Plasmolifting in dentistry [membranes from blood plasma]

Plasmolifting is an innovative restorative technique. It is actively used in the maxillofacial surgery industry, by cosmetologists, dermatologists, including dentists. This technology has been used in European countries and America for a long time. However, in Russia, membranes made from blood plasma are only gaining popularity. This technique is a high-quality addition during implantation and removal operations, soft tissue plastic surgery. The regenerative effect improves several times.

Taking blood plasma from a patient is a common medical procedure. In a specialized apparatus, the blood is centrifuged, separating into components: plasma - a liquid saturated with fibrin; fibrin clot with platelets and a mixture of leukocytes and erythrocytes. Plasma and fibrin clot are widely used in dentistry.

The use of platelet membranes is not an analogue of bone grafting. The volume of the jaw bone will not increase with platelets alone. Membranes are additionally used in sinus lifting, when adding bone with simultaneous implantation. This method is excellent protection after surgery. Complex surgical interventions are performed by a maxillofacial surgeon with the least amount of trauma due to the use of a piezoscalpel, which, in combination with plasma lifting, makes operations the least painful and promotes rapid recovery.

In the innovative dental clinic "Implantmaster" in Moscow, plasma lifting is carried out by highly qualified specialists. Our doctors constantly improve their professional skills and knowledge, attend office courses and seminars. Patients can always count on quality treatment. We are able to solve difficult problems in the fastest possible time and satisfy the needs of the most demanding patients, providing loyal prices for services.

In the article you will learn about plasma lifting and how this procedure is carried out. We will tell you in detail about the benefits of use. Let us introduce you to the indications and contraindications for surgical intervention using this technique.

Plasmolifting and its application in dentistry

Today, with the help of the latest “ plasmolifting ” technology in dental practice, you can get rid of bleeding gums and bad breath, and accelerate the regenerative capabilities of body tissues after surgery. The technique is actively widespread and used in many medical fields, and since 2004 it has been developed in dentistry. The founders of the technique are maxillofacial surgeons from Russia Roman Zarudiy and Renat Akhmerov.

The basis of the technique is the use of plasma produced from the patient’s own blood. The peculiarity of the procedure lies in the materials used. Blood plasma, saturated with a large number of platelets and protein cells, is otherwise called autoplasma. The material is produced in a laboratory by centrifuging blood in a special apparatus. High installation speeds separate the blood into components, the main value of which is platelets. These blood elements are responsible for regeneration and protective function in the body. Platelet autoplasma activates the regenerative potential of dental tissues and mucous membranes, reduces inflammatory processes, and enhances local immunity of the oral cavity. The effectiveness and harmlessness of the technique lies in the relationship at the biological level, as well as the complete compatibility of the components with the patient’s cells.

Along with this technique, membranes from blood plasma are used, which are implanted simultaneously with implants and enhance regenerative processes. The use of a membrane increases the rate of tissue recovery, minimizes bleeding and the likelihood of non-engraftment of the structure, and the likelihood of suture dehiscence becomes significantly less.

Plasmolifting of the gums is also used - an innovative technology for the treatment and restoration of periodontal tissues. The technique has its full name – “platelet-rich fibrin”. At the moment, the technology is dynamically used both for working with periodontium and during implant installation operations. The resulting concentrate is injected into the bone cavity where the implant will be implanted, or into the hole after the extracted tooth.

Who is the plasma lifting procedure recommended for?

The plasma lifting procedure is recommended to eliminate atrophy and common inflammatory processes affecting the gums and teeth. Plasma treatment is indispensable for alveolitis (pathology after tooth extraction), gingivitis (inflammatory disease of soft tissues), peri-implantitis (inflammation near the artificial tooth root screwed into the bone), as well as periodontitis (disease of the tissues around the dental unit).

The procedure reduces the risk of oral diseases in the patient. The technique is recommended after implantation, bone tissue augmentation and root removal. Plasmolifting of gums with purified plasma is also prescribed as a prevention of inflammatory diseases of soft tissues. Plasmolifting is also done for aesthetic and cosmetic purposes, for example, after implantation, before whitening or installing veneers, so that the smile is perfect!

