Karakasli Kuter, Erdur Emire Aybuke
Angle Orthod. 2021 Mar 1;91(2):213-219. doi: 10.2319/050820-412.1.
To investigate the efficiency of platelet-rich fibrin (PRF) injection on maxillary incisor retraction rate.
The study included 40 patients (23 women and 17 men; mean age; 20.7 ± 1.45) with Class II Division 1 malocclusion. The treatment plan for all patients was extraction of the maxillary first premolars and canine distalization, followed by retraction of the maxillary incisors. Patients were randomly divided into two groups. The study group received injectable platelet-rich fibrin (i-PRF) two times with an interval of 2 weeks; the control group did not receive i-PRF. In both groups, the measurements were bilaterally assessed as the distances between the lateral and canine teeth on the plaster models at five time points. The rate of incisor movement was evaluated by Student's t-test, analysis of variance, and Tukey honestly significant difference tests. Statistical significance was set as P < .05.
The average movements of incisors were significantly higher in the study group than the control group at all time points (P < .05). According to the within-group comparison, none of the measurements showed any significant differences between the right and left sides in both groups at all time points (P > .05). While the movement of incisors was significantly higher in the study group in the week following the PRF injection compared to the other weeks (P < .05), there were no significant differences in the control group at all-time points (P > .05).
Applying i-PRF significantly increased the rate of maxillary incisor retraction at all time intervals. Platelet-rich fibrin injection can be an effective method for shortening treatment duration.
探讨富血小板纤维蛋白(PRF)注射对上颌切牙后移速率的影响。
本研究纳入40例安氏II类1分类错牙合患者(23例女性,17例男性;平均年龄20.7±1.45岁)。所有患者的治疗方案均为拔除上颌第一前磨牙并远中移动尖牙,随后内收上颌切牙。患者被随机分为两组。研究组每隔2周注射两次可注射富血小板纤维蛋白(i-PRF);对照组未接受i-PRF注射。两组均在五个时间点对石膏模型上侧切牙与尖牙之间的距离进行双侧测量。采用Student's t检验、方差分析和Tukey真实显著性差异检验评估切牙移动速率。设定P <.05为具有统计学意义。
在所有时间点,研究组切牙的平均移动距离均显著高于对照组(P <.05)。组内比较显示,两组在所有时间点左右两侧的测量值均无显著差异(P >.05)。与其他周相比,研究组在PRF注射后的第一周切牙移动显著更高(P <.05),而对照组在所有时间点均无显著差异(P >.05)。
应用i-PRF可显著提高上颌切牙在所有时间间隔内的后移速率。注射富血小板纤维蛋白可能是缩短治疗时间的有效方法。