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引导骨再生:富血小板纤维蛋白和富浓缩生长因子联合不同类型支架的系统评价

Guided Bone Regeneration: CGF and PRF Combined With Various Types of Scaffolds-A Systematic Review.

作者信息

Inchingolo Francesco, Inchingolo Angelo Michele, Latini Giulia, de Ruvo Elisabetta, Campanelli Merigrazia, Palermo Andrea, Fabbro Massimo Del, Blasio Marco Di, Inchingolo Alessio Danilo, Dipalma Gianna

机构信息

Interdisciplinary Department of Medicine, Università degli Studi di Bari Aldo Moro, Bari 70124, Italy.

College of Medicine and Dentistry, Birmingham B4 6BN, UK.

出版信息

Int J Dent. 2024 Dec 5;2024:4990295. doi: 10.1155/ijod/4990295. eCollection 2024.

Abstract

Bone regeneration plays a pivotal role in modern oral surgery, particularly in facilitating successful implant-prosthetic rehabilitation. This systematic review explores the regenerative potential of growth factors, such as platelet-rich fibrin (PRF) and concentrated growth factors (CGFs), when combined with various types of scaffolds in bone augmentation procedures, including guided bone regeneration, split crest, sinus lift (SL), and alveolar ridge preservation. A comprehensive search strategy yielded 18 relevant studies, which were analyzed for bone formation and stabilization outcomes. Results indicate that PRF enhances bone regeneration and stabilization in SL and ridge augmentation procedures, while CGFs facilitate surgical techniques and augment bone. However, some studies did not report significant differences. Growth factors also demonstrate benefits in wound healing, reducing bone resorption, and enhancing socket preservation. Despite valuable insights, further research is needed to comprehensively understand the characteristics of growth factors in various surgical interventions, ensuring informed decision-making in bone regeneration surgery.

摘要

骨再生在现代口腔外科中起着关键作用,特别是在促进成功的种植修复康复方面。本系统综述探讨了富血小板纤维蛋白(PRF)和浓缩生长因子(CGF)等生长因子与各种类型支架结合用于骨增量手术(包括引导骨再生、牙槽嵴劈开、上颌窦提升术(SL)和牙槽嵴保存)时的再生潜力。全面的检索策略产生了18项相关研究,对这些研究的骨形成和稳定结果进行了分析。结果表明,PRF可增强上颌窦提升术和牙槽嵴增量手术中的骨再生和稳定,而CGF则有助于手术技术并增加骨量。然而,一些研究未报告显著差异。生长因子在伤口愈合、减少骨吸收和增强牙槽窝保存方面也显示出益处。尽管有宝贵的见解,但仍需要进一步研究以全面了解生长因子在各种手术干预中的特性,确保在骨再生手术中做出明智的决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6313/11637628/59366d179819/IJD2024-4990295.001.jpg

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