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富血小板纤维蛋白(PRF)与PRF+可生物降解胶原塞在拔牙后牙槽窝保存中的疗效比较

Efficacy of PRF vs PRF + Biodegradable Collagen Plug in Post-extraction Preservation of Socket.

作者信息

Ahmed Nida, Gopalakrishna Vivek, Shetty Akshay, Nagraj Vaibhav, Imran Mohammed, Kumar Praveen

机构信息

Department of Oral and Maxillofacial Surgery, Sri Rajiv Gandhi College of Dental Sciences and Hospital, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India, Phone: +91 9845218743, e-mail:

Department of Oral and Maxillofacial Surgery, Sri Rajiv Gandhi College of Dental Sciences and Hospital, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India.

出版信息

J Contemp Dent Pract. 2019 Nov 1;20(11):1323-1328.

Abstract

AIM

To compare the clinical sequelae of the efficacy of PRF vs PRF + collagen plug in soft tissue healing and preservation of the socket width, height, and bone density in patients reporting for extractions of maxillary or mandibular anterior or posterior teeth and patients who desired replacement of teeth with dental implants in future.

MATERIALS AND METHODS

The study included 54 patients who were divided randomly into 3 groups consisting of 18 patients in each group: in group I, no preservation of extraction socket; in group II, PRF was used; and in group III, PRF + collagen plug was used for preservation of extraction socket. Assessment of the soft tissue healing, bone density, bone height, and width was done on 1st, 8th, 12th, and 16th weeks, postoperatively.

RESULT

Both PRF and PRF + Collaplug are comparable to each other in preserving the bone height, bone density, and also similar soft tissue healing; however PRF + Collaplug is better than PRF alone in preserving the bone width 4th month postoperatively, indicating that the resorbable Collaplug® does play an additional role in preserving the socket width.

CONCLUSION

PRF + Collaplug® has better clinical outcome in socket preservation in comparison to PRF alone. However, as results were not statistically significant, subjecting a larger sample size with PRF + Collaplug® for socket preservation may result in statistical critical values to substantiate our observations.

CLINICAL SIGNIFICANCE

PRF and Collaplug® can help in ridge preservation after extraction and also avoid additional bone grafting procedures in future implant placement for the patients. How to cite this article: Ahmed N, Gopalakrishna V, Shetty A, Efficacy of PRF vs PRF + Biodegradable Collagen Plug in Post-extraction Preservation of Socket. J Contemp Dent Pract 2019;20(11):1323-1328.

摘要

目的

比较富血小板纤维蛋白(PRF)与PRF+胶原塞在软组织愈合以及上颌或下颌前牙或后牙拔除患者和未来希望用牙种植体替代牙齿患者的牙槽窝宽度、高度和骨密度保存方面疗效的临床后遗症。

材料与方法

该研究纳入54例患者,随机分为3组,每组18例:第一组,不进行拔牙窝保存;第二组,使用PRF;第三组,使用PRF+胶原塞进行拔牙窝保存。术后第1、8、12和16周对软组织愈合、骨密度、骨高度和宽度进行评估。

结果

PRF和PRF+胶原塞在保存骨高度、骨密度以及软组织愈合方面相当;然而,术后第4个月,PRF+胶原塞在保存骨宽度方面优于单独使用PRF,表明可吸收的胶原塞在保存牙槽窝宽度方面确实发挥了额外作用。

结论

与单独使用PRF相比,PRF+胶原塞在牙槽窝保存方面具有更好的临床效果。然而由于结果无统计学意义,对更大样本量的患者使用PRF+胶原塞进行牙槽窝保存可能会得出统计学临界值以证实我们的观察结果。

临床意义

PRF和胶原塞有助于拔牙后牙槽嵴保存,还可避免患者未来种植体植入时额外的骨移植手术。如何引用本文:艾哈迈德N,戈帕拉克里希纳V,谢蒂A,富血小板纤维蛋白与富血小板纤维蛋白+可生物降解胶原塞在拔牙后牙槽窝保存中的疗效比较。《当代牙科实践杂志》2019;20(11):1323 - 1328。

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