What is platelet fibrin

Human blood contains formed elements, one of which is transparent, anucleate cells - platelets. They take part in the process of blood clotting and stopping bleeding. During the destruction of the walls of a blood vessel, platelets, disintegrating, release components that form blood clots. In the 80s, an effective function was discovered: to increase the rate of healing and tissue restoration. This process occurs due to the release of growth factors (hormonal components) that enhance the regeneration of old cells, as well as the growth and increase in the number of new cells.

Platelet autoplasma is not only formed elements, but also saturated platelet fibrin. This is a yellowish liquid released when blood is processed in a special centrifuge.

It contains:

platelets;
fibrin;
fats;
hormones;
nucleic acids;
mineral components.

After the autoplasma is introduced into the jaw bone, growth factors are activated within a week. The tissues are intensively saturated with oxygen, and a dense capillary network is formed. The rate of restoration of jaw bone cells and their growth, as well as tissue nutrition, increases.

Human autoplasma is saturated with nutrients and is biocompatible with the body, because it is its own product. Consequently, engraftment is successful and side effects never develop. The restoration is proceeding as planned.

Effect of PRP therapy

Restoration of intercellular metabolic processes in tissues
Improving blood microcirculation
Reducing inflammation, swelling
Decreased gum sensitivity
Elimination of bleeding, restoration of a healthy shade
Eliminating bad breath associated with gum disease
Strengthening bone tissue, as a result - reducing tooth mobility
Prevention of further spread of the inflammatory process

The introduction of platelet autoplasma once every 3 months minimizes the risk of inflammatory processes in the injection area.

Our team of doctors

Maxillofacial surgeon, Implantologist

Bocharov Maxim Viktorovich

Experience: 11 years

Dental surgeon, Implantologist

Chernov Dmitry Anatolievich

Experience: 29 years

Orthopedist, Neuromuscular dentist

Stepanov Andrey Vasilievich

Experience: 22 years

Endodontist, Therapist

Skalet Yana Alexandrovna

Experience: 22 years

Orthopedic dentist

Tsoi Sergey Konstantinovich

Experience: 19 years

Dentist-orthodontist

Enikeeva Anna Stanislavovna

Experience: 3 years

Alternative options

The patient must follow all the doctor's instructions. Treatment of gums with autoplasma in dental therapy will help slow down developing periodontitis. One alternative option is gum curettage. This helps remove plaque under the mucous membrane. The use of the Vector and Varnus device for treatment has the same effect. The device removes dental deposits, but in this case the gums do not receive the necessary nutrition.

Treatment of gums using plasma lifting in Moscow on Shchelkovskaya is done in dentistry every day and seven days a week.

Teeth cleaning (teeth whitening)
Bite correction (orthodontics)
Periodontics (treatment of gums, bone tissue)
Dental implantation
Removable prosthetics
Fixed prosthetics
Surgical dentistry

Indications and contraindications for the use of plasma lifting

Indications:

increasing the rate of tissue healing during sinus surgery and bone addition;
recession plastic;
treatment of periodontal diseases;
activation of growth factors in bone cells after tooth extraction;
implantation simultaneously with the introduction of bone material;
various surgical interventions.

Contraindications:

malignant neoplasms;
systemic diseases of the blood system that do not allow plasma to be isolated or used effectively;
decreased immunity;
diseases in the acute stage;
taking antibiotics;
mental illness.

The downside of this technology

There are also negative reviews regarding gum plasma lifting. This is explained by the fact that gum treatment with this method has appeared recently, because of this, many doctors have not gained enough experience. The creators of the centrifuge note that when obtaining plasma, many people have questions about the correct choice of speed and how to achieve the required concentration for the patient. This happens because the human body is individual.

The difficulty arises due to the individuality of the human body and its health at the time of contacting dentistry. The result is influenced by the speed of blood clotting and the volume of necessary cells in the blood. All this is taken into account to obtain a high-quality plasma composition in order to ultimately obtain a positive effect of the drug during treatment.

Benefits of using blood plasma

The introduction of a platelet membrane naturally activates cellular growth factors of the jaw bone and periodontal tissues, increasing the rate of recovery. Regeneration and acceptance of implants or bone material by the body is much faster, and the likelihood of inflammation is significantly minimized.

Blood plasma membranes have a positive effect on:

increase in the rate of cellular growth factor in the bone after implantation;
absence of allergies that could occur when interacting with foreign materials;
accelerated gum recovery after implantation or plastic surgery;
prevention of inflammation around the implant;
reduction of swelling and pain after surgical procedures;
optimal tightening of the socket after tooth extraction;
minimizing inflammation during gingival curettage and cleaning periodontal pockets.

