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Effect of Platelet Rich Fibrin on Bone Healing in Small Periapical Lesions with Simultaneous Immediate Implantation in Maxillary Aesthetic Zone

Aim: To evaluate the efficiency of using platelet rich fibrin (PRF) in small chronic periapicallesions with simultaneous immediate implant placement in maxillary anterior esthetic region.Patients and Methods: Seven cases with small size periapical lesions in the upper anterioraesthetic zone need immediate implantation were selected. After flapless tooth extraction andcurettage of the lesion, platelet-rich fibrin (PRF) was applied in the bony defect and TIXOS implantwas inserted simultaneously. CBCT was used immediately and 6 months post implantation toevaluate the mean of bone density in the defect area.Results: There was increase in the mean of bone density after six months post implantation andit was statistical significant.Conclusions: Platelet-rich fibrin in patients with chronic periapical lesions allow proper bonehealing with immediate implant placement in maxillary anterior aesthetic zone.