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[再生牙科中的自体血小板浓缩物——叙述性文献综述。第二部分:富血小板纤维蛋白在牙周病学和种植学中的临床应用]

[Autologous platelet concentrates in regenerative dentistry - A narrative literature review. Part II: clinical application of PRF in periodontology and implantology].

作者信息

Ernst Oliver P, Ramenzoni Liza L, Schmidlin Patrick R

机构信息

Klinik für Zahnerhaltung und Präventivzahnmedizin, Bereich für Parodontologie und Periimplantäre Erkrankungen, Zentrum für Zahnmedizin, Universität Zürich, Zürich, Schweiz, und Privatpraxis, Zürich, Schweiz.

Klinik für Zahnerhaltung und Präventivzahnmedizin, Bereich für Parodontologie und Periimplantäre Erkrankungen, Zentrum für Zahnmedizin, Universität Zürich, Zürich, Schweiz.

出版信息

Swiss Dent J. 2024 Apr 5;134(1):144-157. doi: 10.61872/sdj-2024-05-03.

Abstract

The clinical impact of platelet-rich fibrin (PRF) and plasma rich in growth factors (PRGF®) respectively has been studied extensively in the field of regenerative dentistry during the last two decades. Literature supports evidence for additional benefits in regenerative periodontal therapy, alveolar ridge preservation, management of extraction sockets, implantology including guided bone regeneration as well as defect management in oral surgery. Regarding gingival wound healing and soft tissue regeneration, there is sufficient evidence for their positive effects which have been confirmed in several systematic reviews. The effects seem less clear in conjunction with osseous regenerative treatments, where the inter-study heterogenity in terms of different PRF-protocols, indications and application forms might hinder a systematic comparison. Nevertheless there is evidence that PRF might have beneficial effects on hard-tissue or its regeneration respectively.For being able to facilitate conclusions in systematic reviews, precise reporting of the used PRF-protocols is mandatory for future (clinical) research in the field of autologous platelet concentrates.

摘要

在过去二十年中,富血小板纤维蛋白(PRF)和富含生长因子的血浆(PRGF®)在再生牙科领域的临床影响分别得到了广泛研究。文献支持其在再生牙周治疗、牙槽嵴保存、拔牙窝处理、包括引导骨再生的种植学以及口腔外科的缺损处理等方面具有额外益处的证据。关于牙龈伤口愈合和软组织再生,有充分证据表明它们具有积极作用,这已在多项系统评价中得到证实。在骨再生治疗方面,其效果似乎不太明确,不同PRF方案、适应证和应用形式之间的研究异质性可能会妨碍进行系统比较。然而,有证据表明PRF可能分别对硬组织或其再生具有有益作用。为了能够在系统评价中得出结论,对于自体血小板浓缩物领域未来的(临床)研究,精确报告所使用的PRF方案是必不可少的。

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