Michael Toffler, DDSNew York, NY

Lateral Ridge Augmentation Using Cortical Bone Pins and Platelet Rich Fibrin (PRF)

Inadequate ridge width sites 6,7 & 8. Placement of 4 cortical bone pins to support graft, membrane and soft tissues

Regenaform, PRF and Ossix membranes with primary closure

CBCT 6 mos post surg demonstrates bone growth over pins and increased ridge width of 3 to 5 mm

Placement of 3 Thommen implants 11 mm in length.

PREOP

19 year-old male with periapical pathology #9 and narrow ridge #10

#9 #10

Periapical cyst #9, concavity #10

Extraction #9, placement of 4 cortical bone pins covered with Regenaform saturated with platelet rich fibrin (PRF)

Regenaform covered with PRF and Ossix membranes

70 year-old female concavity site #10

2 cortical bone pins covered with Regenaform and BioOss mixed with PRF

Graft covered with Ossix and PRF membranes

CBCT at 6 months shows increase in ridge volume when compared to presurgical CBCT

PREOP6 MOS