Lower Right Molar Extraction & Immediate Implant Placement Using i-PRF

In this video, the lower right second molar was extracted due to a failed root canal. The socket was grafted and an immediate dental implant (AnyRidge) was placed. After four months, the tooth was restored with screw retined zirconia crown. Using Choukroun’s PRF Centrifuge System i-PRF was used during grafting to address missing buccal bone. i-PRF is a liquid formulation of platelet rich fibrin (PRF) that is injected into the area and graft material. It is prepared by centrifuging at 700 rpm (60G) for 3 min. It studies it has “demonstrated the ability to release higher concentrations of various growth factors and induced higher fibroblast migration and expression of PDGF, TGF-β”1. Following placement of the graft material, an A-PRF membrane is used.


1.Injectable platelet rich fibrin (i-PRF): opportunities in regenerative dentistry?, Miron RJ et al. Clin Oral Investig. 2017 Nov;21(8):2619-2627.



13 thoughts on “Lower Right Molar Extraction & Immediate Implant Placement Using i-PRF

  1. Dan says:

    Nice music ,
    I’d like to see the photos and x-rays post op , restoration and implant
    and maybe after 3 years as well.
    every procedure is very nice immediately but nobody has the patience
    and the intellectual honesty to wait and show the results in the long term (3-5 years)
    I don’t understand again whats the rush to do everything “immediate”…
    RESPECT the BIOLOGY and BIOLOGY WILL RESPECT YOU !!!

    (0)
  2. Matt Helm D.D.S. says:

    Your rationale for using i-PRF instead of GBR? (besides lower cost). What graft material? Post-op photos of final restoration and, pre-op and post-op x-rays would be appropriate here.

    (0)
  3. Chris Smith says:

    Nice case. You have minimised the number of surgical appointments by installing the implant at time of the extraction. Less time in the chair, less episodes of postoperative discomfort, shorter time frame to restoration = things that are important to our patients.

    (0)
  4. FRANK says:

    It’s Funny. On the left picture at the beginning if the video we can see the socket of the molar
    that is healed 4 weeks at least!
    So this is not an immediate implant!
    It’s not funny after all. It’s phony….
    And sloppy. Pouring stuff unrully under the gum. Uncontrolled.
    Why post something like that?

    (0)
    • DrS says:

      The pictures at the beginning are snapshots of the entire case and don’t reflect the chronology of the case. Also, this “sloppy” “stuff” is injectable PRF.

      (0)
    • Oliver Scheiter says:

      Well said!
      The defect is way overfilled, closure is not tension free. The photo at six weeks clearly shows that there must have been a dehiscence. The healing by secondary intention is the only reason there’s attached gingiva. Post x-ray shows crestal bone loss and a fibrotic graft.
      Why show this video? If it is supposed to convince anybody of the fantastic powers of dr Choukroun’s magic juice, it didn’t work for me

      (0)
      • Cliff Leachman says:

        Did I miss something, didn’t see the postoperative radiograph?
        I thought it looked pretty good?
        Just wondered why :
        1) No plasma or i-PRF on the implant
        2) why you put the i-PRF in the beginning and not on top of the graft?
        Yes , I’m a Belieber in Choukrouns Magic juice!
        Thanx for posting, don’t take th comments personal, we are all learning, or should be Cheers Cliff

        (0)
  5. Rob C says:

    Got the hateful eight in here. This forum is for education and sharing cases. Not for bashing other practioners. Thanks for sharing!!!
    I would have preferred to see the implant placed more mesial as well as more tension free closure. I have found PRF to be very successful in my hands. My clinical results are highly important. As far as immediate vs delayed placement. Everyone wants everything yesterday. I by no means let a Pt dictate how and when I place an immediate implant but when IV sedating Pts I try to minimize the number of surgeries the Pt has to undergo. CBCT is much more valuable to post than PA. I do agree 2 year + followup would be nice to see.

    (0)
  6. Dr. Gerald Rudick says:

    Nice case, however I would have added one more step…and that is after placing the PRF membranes, I would have covered the site with a collagen membrane…from my experience in these situations, the PRF membranes are very slimy, and tend to slip around, and may slide out in the incision…but by placing a collagen membrane, they stay in place…and the collagen is resorbed.

    (0)

Leave a Comment:

Comment Guidelines: Be Yourself. Be Respectful. Add Value. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *

Posted in Free Videos, Surgical.
Bookmark Lower Right Molar Extraction & Immediate Implant Placement Using i-PRF

Videos to Watch:

Dealing with the Implant Gap

This short video discusses how to best deal with the gap after immediate implant insertion[...]

1 Comment

Watch Now!
Lower Right Molar Extraction & Immediate Implant Placement Using i-PRF

In this video, the lower right second molar was extracted and grafted with i-PRF and[...]

13 Comments

Watch Now!
Maxillary Implantation with Treatment of Chronic Sinusitis

This video shows two cases where implants were placed following treatment of Sinusitis. [...]

3 Comments

Watch Now!
Suturing in Guided Bone Regeneration

This video provides clinical tips for suturing techniques in Guided Bone Regeneration. In Guided Bone[...]

1 Comment

Watch Now!
Socket grafting with Collagen Dressing and Bond Apatite

This video demonstrates socket grafting with just bond apatite and a collagen wound dressing.[...]

Watch Now!
Dental Implant for Lower Right Second Molar

This video shows implant placement on the lower right second molar.[...]

Watch Now!
Saving a Bridge with Periodontal Therapy

This video shows a case involving a 48-year-old male who was referred for periodontal treatment[...]

Watch Now!
Immediate Loading Full Arch

This video shows a case of Immediate loading of a full arch with simultaneous guided[...]

Watch Now!
Apically Repositioned Flap Technique Around Implants

The apically positioned flap is a commonly used surgical approach, that may help the long[...]

Watch Now!
Digitally Planned Bone Augmentation and Immediate Implantation

This video shows a case using the Ring technique to provide bone augmentation along with[...]

Watch Now!
AnyRidge Implants: Replacement of Upper Left Molars

This video shows the replacement of maxillary upper left molars with Megagen AnyRidge Implants.[...]

1 Comment

Watch Now!
Guided Implant Surgery & Immediate Temporisation

This video demonstrates the placement of a missing pre-molar using computer-guided surgery and immediate temporization.[...]

1 Comment

Watch Now!