To Analyze the Efficacy of Platelet-rich Plasma in Contrast to Platelet-rich Fibrin along with Synthetic Nanocrystalline Hydroxyapatite and β-tricalcium Phosphate Bone Graft in Regeneration of Bony Defects in Children
Nonie Marianne Koksi Sangma Shadap, Gunjan Yadav, Amit Rai
Keywords :
Bone grafts, Bone regeneration, Platelet-rich fibrin, Platelet-rich plasma
Citation Information :
Shadap NM, Yadav G, Rai A. To Analyze the Efficacy of Platelet-rich Plasma in Contrast to Platelet-rich Fibrin along with Synthetic Nanocrystalline Hydroxyapatite and β-tricalcium Phosphate Bone Graft in Regeneration of Bony Defects in Children. Int J Clin Pediatr Dent 2023; 16 (6):842-849.
Aim: To analyze the efficacy of platelet-rich plasma (PRP) in contrast to platelet-rich fibrin (PRF) along with synthetic nanocrystalline hydroxyapatite (HA) and β-tricalcium phosphate (β-TCP) bone graft in the regeneration of bone defects in children.
Materials and methods: A total of 20 children in whom bone defect was present were selected and divided into two groups of 10. In group I, the bone defect was filled with PRP + nanocrystalline HA with β-TCP and group II, with PRF + nanocrystalline HA with β-TCP. Radiographs using VistaScan with a mesh grid were taken to analyze the bone density and bone regeneration. Clinical evaluation with respect to the color of overlying mucosa, sinus formation, pus discharge, and seepage of bone graft was done. The parameters used to analyze the radiographs included gray scale analysis, residual bone defect calculation in pixels both performed in CorelDraw version 13 software, and radiopaque scoring scale.
Results: The mean bone defect density measured using gray scale was higher in the PRF than PRP group. The percentage of bone formation analyzed using residual bone defect calculation and mean radiopaque score revealed that the PRF group showed better outcomes compared to the PRP group.
Conclusion: Both PRP and PRF are equally effective in promoting bone regeneration with PRF showing slight superiority over PRP.
Nakkeeran KP, Saravanan K, Babu P, et al. Evaluation of bone regeneration in periapical osseous defects with and without platelet rich plasma, combined calcium sulfate and autologous bone graft- a comparative study. J Stomatol Oral Maxillofac Surg 2019;120(3):196–202. DOI: 10.1016/j.jormas.2018.11.008
Gokmenoglu C, Yavuz MC, Sadik E, et al. Treatment of different types of bone defects with concentrated growth factor: four case reports. Int J Oral Dent Health 2016;2(2):29–31. DOI: 10.23937/2469-5734/1510029
Britain SK, Arx Tv, Schenk RK, et al. The use of guided tissue regeneration principles in endodontic surgery for induced chronic periodontic-endodontic lesions: a clinical, radiographic and histologic evaluation. J Periodontol 2005;76(3):450–460. DOI: 10.1902/jop.2005.76.3.450
Shivashankar VY, Johns DA, Vidyanath S, et al. Combination of platelet rich fibrin, hydroxyapatite and PRF membrane in the management of large inflammatory periapical lesion. J Conserv Dent 2013;16(3):261–264. DOI: 10.4103/0972-0707.111329
Nagaveni NB, Reddy PB, Umashankar KV, et al. Efficacy of platelet-rich-plasma (PRP) in bone regeneration after cyst enucleation in pediatric paients- a clinical study. J Clin Pediatr Dent 2010;35(1):81–87. DOI: 10.17796/jcpd.35.1.q69168v5268234k9
