Autologous platelet concentrates in regenerative dentistry – A narrative literature review.

Part II: clinical application of PRF in periodontology and implantology

Authors

  • Oliver P. Ernst Klinik für Zahnerhaltung und Präventivzahnmedizin, Bereich für Parodontologie und Periimplantäre Erkrankungen, Zentrum für Zahnmedizin, Universität Zürich, Zürich, Schweiz, und Privatpraxis, Zürich, Schweiz
  • Liza L. Ramenzoni Klinik für Zahnerhaltung und Präventivzahnmedizin, Bereich für Parodontologie und Periimplantäre Erkrankungen, Zentrum für Zahnmedizin, Universität Zürich, Zürich, Schweiz
  • Patrick R. Schmidlin Klinik für Zahnerhaltung und Präventivzahnmedizin, Bereich für Parodontologie und Periimplantäre Erkrankungen, Zentrum für Zahnmedizin, Universität Zürich, Zürich, Schweiz

DOI:

https://doi.org/10.61872/sdj-2024-05-03

PMID:

38741457

Keywords:

Autologe Plättchenkonzentrate, Autologe Thrombozytenkonzentrate, Plasma rich in growth factors, Platelet rich fibrin, Regeneration

Abstract

The clinical impact of platelet-rich fibrin (PRF) and plasma rich in growth factors (PRGF®) respectively has been studied extensively in the field of regenerative dentistry during the last two decades. Literature supports evidence for additional benefits in regenerative periodontal therapy, alveolar ridge preservation, management of extraction sockets, implantology including guided bone regeneration as well as defect management in oral surgery. Regarding gingival wound healing and soft tissue regeneration, there is sufficient evidence for their positive effects which have been confirmed in several systematic reviews. The effects seem less clear in conjunction with osseous regenerative treatments, where the inter-study heterogenity in terms of different PRF-protocols, indications and application forms might hinder a systematic comparison. Nevertheless there is evidence that PRF might have beneficial effects on hard-tissue or its regeneration respectively. For being able to facilitate conclusions in systematic reviews, precise reporting of the used PRF-protocols is mandatory for future (clinical) research in the field of autologous platelet concentrates.

References

AL-MAAWI S, BECKER K, SCHWARZ F, SADER R, GHANAATI S. Efficacy of platelet-rich fibrin in promoting the healing of extraction sockets: a systematic review. Int J Implant Dent. 2021 Dec 19;7(1):117 DOI: https://doi.org/10.1186/s40729-021-00393-0

AYDEMIR TURKAL H, DEMIRER S, DOLGUN A, KECELI HG. Evaluation of the adjunctive effect of platelet-rich fibrin to enamel matrix derivative in the treatment of intrabony defects. Six-month results of a randomized, split-mouth, controlled clinical study. J Clin Periodontol. 2016 Nov;43(11):955-964 DOI: https://doi.org/10.1111/jcpe.12598

CANO-DURÁN JA, PEÑA-CARDELLES JF, ORTEGA-CONCEPCIÓN D, PAREDES-RODRÍGUEZ VM, GARCÍA-RIART M, LÓPEZ-QUILES J. The role of Leucocyte-rich and platelet-rich fibrin (L-PRF) in the treatment of the medication-related osteonecrosis of the jaws (MRONJ). J Clin Exp Dent. 2017 Aug 1;9(8):e1051-e1059 DOI: https://doi.org/10.4317/jced.54154

CARAMÊS JMM, VIEIRA FA, CARAMÊS GB, PINTO AC, FRANCISCO HCO, MARQUES DNDS. Guided bone regenera-tion in the edentulous atrophic maxilla using deproteinized bovine bone mineral (DBBM) combined with plate-let-rich fibrin (PRF)-A prospective study. J Clin Med. 2022 Feb 8;11(3):894 DOI: https://doi.org/10.3390/jcm11030894

CASTRO AB, MESCHI N, TEMMERMAN A, PINTO N, LAMBRECHTS P, TEUGHELS W, QUIRYNEN M. Regenerative potential of leucocyte- and platelet-rich fibrin. Part B: sinus floor elevation, alveolar ridge preservation and im-plant therapy. A systematic review. J Clin Periodontol. 2017 Feb;44(2):225-234 DOI: https://doi.org/10.1111/jcpe.12658

CLARK D, RAJENDRAN Y, PAYDAR S, HO S, COX D, RYDER M, DOLLARD J, KAO RT. Advanced platelet-rich fibrin and freeze-dried bone allograft for ridge preservation: A randomized controlled clinical trial. J Periodontol. 2018 Apr;89(4):379-387 DOI: https://doi.org/10.1002/JPER.17-0466

CSIFÓ-NAGY BK, SÓLYOM E, BOGNÁR VL, NEVELITS A, DŐRI F. Efficacy of a new-generation platelet-rich fibrin in the treatment of periodontal intrabony defects: a randomized clinical trial. BMC Oral Health. 2021 Nov 15;21(1):580 DOI: https://doi.org/10.1186/s12903-021-01925-1

