Speakers - 2026

Title: A novel method of using i PRF with vestibular socket therapy in fresh extraction sockets

Abstract

Background: Immediate implant placement in fresh extraction sockets often faces challenges related to soft-tissue collapse, vestibular bone resorption, and compromised esthetics. Vestibular socket therapy (VST) has recently emerged as a minimally invasive approach to preserve the buccal contour and enhance peri-implant soft tissue stability. Injectable platelet-rich fibrin (i-PRF), a second-generation platelet concentrate, offers potent regenerative and angiogenic properties through the sustained release of growth factors.

Objective: This study introduces and evaluates a novel clinical technique combining i-PRF application with vestibular socket therapy in fresh extraction sockets, aiming to enhance soft and hard tissue healing and optimize esthetic outcomes around immediately placed implants.

Materials and Methods: The proposed method involves atraumatic tooth extraction followed by vestibular access for the placement of a resorbable membrane and biomaterial, supplemented by the infiltration of autologous i-PRF within the socket and vestibular tunnel. This approach seeks to promote cellular migration, vascularization, and volumetric tissue stability. Clinical and radiographic parameters, including buccal contour maintenance, soft-tissue thickness, and Pink Esthetic Score, were assessed postoperatively over a 6-month follow-up period.

Results: Preliminary outcomes demonstrated enhanced soft-tissue healing, improved vestibular depth, and superior preservation of the buccal profile compared to conventional socket management. The synergistic effect of i-PRF with vestibular socket therapy appeared to accelerate tissue maturation and minimize post-extraction dimensional changes.

Conclusion: The combination of i-PRF with vestibular socket therapy represents a promising biologically driven approach for immediate implant placement in fresh extraction sockets. This novel method may provide a predictable solution for maintaining esthetics and tissue integrity in challenging clinical scenarios.