Faour O, Dimitriou R, Cousins CA, et al. The use of bone graft substitutes in large cancellous voids: any specific needs? Injury 2011;42(Suppl 2):S87–S90. DOI: 10.1016/j.injury.2011.06.020
Dimitriou R, Jones E, McGonagle D, et al. Bone regeneration: current concept and future directions. BMC Med 2011;9(2):66. DOI: 10.1186/1741-7015-9-66
Elabdin AMZ, Sharara AA, Ragab HR. The effect of platelet rich-fibrin with and without autogenous bone graft on bone regeneration following enucleation of maxillary cysts. Alex Dent J 2020;45(3):1–6. DOI: 10.21608/ADJALEXU.2020.82686
Kumar P, Vinitha B, Fathima G. Bone grafts in dentistry. J Pharm Bioallied Sci 2013;5(Suppl 1):S125–S127. DOI: 10.4103/0975-7406.113312
Kojima S, Nakamura H, Lee S, et al. Hydroxyapatite formation on self-assembling peptides with differing secondary structures and their selective adsorption for proteins. Int J Mol Sci 2019;20(18):4650. DOI: 10.3390/ijms20184650
Trisi P, Rao W, Rebaudi A, et al. Histologic effect of pure-phase beta-tricalcium phosphate on bone regeneration in human artificial jawbone defects. Int J Periodontics Restorative Dent 2003;23(1):69–77. DOI: 10.11607/prd.00.0510
Lu H, Zhou Y, Ma Y, et al. Current application of beta-tricalcium phosphate in bone repair and its mechanism to regulate osteogenesis. Front Mater 2021;8:698915. DOI: 10.3389/fmats.2021.698915
Fareed WM, Tandon P, Ahmad ZE, et al. Efficacy of Blood and It's products-boon for oral surgeons: review. J Univers Surg 2017;5(1) 1–7. DOI: 10.21767/2254-6758.100071
Ebenezer V, Ramalingam B. Platelet rich plasma in oral and maxillofacial surgery. Eur J Mol Clin Med 2020;7(3):1948–1950.
Carlson NE, Roach RB Jr. Platelet-rich plasma clinical applications in dentistry. J Am Dent Assoc 2002;133(10):1383–1386. DOI: 10.14219/jada.archive.2002.0054
Khan FA, Parayaruthottam P, Roshan G, et al. Platelets and their pathways in dentistry: systematic review. J Int Soc Prev Community Dent 2017;7(Suppl 2):S55–S60. DOI: 10.4103/jispcd.JISPCD_284_17
Pavlovic V, Ciric M, Jovanovic V, et al. Platelet-rich fibrin: basics of biological actions and protocol modifications. Open Med 2021;16(1):446–454. DOI: 10.1515/med-2021-0259
Choi HM, Kim SH, Kim CK, et al. The cheapest and easiest way to make platelet- rich plasma preparation. Arch Aesthetic Plast Surg 2015;21(1):12–17. DOI: 10.14730/aaps.2015.21.1.12
Singh S, Singh A, Singh S, et al. Application of PRF in surgical management of periapical lesions. Natl J Maxillofac Surg 2013;4(1):94–99. DOI: 10.4103/0975-5950.117825
Dohan Ehrenfest DM, Del Corso M, Diss A, et al. Three-dimensional architecture and cell composition of a Choukroun's platelet-rich fibrin clot and membrane. J Periodontol 2010;81(4): 546–555. DOI: 10.1902/jop.2009.090531
Angerame D, Biasi MD, Kastrioti I, et al. Application of platelet-rich fibrin in endodontic surgery. G Ital Endod 2015;29(2):51–57. DOI: 10.1016/j.gien.2015.08.003
Saluja H, Dehane V, Mahindra U. Platelet-rich fibrin: a second generation platelet concentrate and a new friend of oral and maxillofacial surgeons. Ann Maxillofac Surg 2011;1(1):53–57. DOI: 10.4103/2231-0746.83158
Toffler M, Toscano N, Holtzclaw D, et al. Introducing Choukroun's platelet rich fibrin (PRF) to the reconstructive surgery milieu. J Implant Adv Clin Dent 2009;1:21–30.
