Liu Ruijia, Chen Siqi, Wang Peng, Bi Ruiye
State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, China.
National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Front Bioeng Biotechnol. 2025 Jan 7;12:1523225. doi: 10.3389/fbioe.2024.1523225. eCollection 2024.
Platelet concentrates (PCs), which are blood products that are abundant in platelets and growth factors, have become pivotal in treating maxillofacial tissue lesions due to their capacity for promoting bone and soft tissue recovery. This review will provide some recent progress of the use of platelet concentrates to treat lesions on maxillofacial tissues.
We reviewed the mechanisms by which PCs promote wound healing and tissue recovery and summarized the application of PCs in the treatment of lesions on maxillofacial tissues, including medication-related osteonecrosis of the jaw, post-extraction wound healing, implant surgery, temporomandibular joint diseases, and periodontal tissue restoration.
PC promotes the attachment and proliferation of osteoblasts, as well as the synthesis and deposition of collagen fibers by stimulating the AFK pathway and releasing growth factors and cytokines, such as secreting GFs, VEGF, TGF-β, etc. They also induce angiogenesis, inhibit bone resorption, promote the healing of soft tissues, relieve symptoms, reduce postoperative complications and maintain implant stability.
PCs may be used as an adjuvant therapy in the treatment of lesions on maxillofacial tissues. However, more studies should refine the preparation and treatment methods for platelet concentrates and establish a foundation for their extensive application.
血小板浓缩物(PCs)是富含血小板和生长因子的血液制品,因其具有促进骨骼和软组织恢复的能力,已成为治疗颌面部组织损伤的关键。本综述将介绍血小板浓缩物用于治疗颌面部组织损伤的一些最新进展。
我们回顾了血小板浓缩物促进伤口愈合和组织恢复的机制,并总结了血小板浓缩物在颌面部组织损伤治疗中的应用,包括药物相关性颌骨坏死、拔牙后伤口愈合、种植手术、颞下颌关节疾病和牙周组织修复。
血小板浓缩物通过刺激AFK途径、释放生长因子和细胞因子(如分泌GFs、VEGF、TGF-β等),促进成骨细胞的附着和增殖,以及胶原纤维的合成和沉积。它们还能诱导血管生成、抑制骨吸收、促进软组织愈合、缓解症状、减少术后并发症并维持种植体稳定性。
血小板浓缩物可作为颌面部组织损伤治疗的辅助疗法。然而,更多的研究应完善血小板浓缩物的制备和治疗方法,为其广泛应用奠定基础。