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富血小板血浆治疗口腔疾病安全性评价的临床研究:研究方案

Clinical Research on the Safety Evaluation of Platelet-rich Plasma Treatment in Oral Diseases: A Study Protocol.

作者信息

Tobita Morikuni, Masubuchi Yosuke, Wakana Keiko, Yoneda Hikari, Namaki Shunsuke, Hide Mariko, Tamagawa Takaaki, Shinohara Mitsuyo

出版信息

Juntendo Iji Zasshi. 2023 Apr 26;69(3):240-245. doi: 10.14789/jmj.JMJ23-0005-SP. eCollection 2023.

Abstract

BACKGROUND

Platelet-rich plasma (PRP) is a biological product obtained from autologous blood that contains growth factors, promoting the healing and regeneration of human tissues. Several oral diseases require surgical intervention, producing residual wounds that undergo a healing process, accompanied by pain, swelling, superinfections, and bone remodeling. This protocol study aims to evaluate the safety of PRP use for the following dental procedures: post-extraction socket healing, periodontal tissue regeneration, maxillary sinus floor elevation, tooth transplantation, and intentional tooth replantation.

METHODS

Ten patients will be enrolled and subjected to the required treatment with the addition of PRP, after appropriate hematological and biochemical evaluations. The participants will then be subjected to an observation period of 4 weeks to monitor adverse events through clinical observation. Secondary outcomes will regard pain, and clinical evolution of the treated site. Among these, presence of infection, swelling, wound healing, stability of the transplanted tooth.

DISCUSSION

Safety of medical procedures represents the first requirement for their introduction in routine practice. A careful evaluation of clinical response during follow-up period and registration of adverse effects is fundamental for safety confirmation and subsequent use of PRP for the proposed dental procedures.

TRIAL REGISTRATION

Japan Registry of Clinical Trials (https://jrct.niph.go.jp/, registry number: jRCTc030190273, jRCTc030190274, jRCTc030190275, jRCTc030190276, jRCTc030190277; Date of registration: 31 March 2020).

摘要

背景

富血小板血浆(PRP)是一种从自体血液中获得的生物制品,含有生长因子,可促进人体组织的愈合和再生。几种口腔疾病需要手术干预,会产生残余伤口,这些伤口会经历愈合过程,伴有疼痛、肿胀、继发感染和骨重塑。本方案研究旨在评估PRP用于以下牙科手术的安全性:拔牙后牙槽窝愈合、牙周组织再生、上颌窦底提升、牙齿移植和意向性牙齿再植。

方法

在进行适当的血液学和生化评估后,将招募10名患者,并在添加PRP的情况下进行所需治疗。然后,参与者将接受4周的观察期,通过临床观察监测不良事件。次要结果将涉及疼痛以及治疗部位的临床进展。其中包括感染的存在、肿胀、伤口愈合、移植牙的稳定性。

讨论

医疗程序的安全性是其引入常规实践的首要要求。在随访期间仔细评估临床反应并记录不良反应,对于确认PRP用于所提议牙科手术的安全性及后续使用至关重要。

试验注册

日本临床试验注册中心(https://jrct.niph.go.jp/,注册号:jRCTc030190273、jRCTc030190274、jRCTc030190275、jRCTc030190276、jRCTc030190277;注册日期:2020年3月31日)。

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