scholarly journals The clinical implications of platelet-rich fibrin on periodontal regeneration: A systematic review

Author(s):  
Marwa Madi ◽  
Ahmed M. Elakel
2019 ◽  
Vol 14 (6) ◽  
pp. 504-518 ◽  
Author(s):  
Dilcele Silva Moreira Dziedzic ◽  
Bassam Felipe Mogharbel ◽  
Priscila Elias Ferreira ◽  
Ana Carolina Irioda ◽  
Katherine Athayde Teixeira de Carvalho

This systematic review evaluated the transplantation of cells derived from adipose tissue for applications in dentistry. SCOPUS, PUBMED and LILACS databases were searched for in vitro studies and pre-clinical animal model studies using the keywords “ADIPOSE”, “CELLS”, and “PERIODONTAL”, with the Boolean operator “AND”. A total of 160 titles and abstracts were identified, and 29 publications met the inclusion criteria, 14 in vitro and 15 in vivo studies. In vitro studies demonstrated that adipose- derived cells stimulate neovascularization, have osteogenic and odontogenic potential; besides adhesion, proliferation and differentiation on probable cell carriers. Preclinical studies described improvement of bone and periodontal healing with the association of adipose-derived cells and the carrier materials tested: Platelet Rich Plasma, Fibrin, Collagen and Synthetic polymer. There is evidence from the current in vitro and in vivo data indicating that adipose-derived cells may contribute to bone and periodontal regeneration. The small quantity of studies and the large variation on study designs, from animal models, cell sources and defect morphology, did not favor a meta-analysis. Additional studies need to be conducted to investigate the regeneration variability and the mechanisms of cell participation in the processes. An overview of animal models, cell sources, and scaffolds, as well as new perspectives are provided for future bone and periodontal regeneration study designs.


2015 ◽  
Vol 60 (1) ◽  
pp. e15-e49 ◽  
Author(s):  
I. Pluvy ◽  
M. Panouillères ◽  
I. Garrido ◽  
J. Pauchot ◽  
J. Saboye ◽  
...  

2015 ◽  
Vol 4 (7) ◽  
pp. 1101-1116 ◽  
Author(s):  
Justin E. Swartz ◽  
Ajit J. Pothen ◽  
Inge Stegeman ◽  
Stefan M. Willems ◽  
Wilko Grolman

2013 ◽  
Vol 2013 ◽  
pp. 1-13 ◽  
Author(s):  
Qi Li ◽  
Shuang Pan ◽  
Smit J. Dangaria ◽  
Gokul Gopinathan ◽  
Antonia Kolokythas ◽  
...  

In the present study we have determined the suitability of platelet-rich fibrin (PRF) as a complex scaffold for periodontal tissue regeneration. Replacing PRF with its major component fibrin increased mineralization in alveolar bone progenitors when compared to periodontal progenitors, suggesting that fibrin played a substantial role in PRF-induced osteogenic lineage differentiation. Moreover, there was a 3.6-fold increase in the early osteoblast transcription factor RUNX2 and a 3.1-fold reduction of the mineralization inhibitor MGP as a result of PRF application in alveolar bone progenitors, a trend not observed in periodontal progenitors. Subcutaneous implantation studies revealed that PRF readily integrated with surrounding tissues and was partially replaced with collagen fibers 2 weeks after implantation. Finally, clinical pilot studies in human patients documented an approximately 5 mm elevation of alveolar bone height in tandem with oral mucosal wound healing. Together, these studies suggest that PRF enhances osteogenic lineage differentiation of alveolar bone progenitors more than of periodontal progenitors by augmenting osteoblast differentiation, RUNX2 expression, and mineralized nodule formation via its principal component fibrin. They also document that PRF functions as a complex regenerative scaffold promoting both tissue-specific alveolar bone augmentation and surrounding periodontal soft tissue regeneration via progenitor-specific mechanisms.


2018 ◽  
Vol 20 (11) ◽  
pp. 1385-1391 ◽  
Author(s):  
J. M. Ramia ◽  
R. De-la-Plaza ◽  
A. Manuel-Vazquez ◽  
A. Lopez-Marcano ◽  
R. Morales

2019 ◽  
Vol 38 (5) ◽  
pp. 530-544 ◽  
Author(s):  
Nicolas Kumar ◽  
Michael Essandoh ◽  
Amar Bhatt ◽  
Bryan A. Whitson ◽  
Tamara R. Sawyer ◽  
...  

2015 ◽  
Vol 68 (1) ◽  
pp. 182-216 ◽  
Author(s):  
Anton Sculean ◽  
Dimitris Nikolidakis ◽  
George Nikou ◽  
Aleksandar Ivanovic ◽  
Iain L. C. Chapple ◽  
...  

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