Plasmolifting of gums: reviews

Doctors' promises, as a rule, do not guarantee the effectiveness and painlessness of the procedure, so reviews of gum plasma lifting will be useful for those who still doubt the advisability of its use.

Valentina . I was always afraid of dentists like hell. As a result, I lost a lot of teeth, lost gums, and turned into a toothless old woman. The daughter insisted on going to a clinic that began performing plasma lifting. The procedure was absolutely painless and the gums began to heal quickly and acquired their natural color. Now I’m planning to restore the missing units in my mouth. My dentist says that after implantation I may have to perform plasma lifting again, but this no longer scares me.

Catherine . I work in a hazardous industry and have long realized that this is not in vain. One of the consequences is the condition of the gums, and the teeth simply fall apart. I found out about plasma lifting on the Internet quite by accident, and started looking for a suitable clinic so that the services would be affordable and the doctors would be adequate. It turned out that they do large, serious dentistry, but the doctors are not all experienced, while the procedure is not so popular. But I made up my mind. It took me some time to get used to the sensations: at first a nagging pain appeared, and as the swelling went away it went away. Then everything changed, the teeth, of course, need to be restored in some places, but now the gums are pleasing with their appearance and condition

Preparation for plasma lifting

To carry out the innovative dental method of plasma lifting at a reasonable price, Implantmaster in Moscow has all the necessary latest equipment. Before carrying out medical manipulations, a thorough visual and instrumental examination of the oral cavity is carried out at the consultation. Next, the specialist will order an x-ray.

We perform cone beam computed tomography. The pictures are more accurate, and the Rg radiation is even less. Thanks to this, the most accurate diagnosis can be made.

Our doctors use a Labomed Magna dental microscope to thoroughly examine the condition of teeth and surrounding tissues. An examination is also carried out to determine contraindications to surgery. If no contraindications are identified, then a treatment plan is drawn up.

The doctor answers all the patient’s questions. He explains in detail the surgical procedure and schedules an appointment. To undergo the procedure as comfortably and correctly as possible, you should perform preparatory measures before performing plasma lifting:

pre-carry out professional cleaning of the oral cavity;
7 days before the procedure you should not drink alcohol, heavy and spice-rich foods, or hot drinks;
minimize smoking;
increase the amount of water consumption to 2 liters per day;
before treatment, do not take painkillers and drugs that affect blood clotting;
Do not eat before the procedure.

These recommendations will allow you to carry out the upcoming procedure most effectively. And after the operation, you must follow all the specialist’s instructions.

Where to perform plasmolifting of gums

Although the procedure is considered a unique technique, it is used today by most dental clinics. When the question arises, where can plasma lifting of gums be done in Moscow, you should evaluate different parameters and level of service:

The location of the clinic is decisive for many patients.
Personnel qualifications.
Cost of the procedure. The price range is quite wide - from 1,500 to 10,000 rubles per procedure. Services in the same clinic will cost less, since in this case discounts are usually provided.

Dentistry “Doctor With You” is a staff of highly qualified specialists who are constantly improving their level of professionalism. Extensive work experience is a guarantee of the most effective and painless solution to a problem of any complexity.

Plasmapheresis - obtaining a membrane from blood plasma

For the plasmapheresis procedure, not blood from a vein is used, but plasma from centrifuged blood. When injecting autoplasma, the tissues of the oral mucosa are saturated with nutrients. The material is otherwise referred to as “platelet-rich plasma” containing platelet concentrate.

Effectiveness is ensured by plasma with a large number of platelets in 1 μl. To achieve such saturation of the biomaterial, plasmapheresis is necessary.

1. Up to 20 ml of blood is drawn from the patient's elbow.

2. To separate the blood into its constituent components and separate unnecessary elements, it is centrifuged twice in a test tube for 15 minutes.

3. The necessary components are removed - plasma and fibrin clot.

Platelets, fibrin and biologically active substances are saturated, transforming into autoplasma. An injection is given into the marginal gum, interdental papilla or gingival projection of the tooth root.

Also, the remaining fibrin clot (membrane from blood plasma) is used for surgical interventions - osteoplasty, stimulating the healing of the hole. The shelf life of the membrane is no more than a few hours. Plasmapheresis is performed exclusively on the day of surgery. Our specialists have all the knowledge and skills to ensure technically complex operations.

