-rich fibrin, Missing incisor, Bone augmentation, Soft tissue regeneration, Case report

Core Tip: The procedure reported in this paper reduced the surgical complexity and adverse reactions, besides displaying outstanding esthetic outcomes by: (1) Displacement of the labial bone plate that remained connected to the base bone, ensuring blood supply; (2) Fixing the labial bone plate and maintaining the osteogenic space with a titanium plate; and (3) Providing growth factors and leukocytes for bone and soft tissue regeneration by leukocyte-platelet rich fibrin.