Platelet Rich Plasma
Platelet rich plasma (PRP) is exactly what the name suggests. The substance is a by-product of blood (plasma) that is rich in platelets. Until now, its use has been confined to the hospital setting. This was due mainly to the cost of separating the platelets from the blood (thousands) and the large amount of blood needed (one unit) to produce a suitable quantity of platelets. New technology permits Dr. Krueger, Dr. Lenox & Dr. Welch to harvest and produce a sufficient quantity of platelets from only 22mL of blood drawn from the patient while they are having outpatient surgery.
Why All The Excitement About PRP?
PRP permits the body to take advantage of the normal healing pathways at a greatly accelerated rate. During the healing process, the body rushes many cells and cell types to the wound in order to initiate the healing process. One of those cell types is platelets. Platelets perform many functions, including formation of a blood clot and release of growth factors (GF) into the wound. These GF (platelet derived growth factors PGDF, transforming growth factor beta TGF, and insulin-like growth factor ILGF) function to assist the body in repairing itself by stimulating stem cells to regenerate new tissue. The more growth factors released sequestered into the wound, the more stem cells stimulated to produce new host tissue. Thus, one can easily see that PRP permits the body to heal faster and more efficiently.
A subfamily of TGF, is bone morphogenic protein (BMP). BMP has been shown to induce the formation of new bone in research studies in animals and humans. This is of great significance to the surgeon who places dental implants. By adding PRP, and thus BMP, to the implant site with bone substitute particles, the implant surgeon can now grow bone more predictably and faster than ever before.
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PRP Has Many Clinical Applications
Bone grafting for dental implants. This includes onlay and inlay grafts, sinus lift procedures, ridge augmentation procedures, and closure of cleft lip and palate defects. Repair of bone defects creating by removal of teeth or small cysts. Repair of fistulas between the sinus cavity and mouth.
PRP Also Has Many Advantages
Safety: PRP is a by-product of the patient’s own blood, therefore, disease transmission is not an issue.
Convenience: PRP can be generated in the doctor’s office while the patient is undergoing an outpatient surgical procedure, such as placement of dental implants.
Faster healing: The supersaturation of the wound with PRP, and thus growth factors, produces an increase of tissue synthesis and thus faster tissue regeneration.
Cost effectiveness: Since PRP harvesting is done with only 22mL of blood in Dr. Krueger, Dr. Lenox & Dr. Welch‘s office, the patient need not incur the expense of the harvesting procedure in hospital or at the blood bank.
Ease of use: PRP is easy to handle and actually improves the ease of application of bone substitute materials and bone grafting products by making them more gel-like.
Frequently Asked Questions About PRP
Is PRP safe? Yes. During the outpatient surgical procedure a small amount of your own blood is drawn out via the IV. This blood is then placed in the PRP centrifuge machine and spun down. In less than 15 minutes, the PRP is formed and ready to use.
Should PRP be used in all bone-grafting cases? Not always. In some cases, there is no need for PRP. However, in the majority of cases, application of PRP to the graft will increase the final amount of bone present in addition to making the wound heal faster and more efficiently.
Will my insurance cover the costs? Unfortunately not. The cost of the PRP application (approximately $650) is paid by the patient.
Can PRP be used alone to stimulate bone formation? No. PRP must be mixed with either the patient’s own bone, a bone substitute material such as demineralized freeze-dried bone, or a synthetic bone product, such as BIO-OSS.
Are there any contraindications to PRP? Very few. Obviously, patients with bleeding disorders or hematologic diseases do not qualify for this in-office procedure. Check with your surgeon and/or primary care physician to determine if PRP is right for you.
Krueger & Lenox Oral and Maxillofacial Surgery
Patient Review By Gloria K C
Dr Lenox cane to the Bend Hospital on a Sunday morning (and afternoon!) to care for me after a fall while exploring a lava tube. He carefully stitched the inside and outside of my lip. He was kind, confident and skilled. 10 days have passed and I cannot believe how my lip has healed, looking very normal. I would not have expected such amazing results. Thank you Dr Lenox for giving up your Sunday and taking such care to repair my facial injury.
- Gloria K C
Patient Review By Barb C
I am a retired nurse with 35 years of experience. I feel that I am a good judge of professionalism within the medical field. I was very impressed with my overall experience from the scheduling people to the very talented Surgeon, Dr. Krueger. I had tori removed from my mouth and was nervous about this surgery however Dr. Krueger was able to ease my anxiety of this impending surgery. The surgery went exceedingly well and the post op period was uneventful and the discomfort was minimal. I only wish I had this surgery years ago. I would recommend Dr. Krueger to anyone who is nervous regarding mouth surgery. He is kind, empathic and professional.
- Barb C
Patient Review By Catherina M
I've gone in a few times and have had fillings done. One of my fillings was very stubborn but the staff and Doctor did everything they could to get it taken care of and it worked. Upon my recent visit for a simple cleaning all the staff asked how my filling was doing. That surprised me that they would remember with how many patients come by every day. Everyone is kind and fantastic at their jobs. I highly recommend this clinic to anyone looking for a new dentist!
- Catherina M
Patient Review By Helen L
everyone was calm and courteous. Dr. Krueger inspired my confidence which for me is not an easy thing to do. He patiently answered all questions. After surgery he called to make sure I was doing well. Thank you so much for the wonderful care.
- Helen L