Quirynen Marc, Sculean Anton, Blanco Juan, Wang Hom-Lay, Donos Nikos
Department of Oral Health Sciences, KU Leuven & Dentistry (Periodontology), University Hospitals Leuven, Leuven, Belgium.
Department of Periodontology, University of Bern, Bern, Switzerland.
Periodontol 2000. 2025 Feb;97(1):7-15. doi: 10.1111/prd.12607. Epub 2024 Sep 11.
This special issue on autologous platelet concentrates (APCs) provides clinicians with an overview on the current understanding of the use of these biomaterials for soft and hard tissue regeneration. The included papers summarize scientific evidence and the clinical findings, presented in simple tables that outline potential benefits including Patient Reported Outcome Measures (PROMs). This approach enables clinicians to assess clinical relevance and researchers to identify significant gaps in the literature. The first part provides a comprehensive summary of the basic science surrounding APC, with particular focus on their preparation methods. Clear recommendations are outlined, which are crucial for obtaining high-quality APCs, alongside an exploration of how APCs may influence both soft and hard tissue healing processes. Part 2 delves into the clinical evidence for the potential benefits of APCs across a range of applications: alveolar ridge preservation, sinus floor elevation, periodontal plastic surgery, guided tissue regeneration, guided bone regeneration, the healing of Medication-Related Osteonecrosis of the Jaw (MRONJ), and endodontic surgery. In the part 3, the discussion turns to the effects of APCs on the healing of extra-oral wounds, including diabetic foot ulcers, venous leg ulcers, pressure injuries, burns, and more. The fourth section offers a detailed, step-by-step flowchart for each treatment modality, providing a clear guide for clinical application.
本期关于自体血小板浓缩物(APC)的特刊为临床医生提供了一个概述,介绍了目前对这些生物材料用于软组织和硬组织再生的理解。收录的论文总结了科学证据和临床研究结果,以简单的表格形式呈现,概述了潜在益处,包括患者报告的结局指标(PROMs)。这种方式使临床医生能够评估临床相关性,也让研究人员能够找出文献中的重大空白。第一部分全面总结了围绕APC的基础科学,特别关注其制备方法。文中概述了明确的建议,这对于获得高质量的APC至关重要,同时还探讨了APC如何影响软组织和硬组织的愈合过程。第二部分深入探讨了APC在一系列应用中的潜在益处的临床证据:牙槽嵴保存、窦底提升、牙周整形手术、引导组织再生、引导骨再生、药物性颌骨坏死(MRONJ)的愈合以及牙髓手术。在第三部分中,讨论转向了APC对口腔外伤口愈合的影响,包括糖尿病足溃疡、下肢静脉溃疡、压疮、烧伤等等。第四部分为每种治疗方式提供了详细的、逐步的流程图,为临床应用提供了清晰的指导。