Efficiency of the procedure

The main advantage of plasma lifting is that it is absolutely safe, since it uses the patient’s own blood, the biological compatibility of which is 100%. Plasma injection does not cause an allergic reaction or rejection, is not toxic and cannot become a source of infection. At the same time, it goes well with any necessary drug treatment.

Plasmolifting of the gums does not take more than 10 minutes and is absolutely painless. The procedure has proven effectiveness, and the first results are visible within just a few days.

How plasma lifting helps:

pain is reduced;
accelerates tissue healing after gum incision or tooth extraction;
eliminates bleeding gums;
the chances of implants engrafting increase;
the anatomical shape of soft tissues is restored;
healing of the hole is accelerated;
periodontal tissues are strengthened.

For effective treatment of chronic diseases, experts recommend repeating autoplasma injections every three months.

The use of membranes to add bone, during implantation, and also after tooth extraction

At Implantmaster, all surgical interventions are performed under pain relief using anesthesia. Our specialists perform atraumatic removal of all teeth, even multi-rooted ones.

The maxillofacial surgeon, implant surgeon, in order to prevent breakage of the partition between the roots, separates them from each other. Using a periotome, the marginal gum is gently moved away from the tooth to preserve its integrity. Next, using an innovative piezo scalpel - the VarioSurg LED ultrasonic surgical system from NSK (made in Japan) - the roots are separated and their subsequent segmentation is carried out. Removal becomes safe, painless and as comfortable as possible for the patient. Ultrasound manipulation has an antiseptic effect and in the future you can do without taking antibiotics. The risk of infection and complications in the oral cavity is reduced. Immediately after ultrasound exposure, it can be implanted. Our highly qualified specialists use the latest materials and technologies, such as Straumann or Osstem implants. Their osteointegration takes place in 3-5 weeks, and they can also be installed when the bone level is small.

Subsequent application of platelet membranes containing cell growth factors accelerates regeneration. During surgery, the membrane covers the defect, implanted bone material or artificial root. Sometimes a fibrin clot is combined with the patient's bone material and introduced into the defect area. Afterwards, suture material is applied.

If the membrane was installed to prevent alveolar inflammation after removal, then sutures are not applied. It is not advisable to rinse your mouth during the first 3 days.

Operating principle

The manipulation technique is simple. Treatment is carried out by local stimulation of regenerative processes using injections into the soft tissues of the oral cavity. The goal of such an event is not only to relieve periodontal inflammation, but also to quickly launch the processes of natural restoration of shape, color, and tissue structure. The technology prevents loss of bone tissue. Platelet-rich fibrin is a natural material. No additional agents are used to create it. It is obtained under a special processing regime. It is biocompatible with the body of the patient from whom the blood was taken.

The main component is blood cells (platelets). They contain substances rich in various growth factors, which are so necessary for other cells to recover. During therapy the following is noted:

High efficiency of treatment;
Absolute safety for the patient;
No side effects or complications;
Does not cause addiction;

Recommendations after plasma lifting

Plasmolifting is carried out in combination with other medical procedures. The duration of the rehabilitation period is determined depending on the disease and the medical procedures performed.

Recommendations for the patient to follow after treatment:

limit physical activity during the recovery period;
avoid exposure to high and low temperatures - baths, saunas, solariums;
do not disturb the intervention site with your tongue and brush;
maintain proper oral hygiene;
temporarily eliminate hard and irritating foods and alcohol consumption.

Comprehensive gum treatment at the Center

Plasmolifting as a separate procedure in periodontology does not completely eliminate gum disease, in particular periodontitis. However, in combination with other techniques it provides a lasting result. Carried out as part of complex therapy, which also includes:

Hygienic cleaning Removing plaque and calculus from the surface of the teeth.
Gum curettage Removal of deep dental plaque from periodontal pockets.
Dental splinting Fixation of mobile teeth by applying special splints.
Surgical treatment of Plastic surgery in the presence of voluminous pockets or tissue recession.

Treatment of gum diseases must be comprehensive! The effectiveness of periodontitis treatment directly depends on the ability to simultaneously solve several problems: eliminating the source of infection, restoring affected tissues and preventing relapses. Therefore, an integrated approach to therapy is extremely important. The combination of different techniques allows you to quickly stop the progression of the disease, relieve symptoms, restore gum health and preserve teeth.