Platelet Rich Plasma

Platelet rich plasma (PRP) 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 and the large amount of blood needed to produce a suitable quantity of platelets. New technology permits doctors to harvest and produce a sufficient quantity of platelets from only 55 cc of blood, which is 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 growth factors; platelet derived growth factors (PDGF), 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 and sequestered into the wound, the more stem cells are stimulated to produce new tissue. Thus, 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 both animals and humans. This is of great significance to the surgeon who places dental implants. By adding PRP, and BMP, to the implant site with bone substitute particles, the implant surgeon can now grow bone more predictably and faster than ever before.

PRP Has Many Clinical Applications

PRP can be used to aid Bone grafting for dental implants. This includes onlay and inlay grafts, sinus lift procedures, ridge augmentation procedures, closure of cleft and/or lip, and palate defects. It can also assist in repair of bone defects created by removal of teeth, or small cysts and 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 the placement of dental implants.

Faster healing: The supersaturation of the wound with PRP, and thus growth factors, produces an increase of tissue synthesis and faster tissue regeneration.

Cost effectiveness: Since PRP harvesting is done with only 55 cc of blood in the doctor’s office, the patient need not incur the expense of the harvesting procedure in hospital or at a 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 $400) 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.

Cortland Oral Surgery

5 out of 5 stars based on 102 reviews.

Our Latest Patient Testimonial

Thank you for fitting me in when my dentist referred me. So, nice to be rid of the painful tooth. Even though you were running behind and clearly had, had a very long day everyone was caring and kind!

- Corena M

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Dr and Office staff were understanding , helpful, and made a unpleasant procedure as good as it could be!

- Susan M

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Our Latest Patient Testimonial

Care was excellent, procedure done very quickly and professionally. Both staff and Doctor were considerate and careful. I would recommend this office to anyone without reservation. Thanks for an excellent job and for being so amazingly kind as to accept my (low paying) insurance!

- Mary-Heather H

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Our Latest Patient Testimonial

Although I wish the tooth could have been saved, sadly it had to be pulled. I didn't feel any pain, and I'm healing well.

- JoAnne S

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Our Latest Patient Testimonial

Very pleased with the procedure and friendliness of everyone there.

- George C

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Our Latest Patient Testimonial

The staff and dr. were very professional and friendly. I would highly recommend this office. Thanks.

- Patricia E

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Pleasant experience considering! Thank you!

- Dean E

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He's a rock star!

- Sue H

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Clean office, pleasant people, very friendly

- Elva S

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Our Latest Patient Testimonial

My visit was pleasant even for a dentist. Everything went smoothly and in a timely fashion. I don't have dental insurance but they accommodated me and made it affordable.

- Winnie R

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Highly recommended

- Mary G

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Was very satisfied with information that was given to me and the kind and caring staff.

- Kathleen J

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Our Latest Patient Testimonial

This was my first visit to this oral surgery practice. I was impressed with both the Dr. and his assistant nurse. Both took great care to explain procedures and to make me comfortable. Hopefully I will not have to return, but if necessary I would not hesitate to have future procedures performed here. It is also a plus to have an oral surgeon close to home.

- Marilyn M

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Our Latest Patient Testimonial

This was my first visit to Dr. SanGiacomo's oral surgery practice. Doctor SanGiacomo and his entire staff were exceptionally friendly, informative, and professional. Both Dr. SanGiacomo and everyone on his staff made yesterday's surgery as enjoyable as it could possibly be. I enthusiastically recommend Cortland Oral Surgery to anyone who needs the services of a top-flight oral surgery practice.

- Robert K

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I was at ease as soon as I walked in the office. The staff was friendly and the doctor was great. Made me feel at ease. Very impressed!

- Patricia C

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Our Latest Patient Testimonial

I came to this office for a tooth extraction and placement of both a bone graft and membrane. The procedure went much quicker than I'd expected and was completely painless; I have not had any issues with pain/inflammation/infection after the procedure. Dr. SanGiacomo and the rest of the staff were very helpful and friendly during my visit.

- Rose W

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Our Latest Patient Testimonial

office was easy to get appointment. Everyone is very caring. This office is wonderful.

- Pamela A

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Our Latest Patient Testimonial

Although it was not a pleasant procedure, the staff and doctor made me as comfortable as possible and I was able to schedule an apt that worked for me and they were very prompt about timing, with very little wait time. Thank you for your excellent care!

- Michael T

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Our Latest Patient Testimonial

I highly recommend this office for any surgery. Great staff and great post care. They made me feel very comfortable for the actual surgery. Thanks again

- Tara S

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Our Latest Patient Testimonial

The staff is always very friendly. I always dread having any dental work done, but I must say I never worry when Dr. S is in charge.

- Cindy H

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