017: Platelet Rich Fibrin + Link To Free Course
TLDR. Course link: PRFBasics.com
Today we're diving into the world of platelet-rich fibrin (PRF). I learned about this technique from Dr. Anthony Sclar out of Miami, and I've found it to be a game-changer in my oral surgery practice.
Let's break it down into my "P3 Approach":
1. Phlebotomy (Drawing the Blood)-Check local regulations on who can perform phlebotomy; - Draw directly from IV (if sedating patient) or vein-Equipment: Tourniquet, alcohol swab, gauze, Vacutainer with glass tubes (no preservatives) - Typically draw 4 tubes - Free phlebotomy course available at PRFBasics.com
2. Preparation (Making the PRF)-Spin tubes in centrifuge (timing varies by patient; check at 3 minutes)A fibrin "slug" forms on top of blood layers-Remove the slug with cotton pliers, trim red cells if needed, place the slugs in PRF box, and compress into membranes. Reserve some plasma to mix with bone graft for "sticky bone."
3. Placement (Using the PRF)-Extraction sites: Fill with sticky bone and cover with PRF membrane. Cyst/tumor removals: Place PRF membranes to reduce pain and swelling and aid bone healing. Sinus lifts: Use PRF membrane to patch a torn Schneiderian membrane. Ridge augmentation: fill buccal defects with sticky bone, cover with PRF membrane.
Root coverage/recession: not predictable in my experience.
I've found PRF incredibly helpful for reducing post-op pain and swelling, especially in larger cases like third molar cysts. It's cost-effective and relatively easy to implement.
If you're doing oral surgery, I highly recommend exploring this technique! Feel free to check out my free PRF Basics course at PRFBasics.com; it's a quick watch and can get you up and running in no time.
As always, reach out with any questions at [email protected]. Talk to you next week!