PRF vs. PRP in Oral Surgery: What’s the Difference?

When you are preparing for oral surgery, understanding the advanced techniques available can provide significant peace of mind. At our practice, we are committed to using the latest innovations to ensure faster, more comfortable healing for our patients. Two of these leading-edge technologies are Platelet-Rich Fibrin (PRF) and Platelet-Rich Plasma (PRP). Both utilize growth factors from your own blood to promote healing, but they function in distinct ways. Knowing the difference can help you appreciate the sophisticated care you will receive.
These regenerative procedures are a cornerstone of modern oral and maxillofacial surgery, transforming how we approach procedures like dental implant placement, bone grafting, and wisdom tooth extraction. By harnessing the body's natural healing capabilities, we can significantly improve surgical outcomes, reduce the risk of complications, and make your recovery process smoother and quicker. We believe an informed patient is a comfortable patient, so we want to explain these therapies and how they contribute to the high standard of care we provide.
Understanding Platelet-Rich Fibrin (PRF)
Platelet-Rich Fibrin, or PRF, represents a more advanced generation of platelet concentrate therapy. It is a completely natural biomaterial derived from your own blood, created by drawing a small sample and spinning it in a centrifuge at a lower speed than PRP. This unique process allows the fibrin, platelets, and white blood cells to form a dense, sponge-like matrix. Unlike other methods, no anticoagulants or additives are used, making it a truly autologous and biocompatible material.
The primary benefit of the PRF matrix is its ability to release growth factors slowly over an extended period—typically 7 to 14 days. This sustained release promotes more effective and prolonged healing at the surgical site. The fibrin scaffold provides a structure for new tissue to grow, guiding the regeneration of bone and soft tissue. This makes Platelet Rich Fibrin an exceptional tool in oral surgery for procedures that require robust tissue regeneration. For over two decades, Dr. Miyamoto has specialized in using these growth factors to expedite healing after surgery, ensuring a more predictable and successful recovery for our patients.
What is Platelet-Rich Plasma (PRP)?
Platelet-Rich Plasma (PRP) is another type of platelet concentrate that has been used for many years to accelerate healing. Similar to PRF, it begins with drawing a patient’s blood. However, the blood is spun at a higher speed in a centrifuge, and an anticoagulant is added to prevent it from clotting prematurely. This process separates the blood into three layers: red blood cells, a "buffy coat" rich in platelets and white blood cells, and platelet-poor plasma. The buffy coat is then isolated to create PRP.
Once activated, PRP releases a powerful, immediate burst of growth factors at the surgical site. This initial surge is effective for stimulating the early stages of wound healing, such as attracting stem cells to the area and encouraging the formation of new blood vessels. PRP is in a liquid form, which allows it to be injected into specific areas or mixed with bone grafting materials. Its application has been valuable in various oral surgery procedures, including sinus lifts and ridge augmentations, where it helps kick-start the healing process.
Key Differences: PRF vs. PRP
While both PRF and PRP are derived from the patient's blood to enhance healing, their preparation, composition, and function set them apart. The most significant difference lies in the centrifugation process. PRF is created by spinning blood at a lower speed without any additives. This slower spin preserves more white blood cells and stem cells within the fibrin matrix. In contrast, PRP preparation involves a faster spin and requires an anticoagulant, which can dilute the concentration of healing cells.
This distinction leads to a fundamental difference in how they work. PRP delivers a high concentration of growth factors in a rapid, short burst immediately after application. This is beneficial for initiating healing. PRF, on the other hand, forms a stable, gel-like clot that releases growth factors gradually over a longer period. This sustained release supports ongoing tissue regeneration and remodeling, making it particularly effective for more complex healing environments. The PRF matrix also acts as a natural scaffold, providing a framework for new tissue to build upon, an advantage not inherently present in the liquid form of PRP. At Fullerton Oral Surgery, we prioritize using the most advanced and effective technologies, and our extensive expertise in PRF allows us to optimize healing for our patients.
Your Partner in Advanced Oral Surgery
Choosing the right regenerative therapy is a critical part of planning a successful oral surgery. Both PRF and PRP offer remarkable benefits by using your body's own healing power. However, the sustained release of growth factors from the PRF matrix often provides a more robust and prolonged healing response, which is why it is a preferred method in many of our procedures. Our commitment is to provide you with the most sophisticated and effective treatments available to ensure your comfort, safety, and a swift recovery. We utilize state-of-the-art technology, including computer-guided surgery and advanced growth factor techniques, to deliver precise and personalized care.
We understand that undergoing any surgical procedure can be a source of anxiety. That is why we focus on not only providing world-class surgical care but also ensuring you feel informed and comfortable every step of the way. Our team, led by Dr. Steven Miyamoto, is dedicated to creating a welcoming environment where your health and well-being are our top priorities. From your initial consultation to your post-operative care, we are here to support you with expert guidance and compassionate treatment.
Frequently Asked Questions About Platelet Rich Fibrin
Is the PRF procedure painful?
The process for creating Platelet-Rich Fibrin is simple and minimally invasive. It involves a routine blood draw, similar to what you would experience during a standard physical exam. A small amount of blood is taken from your arm. Since this is done while you are already prepared for your oral surgery, and often under sedation, most patients feel little to no discomfort from the blood draw itself. The application of PRF at the surgical site is also painless.
How does PRF improve dental implant success?
PRF significantly enhances the success of dental implants by improving the environment for osseointegration—the process where the implant fuses with the jawbone. When PRF is placed in the implant site, its fibrin matrix acts as a scaffold for new bone cells to grow. The slow release of growth factors stimulates bone regeneration and soft tissue healing around the implant. This leads to a stronger, more stable foundation for the implant, reduces the risk of infection, and accelerates the overall healing timeline, ensuring a more predictable and durable outcome.
At Fullerton Oral Surgery, our skilled team, led by Dr. Steven Miyamoto, is proud to serve patients throughout northern Orange County, including Anaheim, Buena Park, Placentia, La Habra, Brea, and Whittier. We combine decades of experience with the latest innovations in oral surgery to ensure your family’s health is in the best of hands. If you have questions or wish to schedule a consultation, please contact us today.
