Evaluation of Post-Extraction Healing Using Platelet-Rich Fibrin Versus Conventional Healing: A Comparative Clinical Study

Authors

  • Shrunga Reddy Assistant Professor, Department of Oral and Maxillofacial Surgery, Vokkaligara Sangha Dental College, Bangalore, Karnataka, India
  • Ankit Malu Consultant Oral and Maxillofacial Surgeon, Deenanth Mangeskar Hospital, Pune, Maharashtra, India
  • Sumit Bhatt PhD Scholar, Assistant Professor, Department of Oral and Maxillofacial Surgery, Rajasthan Dental College & Hospital, Nirwan University, Jaipur, Rajasthan, India
  • Sai Sagar Senior House Surgeon, Govt Hospital Neyattinkara, Trivandrum, Kerala, India
  • C R Hemanth Assistant Professor, Department of Oral and Maxillofacial Surgery, C.K.S. Teja Institute of Dental Sciences, Tirupathi, Andhra Pradesh, India
  • Shivani Kondhalkar Assistant Professor, Department of Periodontology, Sinhgad Dental College and Hospital, Pune, Maharashtra, India

DOI:

https://doi.org/10.48165/ajm.2026.9.01.38

Keywords:

Platelet-Rich Fibrin, Wound Healing, Post-operative Pain, Soft-Tissue Healing

Abstract

Background: Post-extraction wound healing is an important determinant of patient  comfort and successful oral rehabilitation. Platelet-Rich Fibrin (PRF), a second-generation  platelet concentrate, has gained considerable attention because of its potential to accelerate  soft-tissue healing and reduce post-operative complications due to the sustained release of  growth factors. Aim: To comparatively evaluate post-extraction healing in extraction sockets treated with  PRF and conventional healing following routine dental extraction. Materials and Methods: This randomized clinical study was conducted among 30 patients  requiring bilateral extraction of comparable teeth. The patients were divided into two  groups: Group I (PRF group), where PRF was placed into the extraction socket immediately  after extraction, and Group II (control group), where extraction sockets were allowed to  heal conventionally without any adjunctive material. Clinical parameters including pain,  swelling, soft-tissue healing, and incidence of complications were assessed on the 1st, 3rd,  and 7th post-operative days using standardized indices and visual analogue scale (VAS). The  collected data were statistically analyzed using appropriate tests with significance set at p <  0.05. Results: The PRF group demonstrated significantly improved soft-tissue healing and reduced  post-operative pain and swelling compared to the conventional healing group. Faster  epithelialization and reduced incidence of complications such as dry socket were observed  in sockets treated with PRF. Statistical analysis revealed significant differences between the  groups, particularly on the 3rd and 7th post-operative days. Conclusion: Placement of PRF in extraction sockets enhanced post-extraction healing and  improved patient comfort when compared with conventional healing. PRF can be considered  a simple, cost-effective, and biologically acceptable adjunct for promoting wound healing  following dental extraction. 

 

References

Yue Yi EK, Siew Ying AL, Mohan M, Menon RK. Prevalence of postoperative infection after tooth extraction: a retrospective study. International Journal of Dentistry. 2021;2021:6664311.

Saravanan K, Santhosh Kumar MP. Assessment of post-extraction complications in Indians. Bioinformation. 2021;17(12):1120–1125.

Fok MR, Jin L. Learn, unlearn, and relearn post-extraction alveolar socket healing: evolving knowledge and practices. Journal of Dentistry. 2024;145:104986.

Raut SJ, Shetty L, Domah TK, Gadkari N, Chhatriwala A. Evaluation of healing in mandibular molar extraction sockets with and without turmeric gel. National Journal of Maxillofacial Surgery. 2023;14(2):305–310.

Rathi VC, Jain A, Kumar S, Sonone R, Yadav S, Shaikh SM. A comparative study to evaluate the efficacy of Azadirachta indica (neem) and Curcuma longa (turmeric) in extraction socket. National Journal of Maxillofacial Surgery. 2019;10:191–194.

Bhatt S, Gill S, Boya C, Simre S, Sagar S. Effect of ice pack application on post-extraction pain and swelling: a randomized clinical study. Academic Journal of Medicine. 2026;9(1):9–12.

Bai KP, Ranjit N, Gite S, Kaur G, Gill S, Patel V. Incidence and pattern of dry socket following mandibular third molar extraction: a prospective clinical study. International Journal of Life Science Biotechnology and Pharma Research. 2026;15(2):661–665.

Gupta H, Bhatt S, Patel V, Gill S, Bai KP, Sagar S. Effect of immediate versus delayed chlorhexidine rinse on post-extraction pain: a randomized clinical study. Academic Journal of Medicine. 2026;9(1):48–51.

Gill S, Pihulkar P, Bhatt S, Sagar S, Chandran H, Awati A. Effect of preoperative dexamethasone on postoperative sequelae following mandibular third molar surgery: a randomized clinical study. International Journal of Life Science Biotechnology and Pharma Research. 2026;15(2):915–918.

Song P, He D, Ren S, Fan L, Sun J. Platelet-rich fibrin in dentistry. Journal of Applied Biomaterials and Functional Materials. 2024;22:22808000241299588.

Chmielewski M, Pilloni A, Adamska P. Application of advanced platelet-rich fibrin in oral and maxillofacial surgery: a systematic review. Journal of Functional Biomaterials. 2024;15(12):377.

Yu HY, Chang YC. A bibliometric analysis of platelet-rich fibrin in dentistry. International Journal of Environmental Research and Public Health. 2022;19(19):12545.

Al-Rihaymee S, Sh Mahmood M. The efficacy of non-surgical platelet-rich fibrin application on clinical periodontal parameters and periostin level in periodontitis: clinical trial. Journal of Cellular and Molecular Medicine. 2023;27(4):529–537.

Udeabor SE, Heselich A, Al-Maawi S, Alqahtani AF, Sader R, Ghanaati S. Current knowledge on the healing of the extraction socket: a narrative review. Bioengineering. 2023;10(10):1145.

Zhang Y, Ruan Z, Shen M, Tan L, Huang W, Wang L, Huang Y. Clinical effect of platelet-rich fibrin on the preservation of the alveolar ridge following tooth extraction. Experimental and Therapeutic Medicine. 2018;15(3):2277–2286.

Pereira VBS, Lago CAP, Almeida RA, Barbirato DS, Vasconcelos BCE. Biological and cellular properties of advanced platelet-rich fibrin (A-PRF) compared to other platelet concentrates: systematic review and meta-analysis. International Journal of Molecular Sciences. 2024;25(1):482.

Masuki H, Okudera T, Watanabe T, Suzuki M, Nishiyama K, Okudera H, et al. Growth factor and pro-inflammatory cytokine contents in platelet-rich plasma (PRP), plasma rich in growth factors (PRGF), advanced platelet-rich fibrin (A-PRF), and concentrated growth factors (CGF). International Journal of Implant Dentistry. 2016;2:19.

Shah RMGT, Thomas R, Mehta DS. An update on the protocols and biologic actions of platelet-rich fibrin in dentistry. European Journal of Prosthodontics and Restorative Dentistry. 2017;25:64–72.

Downloads

Published

2026-05-29

How to Cite

Evaluation of Post-Extraction Healing Using Platelet-Rich Fibrin Versus Conventional Healing: A Comparative Clinical Study . (2026). Academia Journal of Medicine, 9(1), 185-189. https://doi.org/10.48165/ajm.2026.9.01.38