Quirynen M, Blanco J, Wang H-L, Donos N, Temmerman A, Castro A, Pinto N
Department of Oral Health Sciences, Katholieke Universiteit Leuven, Dentistry (Periodontology), University Hospitals Leuven, Leuven, Belgium.
Department of Department of Stomatology, Unit of Periodontology, Santiago de Compostela University, Santiago de Compostela, Spain.
Periodontol 2000. 2025 Feb;97(1):420-432. doi: 10.1111/prd.12564. Epub 2024 May 27.
Autologous platelet concentrates (APCs) have demonstrated clear benefits across various clinical applications, including alveolar ridge preservation, guided tissue regeneration, guided bone regeneration, sinus floor elevation (both lateral window approach and transcrestal technique), endodontic surgery, the treatment of medication-related osteonecrosis of the jaw bones, and periodontal plastic surgery. To ensure an optimal clinical outcome, clinicians must adhere strictly to the protocol to prepare the APCs and, especially follow evidence-based surgical guidelines, often simple but crucial, to minimize the likelihood of errors. The majority of clinical trials reported on second-generation APCs [the leukocyte- and platelet-rich fibrin (L-PRF) family, including its modifications (A-PRF, A-PRF+, CGF, T-PRF, H-PRF, etc.)]. These second-generation APCs offer additional benefits compared to the first-generation APCs, making them the preferred choice for the development of clinical recommendations. These recommendations have been formulated through a meticulous examination of the available clinical data and the clinical experience of the authors of this paper.
自体血小板浓缩物(APCs)已在各种临床应用中显示出明显的益处,包括牙槽嵴保存、引导组织再生、引导骨再生、窦底提升(包括侧窗入路和经嵴技术)、牙髓手术、颌骨药物相关性骨坏死的治疗以及牙周整形手术。为确保最佳临床效果,临床医生必须严格遵守制备APCs的方案,尤其是要遵循循证外科指南,这些指南通常简单但至关重要,以尽量减少出错的可能性。大多数临床试验报告的是第二代APCs[富含白细胞和血小板的纤维蛋白(L-PRF)家族,包括其改良产品(A-PRF、A-PRF+、CGF、T-PRF、H-PRF等)]。与第一代APCs相比,这些第二代APCs具有更多优势,使其成为制定临床建议的首选。这些建议是通过对现有临床数据和本文作者的临床经验进行细致审查而制定的。
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