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富血小板血浆促进骨再生的潜力——在下颌第三磨牙拔牙窝的一项对比研究

Potential for osseous regeneration of platelet-rich plasma--a comparative study in mandibular third molar sockets.

作者信息

Simon Deepti, Manuel Suvy, Geetha V, Naik B R

机构信息

Department of Oral and Maxillofacial Surgery, Government Dental College, Trivandrum.

出版信息

Indian J Dent Res. 2004 Oct-Dec;15(4):133-6.

Abstract

Platelet-rich plasma (PRP), the concentrate of platelets in plasma contains various growth factors that enhance osseous regeneration. This study utilized homologous platelet-rich plasma in the treatment of third molar extraction sockets in a total of fourteen human subjects, who were randomly assigned into one control and one test group, each comprising of seven members. Clinical parameters like pain on palpation, number of analgesic tablets consumed, swelling, degree of mouth opening, and condition of mucosa overlying the surgical site were assessed at intervals of 1,3,5,7,9,12, and 16 weeks post operatively. The margins between the socket and surrounding bone, radiopacity of bone filling the socket, and presence oftrabecular bone formation were evaluated simultaneously. Soft tissue healing differed significantly between the two groups, with the test group exhibiting better results. Radiographic evidence of bone formation was visible as early as I week in test subjects. It was concluded that PRP contributed to better healing of soft tissues and bone and is a viable means of growth factor delivery.

摘要

富含血小板血浆(PRP)是血浆中血小板的浓缩物,含有多种促进骨再生的生长因子。本研究使用同源富含血小板血浆治疗了14名人类受试者的第三磨牙拔牙窝,这些受试者被随机分为一个对照组和一个试验组,每组7人。在术后1、3、5、7、9、12和16周的间隔时间评估临床参数,如触诊疼痛、服用止痛片数量、肿胀、开口度以及手术部位上方黏膜状况。同时评估拔牙窝与周围骨之间的边缘、填充拔牙窝的骨的放射密度以及小梁骨形成情况。两组之间软组织愈合存在显著差异,试验组结果更好。在试验对象中,早在第1周就可见到骨形成的影像学证据。得出的结论是,PRP有助于软组织和骨的更好愈合,是一种可行的生长因子递送方式。

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