[Music]
hi I'm dr. Johnny and I'm talking PRP
versus PRF probably one of the most
asked questions I get at every training
I go to and a lot of people think PRP is
piera
so what are the differences PRP I
started using about nine or ten years
ago I got rid of my PRP about three
years ago after learning about PRF PRP
is platelet-rich plasma PRP is
platelet-rich fibrin and as I'm going to
talk to you the fibrin is a key element
of this I learned it first in France and
then in Florida the dentist I work with
a bunch of dentists and even the other
day I was in Arizona and the dentist
came to the course and I said how many
people here do PRP versus PRP
the dentist was the only person using
PRF and it was amusing to him that we're
not using more PRF because in the dental
world where they're putting in implants
where they're trying to grow bone PRF is
a staple
so PRP or platelet-rich plasma as you
can see from this slide has a lot of
plasma at the top or as platelet-rich
fibrin has less volume and a lot of
people are hung up on this imagine
though having a plasma that doesn't do
very much versus low volume of our
platelet-rich fibrin which is rich in
and most importantly white cells and a
fibrin matrix of white cells are known
to have an important role in growth
factors and you can see from this slide
here which shows a higher degree of
white blood cells and PRF where
platelet-rich fibrin / PRP so that's the
first most important and study factors
that we want blood cells the next is the
fibrin and in this slide you can see the
fibrin matrix at the top are the two PRP
there's PRP and then PRP with the white
cells and then below look at the
thickness of the fiber matrix when you
have platelet-rich fibrin with the white
blood
now the spin speed a lot of people ask
and pyaara is a slow spin speed and as a
side note a lot of times the spinners
that people have for PRP will not work
because they go there too fast and also
I really believe the angle and the
dentists agree with this as well
plays an important role in producing
good PRF so a lot of times you need the
specific spinners and the new ones are
very small and easing you can put one in
each room they're very quiet but it's a
slow speed that's important because it
doesn't disrupt the cells and so when
you don't disrupt the cells you have
more pure cells non disrupted cells but
the fibrin matrix because there's no
heparin or sodium citrate in the tube
and if you have PR FM I was in a
practice yesterday they actually with
sodium citrate in the tube then you had
to activate it with calcium none of that
exists in pure PRM but when you put it
in the body it forms a fiber matrix and
you get slow release of growth factors
over about a week and you can see from
this slide the growth factors present in
platelet-rich fibrin and they slowly
release over the week and that means
your bathing that area enriched factors
that are gonna help reduce the
appearance of fine lines I believe that
some of the fat would maybe plumping it
up or at almost 2500 under eyes here in
my practice and I can tell you there's a
very high patient satisfaction let's
talk about the plug that separates PRP
with PRP it's a fast spin speed and a
plug that separates the buffy coat from
the PRF where you can just take whatever
you want from the top because there's no
plastic plug the plastic plug has been
implicated in studies to actually have
micro doses of plastic that we pull up
and then inject so more pure more
natural no plastics slow spin speed
white blood cells more growth factors
and the all-important fibrin matrix now
there is about 17 minutes of use
time but it's a very quick injection so
it doesn't usually affect most clinics
and if you microneedle it like the
dentist you can use the clock they use
the clotted portion which is great as
well so there's many ways to use para
that's the main difference in several
differences more importantly to me it
seems much more effective to the point
where I don't use my PRP any further if
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