Gustavo Da Col dos Santos Pinto, MSC,* Suzane Cristina Pigossi, PhD,† Tércio Pessoa, MSC,* Lélis Gustavo Nícoli, MSC,* Raphael Ferreira de Souza Bezerra Araújo, MSC,‡ Cláudio Marcantonio, PhD,§ and Elcio Marcantonio, Jr, PhD
Purpose:
The aim of this case report was to demonstrate the repair of a large sinus membrane perforation related to a sinus floor augmentation procedure, using leukocyte platelet-rich fibrin (L-PRF), for subsequent rehabilitation of a partially edentulous patient.
Materials and Methods:
The patient presented the absence of teeth numbers 18, 17, and 16, associated with insufficient bone height because of the maxillary sinus pneumatization. A maxillary inlay bone graft was proposed, however, during the sinus floor augmentation procedure, a large portion of the sinus membrane was ruptured. To avoid interruption of the surgical procedure, membrane mending was proposed using L-PRF and collagen membranes.
Results:
After 8 months, 2 external hexagon connection dental implants were placed in the 16 and 17 teeth regions, and a screw-retained implant-supported prosthesis was installed.
Conclusion:
The use of L-PRF associated with collagen membrane was efficient for the sealing of the sinus membrane perforation and enabled bone formation for subsequent implant installation. (Implant Dent 2018;27:1–6)
Key Words: dental implants, bone regeneration, bone substitutes, leukocyte platelet-rich fibrin (L-PRF), sinus membrane perforation, sinus floor augmentation
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