DE ANGELIS P, DE ANGELIS S, PASSARELLI PC, LIGUORI MG, MANICONE PF, D'ADDONA A. Hard and soft tissue evaluation of different socket preservation procedures using leukocyte and platelet-rich fibrin: A retrospective clinical and volumetric analysis. J Oral Maxillofac Surg. 2019 Sep;77(9):1807-1815 DOI: https://doi.org/10.1016/j.joms.2019.05.004

DEL FABBRO M, PANDA S, TASCHIERI S. Adjunctive use of plasma rich in growth factors for improving alveolar socket healing: A systematic review. J Evid Based Dent Pract. 2019 Jun;19(2):166-176 DOI: https://doi.org/10.1016/j.jebdp.2018.11.003

FUJIOKA-KOBAYASHI M, MIRON RJ, MORASCHINI V, ZHANG Y, GRUBER R, WANG HL. Efficacy of platelet-rich fibrin on bone formation, part 2: Guided bone regeneration, sinus elevation and implant therapy. Int J Oral Implantol (Berl). 2021 Aug 20;14(3):285-302

GASSLING V, PURCZ N, BRAESEN JH, WILL M, GIERLOFF M, BEHRENS E, AÇIL Y, WILTFANG J. Comparison of two different absorbable membranes for the coverage of lateral osteotomy sites in maxillary sinus augmentation: a preliminary study. J Craniomaxillofac Surg. 2013 Jan;41(1):76-82 DOI: https://doi.org/10.1016/j.jcms.2012.10.015

GHANAATI S, MOURÃO CF, ADAM EH, SADER R, ZADEH HH, AL MAAWI S. The role of centrifugation process in the preparation of therapeutic blood concentrates: Standardization of the protocols to improve reproducibility. Int J Growth Factors Stem Cells Dent 2019;2:41 4 DOI: https://doi.org/10.4103/GFSC.GFSC_15_19

GUPTA SJ, JHINGRAN R, GUPTA V, BAINS VK, MADAN R, RIZVI I. Efficacy of platelet-rich fibrin vs. enamel matrix derivative in the treatment of periodontal intrabony defects: a clinical and cone beam computed tomography study. J Int Acad Periodontol. 2014 Jul;16(3):86-96

JANKOVIC S, ALEKSIC Z, MILINKOVIC I, DIMITRIJEVIC B. The coronally advanced flap in combination with platelet-rich fibrin (PRF) and enamel matrix derivative in the treatment of gingival recession: a comparative study. Eur J Esthet Dent. 2010 Autumn;5(3):260-73

LEKOVIC V, MILINKOVIC I, ALEKSIC Z, JANKOVIC S, STANKOVIC P, KENNEY EB, CAMARGO PM. Platelet-rich fibrin and bovine porous bone mineral vs. platelet-rich fibrin in the treatment of intrabony periodontal defects. J Perio-dontal Res. 2012 Aug;47(4):409-17 DOI: https://doi.org/10.1111/j.1600-0765.2011.01446.x

LI R, LIU Y, XU T, ZHAO H, HOU J, WU Y, ZHANG D. The additional effect of autologous platelet concentrates to coro-nally advanced flap in the treatment of gingival recessions: A systematic review and meta-analysis. Biomed Res Int. 2019 Jul 25;2019:2587245 DOI: https://doi.org/10.1155/2019/2587245

LIU K, HUANG Z, CHEN Z, HAN B, OUYANG X. Treatment of periodontal intrabony defects using bovine porous bone mineral and guided tissue regeneration with/without platelet-rich fibrin: A randomized controlled clinical trial. J Periodontol. 2021 Nov;92(11):1546-1553 DOI: https://doi.org/10.1002/JPER.20-0860

MEZA-MAURICIO J, FURQUIM CP, GELDRES A, MENDOZA-AZPUR G, RETAMAL-VALDES B, MORASCHINI V, FAVERI M. Is the use of platelet-rich fibrin effective in the healing, control of pain, and postoperative bleeding in the palatal area after free gingival graft harvesting? A systematic review of randomized clinical studies. Clin Oral Investig. 2021 Jul;25(7):4239-4249 DOI: https://doi.org/10.1007/s00784-021-03933-5

MIRANDA M, GIANFREDA F, RAFFONE C, ANTONACCI D, PISTILLI V, BOLLERO P. The role of platelet-rich fibrin (PRF) in the prevention of medication-related osteonecrosis of the jaw (MRONJ). Biomed Res Int. 2021 May 13;2021:4948139 DOI: https://doi.org/10.1155/2021/4948139

MIRON RJ, MORASCHINI V, DEL FABBRO M, PIATTELLI A, FUJIOKA-KOBAYASHI M, ZHANG Y, SAULACIC N, SCHAL-LER B, KAWASE T, COSGAREA R, JEPSEN S, TUTTLE D, BISHARA M, CANULLO L, ELIEZER M, STAVROPOULOS A, SHIRAKATA Y, STÄHLI A, GRUBER R, LUCACIU O, AROCA S, DEPPE H, WANG HL, SCULEAN A. Use of platelet-rich fibrin for the treatment of gingival recessions: a systematic review and meta-analysis. Clin Oral Investig. 2020 Aug;24(8):2543-2557 DOI: https://doi.org/10.1007/s00784-020-03400-7

