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A-PRF 和 L-PRF 在游离龈瓣移植术后应用于腭部供区对生活质量和伤口愈合影响的比较。

Comparison of the effect of A-PRF and L-PRF application to palatal donor sites on quality of life and wound healing after free gingival graft surgery.

出版信息

Quintessence Int. 2024 Jun 28;55(6):472-481. doi: 10.3290/j.qi.b5316947.

Abstract

OBJECTIVES

This study compared the effects of leukocyte platelet-rich fibrin (L-PRF) and advanced platelet-rich fibrin (A-PRF) on patients' quality of life and the healing of palatal wounds after free gingival graft harvesting.

METHOD AND MATERIALS

After free gingival graft harvesting, palatal donor sites of 36 patients were assigned to one of three groups: L-PRF group, A-PRF group, or palatal stent + periodontal pack group (control group). Wound healing was evaluated by H2O2 test. Pain was evaluated by visual analog scale and number of analgesics consumed. For patient quality of life, the Oral Health Impact Profile-14 (OHIP-14) questionnaire was utilized.

RESULTS

Complete epithelialization was higher in the control group on day 7 than in the test groups (P < .05). Complete epithelialization was achieved in all groups 14 days postoperatively. Visual analog scale scores for pain and the number of analgesic tablets consumed were similar in all groups (P > .05). OHIP-14 total scores were similar in all study groups at 7 days postoperatively (P > .05). OHIP-14 total and physical pain score was lower in the L-PRF group than the A-PRF group at 14 days postoperatively (P < .05).

CONCLUSION

Aside from the slight superiority of L-PRF over A-PRF, it can be concluded that both PRF procedures have similar effects on palatal wound healing and quality of life.

摘要

目的

本研究比较了白细胞富血小板纤维蛋白(L-PRF)和先进富血小板纤维蛋白(A-PRF)对游离龈移植术后患者生活质量和腭部伤口愈合的影响。

方法和材料

游离龈移植术后,将 36 名患者的腭部供区分为以下三组:L-PRF 组、A-PRF 组或腭托+牙周塞治剂组(对照组)。通过 H2O2 试验评估伤口愈合情况。通过视觉模拟评分和止痛药消耗量评估疼痛。使用口腔健康影响简表-14(OHIP-14)问卷评估患者的生活质量。

结果

第 7 天对照组的完全上皮化率高于试验组(P<.05)。所有组均在术后 14 天完成完全上皮化。各组的视觉模拟评分和止痛药片剂消耗量相似(P>.05)。术后 7 天所有研究组的 OHIP-14 总分相似(P>.05)。术后 14 天,L-PRF 组的 OHIP-14 总分和躯体疼痛评分低于 A-PRF 组(P<.05)。

结论

除了 L-PRF 略优于 A-PRF 之外,可以得出结论,两种 PRF 手术对腭部伤口愈合和生活质量的影响相似。

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