Torres Jesús, Tamimi Faleh M, Tresguerres Isabel F, Alkhraisat Mohammad H, Khraisat Ameen, Lopez-Cabarcos Enrique, Blanco Luis
Department of Health Sciences III, Faculty of Health Sciences, Rey Juan Carlos University, Alcorcón, Spain.
Clin Implant Dent Relat Res. 2008 May;10(2):106-12. doi: 10.1111/j.1708-8208.2007.00068.x.
The use of platelet-rich plasma (PRP) in bone augmentation procedures is well documented; however, the exact benefit of this material is not yet established.
This study aimed to evaluate the benefits of using PRP, when only used, and compare it to Bio-Oss (Geistlich Biomaterials, Wolhusen, Switzerland) in vertical bone augmentation capacity.
The study was performed in calvaria of eight adult female New Zealand rabbits using titanium bone conduction cylinder. Two titanium cylinders were fixed into perforated slits made on the parietal bone of each rabbit. On each rabbit, one chamber was grafted with Bio-Oss, and the contralateral was filled with PRP. Animals were sacrificed 4 weeks after intervention and biopsies were taken. Densitometric, histological, and histomorphometric analyses were performed to evaluate bone mineral density, vertical bone augmentation, and remaining graft volume, respectively. Statistical analyses were performed with Mann-Whitney test, using a significance level of p < .05.
Densitometric and histomorphometric data analysis revealed that mean bone mineral densities and bone augmentation were significantly lower in the cylinders treated with PRP (p < .0001) 4 weeks after implantation.
This study showed no beneficial effect of using PRP on osseous regeneration. In addition, it was emphasized that Bio-Oss presents good osteoconductive properties by achieving suitable bone volume values.
富血小板血浆(PRP)在骨增量手术中的应用已有充分记录;然而,这种材料的确切益处尚未确定。
本研究旨在评估单独使用PRP的益处,并将其与Bio-Oss(瑞士沃胡森的盖斯特利希生物材料公司)在垂直骨增量能力方面进行比较。
本研究在8只成年雌性新西兰兔的颅骨上使用钛骨传导柱进行。将两个钛柱固定到每只兔子顶骨上制作的穿孔狭缝中。在每只兔子身上,一个腔室植入Bio-Oss,对侧填充PRP。干预4周后处死动物并进行活检。分别进行密度测定、组织学和组织形态计量学分析,以评估骨矿物质密度、垂直骨增量和剩余移植物体积。采用Mann-Whitney检验进行统计分析,显著性水平为p < .05。
密度测定和组织形态计量学数据分析显示,植入4周后,PRP处理的柱体中的平均骨矿物质密度和骨增量显著较低(p < .0001)。
本研究表明使用PRP对骨再生没有有益作用。此外,强调了Bio-Oss通过实现合适的骨体积值呈现出良好的骨传导特性。