Kavitha M, Krishnaveni R, Swathi AM, et al. Evaluation of healing by cone beam computed tomography (CBCT) using platelet-rich plasma (PRP) + β -tricalcium phosphate (β -TCP) and platelet rich fibrin (PRF) + β -tricalcium phosphate (β -TCP) in periapical lesions: case report. Niger J Clin Pract 2020;23(7):1026–1029. DOI: 10.4103/njcp.njcp_54_20
Strauss FJ, Nasirzade J, Kargarpoor Z, et al. Effect of platelet-rich fibrin on cell proliferation, migration, differentiation, inflammation, and osteoclastogenesis: a systematic review of in vitro studies. Clin Oral Investig 2020;24(2):569–584. DOI: 10.1007/s00784-019-03156-9
Prasanthi N, Chittem J, Simpsy G, et al. Surgical management of a large inflammatory periapical lesion with platelet rich fibrin. J Interdiscip Dent 2017;7:76–79. DOI: 10.4103/jid.jid_77_15
Triveni MG, Tarun Kumar AB, Jain V, et al. Alveolar ridge preservation with beta-TCP graft and platelet-rich fibrin. Int J Oral Implant Clin Res 2012;3(2):96–100. DOI: 10.5005/JP-Journals-10012-1074
Goyal L. Clinical effectiveness of combining platelet rich fibrin with alloplastic bone substitute for the management of combined endodontic periodontal lesion. Restor Dent Endod 2014;39(1):51–55. DOI: 10.5395/rde.2014.39.1.51
Pinipe J, Mandalapu NB, Manchala SR, et al. Comparative evaluation of clinical efficacy of β-tri calcium phosphate (Septodont-RTR) TM alone and in combination with platelet rich plasma for treatment of intrabony defects in chronic periodontitis. J Indian Soc Periodontol 2014;18(3):346–351. DOI: 10.4103/0972-124X.134573
Stumbras A, Kuliesius P, Januzis G, et al. Alveolar ridge preservation after tooth extraction using different bone graft materials and autologous platelet concentrates: a systematic review. J Oral Maxillofac Res 2019;10(1):e2. DOI: 10.5037/jomr.2019.10102
Dohan DM, Choukroun J, Diss A, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part II: platelet-related biologic features. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101(3):e45–e50. DOI: 10.1016/j.tripleo.2005.07.009
Doiphode AM, Hegde P, Mahindra U, et al. Evaluation of the efficacy of platelet rich plasma and platelet rich fibrin in alveolar defects after removal of impacted bilateral mandibular third molars. J Int Soc Prevent Communit Dent 2016;6(Suppl 1):S47–S52. DOI: 10.4103/2231-0762.181167
Singha S, Dhirawani RB, Asrani S, et al. Evaluation of treatment outcome after impacted mandibular third molar surgery with and without autologous platelet concentrates. SRM J Res Dent Sci 2019;10:72–77. DOI: 10.4103/srmjrds.srmjrds_12_19
Schlegel KA, Donath K, Rupprecht S, et al. De novo bone formation using bovine collagen and platelet-rich plasma. Biomaterials 2004 25(23):5387–5393. DOI: 10.1016/j.biomaterials.2003.12.043
Yelamali T, Saikrishna D. Role of platelet rich fibrin and platelet rich plasma in wound healing of extracted third molar sockets: a comparative study. J Maxillofac Oral Surg 2015;14(2):410–416. DOI: 10.1007/s12663-014-0638-4
Bhujbal R, Veerabhadrappa SK, Yadav S, et al. Evaluation of platelet rich fibrin and platelet rich plasma in impacted mandibular third molar extraction socket healingand bone regeneration: a split mouth comparative study. Eur J Gen Dent 2020;9(2):96–102. DOI: 10.4103/ejgd.ejgd_133_19
Kiran NK, Mukunda KS, Tilak Raj TN. Platelet concentrates: a promising innovation in dentistry. J Dent Sci Res 2011;2(1):50–61.
Thanikasalam M, Ahamed S, Narayana SS, et al. Evaluation of healing after periapical surgery using platelet–rich fibrin and nano crystalline hydroxyapatite with collagen in combination with platelet–rich fibrin. Endodontol 2018;30(1):25–31. DOI: 10.4103/endo.endo_55_17
Wu CL, Lee SS, Tsai CH, et al. Platelet-rich fibrin increases cell attachment, proliferation and collagen-related protein expression of human osteoblasts. Aust Dent J 2012;57(2):207–212. DOI: 10.1111/j.1834-7819.2012.01686.x