MIRON RJ, FUJIOKA-KOBAYASHI M, MORASCHINI V, ZHANG Y, GRUBER R, WANG HL. Efficacy of platelet-rich fibrin on bone formation, part 1: Alveolar ridge preservation. Int J Oral Implantol (Berl). 2021 May 12;14(2):181-194

MIRON RJ, MORASCHINI V, FUJIOKA-KOBAYASHI M, ZHANG Y, KAWASE T, COSGAREA R, JEPSEN S, BISHARA M, CANULLO L, SHIRAKATA Y, GRUBER R, FERENC D, CALASANS-MAIA MD, WANG HL, SCULEAN A. Use of platelet-rich fibrin for the treatment of periodontal intrabony defects: a systematic review and meta-analysis. Clin Oral Investig. 2021 May;25(5):2461-2478 DOI: https://doi.org/10.1007/s00784-021-03825-8

MOUSSA M, EL-DAHAB OA, EL NAHASS H. Anterior maxilla augmentation using palatal bone block with platelet-rich fibrin: A controlled trial. Int J Oral Maxillofac Implants. 2016 May-Jun;31(3):708-1 DOI: https://doi.org/10.11607/jomi.3926

ÖZCAN E, SAYGUN I, KANTARCI A, ÖZARSLANTÜRK S, SERDAR MA, ÖZGÜRTAŞ T. The effects of a novel non-invasive application of platelet-rich fibrin on periodontal clinical parameters and gingival crevicular fluid transforming growth factor-β and collagen-1 levels: A randomized, controlled, clinical study. J Periodontol. 2021 Sep;92(9):1252-1261 DOI: https://doi.org/10.1002/JPER.20-0713

PICHOTANO EC, DE MOLON RS, DE SOUZA RV, AUSTIN RS, MARCANTONIO E, ZANDIM-BARCELOS DL. Evaluation of L-PRF combined with deproteinized bovine bone mineral for early implant placement after maxillary sinus augmentation: A randomized clinical trial. Clin Implant Dent Relat Res. 2019 Apr;21(2):253-262 DOI: https://doi.org/10.1111/cid.12713

SIMONPIERI A, CHOUKROUN J, DEL CORSO M, SAMMARTINO G, DOHAN EHRENFEST DM. Simultaneous sinus-lift and implantation using microthreaded implants and leukocyte- and platelet-rich fibrin as sole grafting materi-al: a six-year experience. Implant Dent. 2011 Feb;20(1):2-12 DOI: https://doi.org/10.1097/ID.0b013e3181faa8af

STRAUSS FJ, STÄHLI A, GRUBER R. The use of platelet-rich fibrin to enhance the outcomes of implant therapy: A systematic review. Clin Oral Implants Res. 2018 Oct;29 Suppl 18(Suppl Suppl 18):6-19 DOI: https://doi.org/10.1111/clr.13275

TARALLO F, MANCINI L, PITZURRA L, BIZZARRO S, TEPEDINO M, MARCHETTI E. Use of platelet-rich fibrin in the treatment of grade 2 furcation defects: Systematic review and meta-analysis. J Clin Med. 2020 Jul 3;9(7):2104 DOI: https://doi.org/10.3390/jcm9072104

THAKKAR DJ, DESHPANDE NC, DAVE DH, NARAYANKAR SD. A comparative evaluation of extraction socket preserva-tion with demineralized freeze-dried bone allograft alone and along with platelet-rich fibrin: A clinical and radi-ographic study. Contemp Clin Dent. 2016 Jul-Sep;7(3):371-6 DOI: https://doi.org/10.4103/0976-237X.188567

XIANG X, SHI P, ZHANG P, SHEN J, KANG J. Impact of platelet-rich fibrin on mandibular third molar surgery recovery: a systematic review and meta-analysis. BMC Oral Health. 2019 Jul 25;19(1):163 DOI: https://doi.org/10.1186/s12903-019-0824-3

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Published

2024-04-05

How to Cite

Ernst, O. P., Ramenzoni, L. L., & Schmidlin, P. R. (2024). Autologe Thrombozyten-Konzentrate in der regenerativen Zahnmedizin –reif für die Praxis? Eine zusammenfasssende Literaturübersicht: Teil II –Klinische Anwendung: Fokus regenerative Zahnmedizin. SWISS DENTAL JOURNAL SSO – Science and Clinical Topics, 134(1), 144-157. https://doi.org/10.61872/sdj-2024-05-03

How to Cite

Ernst, O. P., Ramenzoni, L. L., & Schmidlin, P. R. (2024). Autologe Thrombozyten-Konzentrate in der regenerativen Zahnmedizin –reif für die Praxis? Eine zusammenfasssende Literaturübersicht: Teil II –Klinische Anwendung: Fokus regenerative Zahnmedizin. SWISS DENTAL JOURNAL SSO – Science and Clinical Topics, 134(1), 144-157. https://doi.org/10.61872/sdj-2024-05-03