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富血小板纤维蛋白和浓缩生长因子对上颌前牙区种植体周围组织的影响。

Effect of advanced platelet-rich fibrin and concentrated growth factor on tissues around implants in maxillary anterior region.

机构信息

Department of Prosthodontics, Post Graduate Institute of Dental Sciences, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India.

出版信息

J Indian Prosthodont Soc. 2022 Apr-Jun;22(2):169-178. doi: 10.4103/jips.jips_301_21.

Abstract

AIM

To assess the effect of advanced platelet-rich fibrin (APRF) and concentrated growth factor (CGF) on tissues around implants in the maxillary anterior region.

SETTINGS AND DESIGN

This was a prospective clinical study.

MATERIALS AND METHODS

Thirty subjects were divided into three groups with 10 dental implants in each group, i.e., Group 1: Control group, Group 2: Endosseous implant placement with APRF, and Group 3: Endosseous implant placement with CGF. The subjects were assessed at baseline (at the time of prosthesis placement), 2 weeks, 2 months, 6 months, and 1 year for modified sulcular bleeding index, periimplant probing depth, mucosal suppuration, bleeding on probing, crestal bone level as well as implant stability.

STATISTICAL ANALYSIS USED

Oneway Analysis of variance and Post hoc Bonferroni were the statistical tests used.

RESULTS

The difference in implant stability at 2 months was significantly (P < 0.05) more among the control and CGF groups compared to APRF group. However; the crestal bone levels, periimplant probing depth, modified sulcular bleeding index, mucosal suppuration, and bleeding on probing were statistically non-significant (P > 0.05).

CONCLUSION

CGF and APRF accelerated osseointegration. Furthermore, they had a positive effect on stabilization values. However, CGF showed better results and with further clinical trials may show a positive effect on implant healing period.

摘要

目的

评估富含血小板纤维蛋白(APRF)和浓缩生长因子(CGF)对上颌前区种植体周围组织的影响。

设置和设计

这是一项前瞻性临床研究。

材料和方法

将 30 名受试者分为三组,每组 10 个牙种植体,即:第 1 组:对照组,第 2 组:APRF 植入物植入,第 3 组:CGF 植入物植入。在基线(修复体放置时)、2 周、2 个月、6 个月和 1 年时对改良龈沟出血指数、种植体周围探诊深度、黏膜化脓、探诊出血、牙槽骨嵴水平以及种植体稳定性进行评估。

统计分析

使用单向方差分析和事后 Bonferroni 检验。

结果

与 APRF 组相比,对照组和 CGF 组在 2 个月时种植体稳定性的差异具有统计学意义(P < 0.05)。然而,牙槽骨嵴水平、种植体周围探诊深度、改良龈沟出血指数、黏膜化脓和探诊出血在统计学上无显著性差异(P > 0.05)。

结论

CGF 和 APRF 加速了骨整合。此外,它们对稳定值有积极影响。然而,CGF 显示出更好的结果,并且随着进一步的临床试验,可能会对种植体愈合期产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78cd/9132507/1f68befe4f3a/JIPS-22-169-g002.jpg

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