Supporting Great Dental Implant Outcomes with Ozone & PRF

by | Apr 25, 2024 | Dental Implants | 0 comments

Because biological dentistry recognizes the complex relationship between oral and whole body health, the biocompatibility of the materials we use takes on extra importance. We strive to use only materials that can perform as we need them to without adverse health effects, whether in the short term or long – and avoid those known to be problematic.

So we don’t fill teeth with the mercury amalgam used for “silver” fillings. We favor fluoride-free and BPA-free composites. We use only ceramic implants when patients choose that option to replace missing teeth.

ceramic implants and crownsWhile the vast majority of dental implants are made from titanium, research continues to suggest that ceramic is the better option – and for reasons that extend beyond biocompatibility. As we’ve noted before, metal implants can corrode and trigger inflammation. Some can contain toxic metals such as nickel in addition to titanium. For some, metal allergies make titanium implants a no-go.

Made from zirconia, ceramic implants are metal-free, yet extremely strong and durable. In addition to being the more aesthetic choice, they’re more resistant to bacterial buildup than titanium. They’re less likely to cause inflammation or other adverse reactions, promoting healthier bone and gum tissue, and the implants’ overall longevity.

But there’s even more we can do when placing implants that has been scientifically shown to improve implant outcomes.

One of these is the use of ozone. Infection control during the surgical procedure is just part of it. Ozone also supports good, quick healing and, as a new study out of Egypt shows, may improve implant stability.

For the study, patients were split into two groups. One got implants with bone graft material to enhance the implants’ integration with the jaw bone. The other underwent the same procedure but also had ozone gel applied at the surgical site. Periodic measurements of implant stability, bone loss, and bone density were taken afterwards.

Patients in the ozone group showed greater implant stability than those in the control group, as well as less bone loss.

Another recent paper presented a case report of a 73-year old patient with severe bone atrophy and sinusitis who underwent subperiosteal implant surgery – an option that can be used when the jaw bone isn’t dense enough to support a conventional implant. In addition to laser, ozonated saline was applied to support healing.

Post-surgical observations included minimal bleeding and initial slight swelling, followed by a remarkably rapid improvement in the healing trajectory, characterized by the absence of pain and subsidence of swelling within a week, facilitating an expedited resumption of regular dietary practices. The outcomes of this case underscore the potential role of Ozone Therapy in augmenting postoperative recovery, primarily through its antimicrobial attributes and the facilitation of enhanced tissue oxygenation.

Platelet rich fibrin (PRF) is another tool we use when placing implants. It’s spun from a small sample of your own blood, separating out a high concentration of platelets and fibrin. Platelets are blood cells that play a key role in the body’s natural healing process, releasing growth factors that stimulate the growth of new blood vessels, bone, and soft tissue. The fibrin provides a framework for new cells to grow and proliferate. All this helps accelerate the body’s natural healing response.

PRF can also enhance implant stability, as shown by a new study in the journal Heliyon.

Thirteen patients who were missing at least two teeth took part in the research. A total of 26 implants were placed, half of which were coated with PRF. The other half were not. Implant stability scores were taken periodically after the procedure.

At first, there was no significant difference between the plain and PRF-coated implants. Where the difference showed up was in what’s known as “secondary stability,” which develops over time as bone remodels and integrates with the implant surface. It’s essential for long-term implant success. Secondary stability was greater for the implants when PRF was used.

The reason for increase in stability in this scenario is the addition of PRF which favors microvascularization, which is able to guide epithelial cell migration. According to Boora P et al., PRF is regarded as a healing biomaterial with a possible favorable effect on peri-implant tissue and employed as a therapeutic adjuvant for single-tooth implant placement. Also, Angelo T et al. concluded that more consistent results are obtained in the implant stability with the inclusion of PRF along with the use of other biomaterials….

Studies like these just add to the evidence that bringing together PRF, ozone, and biocompatible, metal-free zirconia, sets the stage for excellent implant outcomes that support your overall health and well-being.

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