Dental Medicine & Dentistry

Introduction: The PRF (Platelet Rich Fibrin), PET (Partial extraction technique) also known as socket shield technique and incorporating everything the CTO Technique (Coronal Trans-Odontal Technique). These are three different procedures in the literature and refined to use together for better bone preservation. With all allogeneic materials other than the implant reducing cost and chance of rejection. Use of biological growth factors and ideal placement of the implant preparing the anatomical tooth before using the same as a guide for immediate placement all proves to be promising in osseointegration and bone preservation. All procedures were performed between two privately owned offices by the same surgeon. Methods: Pre and Post CBCT used for comparison. Only patients with conditions which contraindicated the placement of implants and without medical clearance were not treated. Results: Total of 39 implants, 30 Maxillary, 7 mandibular, 2 deciduous performed. 1 failure (97.4% success) after 2 years in function. Conclusion: Use of PRF was a breakthrough in implant dentistry. Socket shield technique proves to be another positive influence in Implant dentistry by helping prevent bone loss. The CTO Technique performed by two private clinics in NY proves to help properly place and implant the same day without the use of static guides. Use all three procedures prove to enhance osseoingration and proper placement of an implant in 3 dimensions.