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富含血小板的血浆和富含血小板的纤维蛋白在口腔外科中的应用:叙述性综述。

Platelet-rich plasma and platelet-rich fibrin in oral surgery: A narrative review.

机构信息

Department of Oral Pathology, Wroclaw Medical University, Poland.

Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy.

出版信息

Dent Med Probl. 2023 Jan-Mar;60(1):177-186. doi: 10.17219/dmp/147298.

Abstract

Platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) are biological products derived from the plasma fraction of autologous blood that have a platelet concentration above that of the original blood. Cytokines and growth factors are present in platelet-based preparations, and their application has gained great attention in dentistry. The aim of this review was to comprehensively examine the latest scientific evidence on the use of PRF and PRP in oral surgery, and to describe current operational protocols. Platelet-rich fibrin is used after third molar extractions, in the treatment of alveolar osteitis and trismus, and in implant surgery. Platelet-rich plasma is utilized in sinus lift procedures, after tooth extractions, and in patients undergoing the treatment of bisphosphonate-related osteonecrosis of the jaw. Based on this review, plenty of data indicates that the PRF-PRP usage in oral surgery shows promising results. However, no consistent protocols have been presented in the analyzed articles. Further research is needed to provide clinicians with evidence-based clinical recommendations and to develop protocols on the use of these preparations in dental surgery.

摘要

富血小板血浆(PRP)和富血小板纤维蛋白(PRF)是从自体血液的血浆部分衍生而来的生物制品,其血小板浓度高于原始血液。细胞因子和生长因子存在于基于血小板的制剂中,它们的应用在牙科领域引起了广泛关注。本综述的目的是全面检查 PRF 和 PRP 在口腔外科中应用的最新科学证据,并描述当前的操作方案。PRF 用于第三磨牙拔除后、牙槽突炎和牙关紧闭的治疗以及种植手术中。PRP 用于鼻窦提升术、拔牙后以及双膦酸盐相关性颌骨坏死患者的治疗中。基于这篇综述,大量数据表明 PRF-PRP 在口腔外科中的应用显示出有前景的结果。然而,在分析的文章中并没有提出一致的方案。需要进一步的研究为临床医生提供基于证据的临床建议,并制定这些制剂在牙科手术中使用的方案。

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