CLINICAL EVALUATION OF USING FIBLIN GLUE VERSUS TITANIUM PLATELET-RICH FIBRIN IN LATERAL SINUS LIFTING PROCEDURE (RANDOMIZED CONTROLLED CLINICAL TRIAL)

BACKGROUND: Graftless sinus lift is one of the techniques that provides enough room for implant placement in the atrophic posterior maxilla. Blood clots can be thought of as bone-forming osteogenic graft material to which Osseo progenitors can circulate, differentiate, and regenerate bone. AIM OF THE STUDY: This study was conducted with the aim of evaluating the clinical effectiveness of using Fibrin glue versus Titanium platelet-rich fibrin (T-PRF) as the sole filling material in lateral sinus augmentation and simultaneous implant placement. MATERIALS AND METHODS: There were three groups each made up of ten participants: Study Groups 1 and 2 (S1 and S2), which received Fibrin glue and T-PRF as filling materials, respectively; and the negative Control Group (C). In the three groups, sinus floor augmentation via the lateral osteotomy approach and simultaneous implant placement were done. The patients were evaluated clinically in terms of pain, postoperative complications, and implant stability immediately postoperatively, after one week, and six months later. RESULTS: Between the three groups under study, no significant difference regarding pain was revealed, either immediately following surgery or one week later. Regarding implant stability, there was a significant increase in the mean Implant Stability Quotient (ISQ) value between Fibrin-glue Group (S1) that was 73.30 ± 4.06, and T-PRF Group (S2) that was 70.10 ± 2.81 and the Control Group (C) that was 64.0 ± 6.13 (p2<0.001, p3=0.015, respectively). However, no significant difference was found between the two study groups (S1, and S2) (p1 = 0.273).