Does platelet-rich fibrin increase bone regeneration in mandibular third molar extraction sockets?
Njokanma Azuka Raphael, Akomolafe Ayodele Gbenga, Fatusi Olawunmi Adedoyin, Ogundipe Olufemi Kolawole, Kuye Olasunkanmi Funmilola, Arije Olujide Olusesan,
소속 상세정보
( Njokanma Azuka Raphael ) - Obafemi Awolowo University Teaching Hospitals Complex Department of Oral & Maxillofacial Surgery and Oral Pathology
( Akomolafe Ayodele Gbenga ) - Obafemi Awolowo University Teaching Hospitals Complex Department of Oral & Maxillofacial Surgery and Oral Pathology
( Fatusi Olawunmi Adedoyin ) - Obafemi Awolowo University Teaching Hospitals Complex Department of Oral & Maxillofacial Surgery and Oral Pathology
( Ogundipe Olufemi Kolawole ) - Obafemi Awolowo University Teaching Hospitals Complex Department of Oral & Maxillofacial Surgery and Oral Pathology
( Kuye Olasunkanmi Funmilola ) - Obafemi Awolowo University Teaching Hospitals Complex Department of Oral & Maxillofacial Surgery and Oral Pathology
( Arije Olujide Olusesan ) - Obafemi Awolowo University Teaching Hospitals Complex Department of Oral & Maxillofacial Surgery and Oral Pathology
Abstract
Objectives: This study determined the effect of platelet-rich fibrin (PRF) on extraction socket bone regeneration and assessed the patterns and determinants of bone regeneration after the surgical extraction of impacted mandibular third molars.
Materials and Methods: This prospective study randomly allocated 90 patients into two treatment groups: A PRF group (intervention group) and a non-PRF group (control group). After surgical extractions, the PRF group had PRF placed in the extraction socket and the socket was sutured, while the socket was only sutured in the non-PRF group. At postoperative weeks 1, 4, 8, and 12, periapical radiographs were obtained and HLImage software was used to determine the region of newly formed bone (RNFB) and the pattern of bone formation. The determinants of bone regeneration were assessed. Statistical significance was set at P<0.05.
Results: The percentage RNFB (RNFB%) was not significantly higher in the PRF group when compared with the non-PRF group at postoperative weeks 1, 4, 8, and 12 (P=0.188, 0.155, 0.132, and 0.219, respectively). Within the non-PRF group, the middle third consistently exhibited the highest bone formation while the least amount of bone formation was consistently observed in the cervical third. In the PRF group, the middle third had the highest bone formation, while bone formation at the apical third was smaller compared to the cervical third at the 8th week with this difference widening at the 12th week. The sex of the patient, type of impaction, and duration of surgery was significantly associated with percentage bone formation (P=0.041, 0.043, and 0.018, respectively).
Conclusion: Placement of PRF in extraction sockets increased socket bone regeneration. However, this finding was not statistically significant. The patient’s sex, type of impaction, and duration of surgery significantly influenced the percentage of bone formation.
키워드
Platelet-rich fibrin; Bone regeneration; Third molar
원문 및 링크아웃 정보
등재저널 정보