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注射用富血小板纤维蛋白对牙种植体骨结合的影响。

Effects of Injectable Platelet-Rich Fibrin on the Osseointegration of Dental Implants.

作者信息

Hasanzade Turkel, Ertugrul Abdullah Seckin, Yuzbasioglu Ertugrul Betul

机构信息

Department of Periodontology, Izmir Katip Çelebi University Faculty of Dentistry, Izmir, Turkey.

Department of Orthodontics, Dokuz Eylül University Faculty of Dentistry, Izmir, Turkey.

出版信息

Med Sci Monit. 2025 Sep 20;31:e949298. doi: 10.12659/MSM.949298.

Abstract

BACKGROUND Many methods are used to increase the osseointegration of dental implants. This study aimed to evaluate the effect of injectable platelet-rich fibrin (i-PRF) on the osseointegration of dental implants in 20 patients, as measured by resonance frequency analysis. MATERIAL AND METHODS The study included 20 patients, with each patient receiving 2 SLA implants. After preparing the 2 implant sockets in each patient, one socket was randomly selected and irrigated with i-PRF before implant placement, while the other socket was left untreated. Implant stability was evaluated using a frequency analysis device at a 3-month evaluation. RESULTS The initial implant stability quotient (ISQ) values of the implants in the the test group (i-PRF+) averaged 68.875±9.571, increasing to 74.237±8.283 after 3 months. In the control group (i-PRF-), the initial ISQ values averaged 73.275±7.699 and measured 73.662±8.089 after 3 months. The ISQ values of women in the i-PRF+ group were significantly higher than those of men (P=0.004), whereas no statistically significant difference was found between male and female patients in the i-PRF- group (P=0.399). No statistically significant difference was found in ISQ values based on bone density in either the test or control groups (test group, P=0.109; control group, P=0.430). CONCLUSIONS Implants treated with i-PRF demonstrated significantly higher stability values in resonance frequency evaluations compared to untreated implants. Additionally, while i-PRF application resulted in a significantly greater increase in stability in women than in men, bone density did not have an effect on stability.

摘要

背景

许多方法被用于提高牙种植体的骨整合。本研究旨在通过共振频率分析评估可注射富血小板纤维蛋白(i-PRF)对20例患者牙种植体骨整合的影响。

材料与方法

该研究纳入20例患者,每位患者植入2颗SLA种植体。在为每位患者制备2个种植窝后,随机选择一个种植窝,在植入种植体前用i-PRF冲洗,另一个种植窝不做处理。在3个月的评估时,使用频率分析装置评估种植体稳定性。

结果

试验组(i-PRF+)种植体的初始种植体稳定性商数(ISQ)值平均为68.875±9.571,3个月后增至74.237±8.283。对照组(i-PRF-)的初始ISQ值平均为73.275±7.699,3个月后为73.662±8.089。i-PRF+组女性的ISQ值显著高于男性(P=0.004),而i-PRF-组男性和女性患者之间未发现统计学上的显著差异(P=0.399)。试验组和对照组基于骨密度的ISQ值均未发现统计学上的显著差异(试验组,P=0.109;对照组,P=0.430)。

结论

与未处理的种植体相比,用i-PRF处理的种植体在共振频率评估中显示出显著更高的稳定性值。此外,虽然应用i-PRF使女性的稳定性增加显著大于男性,但骨密度对稳定性没有影响。

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