Fibrin-rich plasma and connective tissue graft in dental implant installation

Introduction: Combining regenerative treatments with soft tissue grafts prevents atrophy of the peri-implant tissue and alterations in esthetics. The results of this combination are discussed in the current literature. Objective: To describe the regenerative treatment, combining Fibrin-rich plasma and connective tissue graft in the installation of a dental implant in the upper anterior sector. Case presentation: Forty-year-old male patient with facial trauma. He has no history of systemic diseases. On clinical examination, a fractured porcelain crown was found at the vestibular cervical level. There was purulent discharge in the healing process and altered gingival contour. Radiographic examination revealed a periapical lesion with apparent root resorption. The tooth was extracted; fibrin-rich plasma was placed to improve healing. Six weeks after, an implant was placed. After the first four months, the second phase was performed with a connective tissue graft and placement of the scar tissue; two weeks after, a porcelain crown was placed. Conclusions: In the present case, the combination of Fibrin-rich plasma and connective tissue graft favored the peri-implant esthetic appearance without evidence of complications during the postoperative period.