The Use of Platelet-Rich Fibrin in Sinus Floor Augmentation Surgery: a Systematic Review.

IF 1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
eJournal of Oral Maxillofacial Research Pub Date : 2024-06-30 eCollection Date: 2024-04-01 DOI:10.5037/jomr.2024.15201
Oren Babich, Erel Lugassy, Michael Babich, Pinny Abayov, Eliezer Haimov, Gintaras Juodzbalys
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Abstract

Objectives: This systematic review aims to critically assess the impact of platelet-rich fibrin on maxillary sinus floor augmentation and outline the specific aspects of new bone formation, bone height, implant stability quotient, and Schneiderian membrane thickness.

Material and methods: A systematic review and meta-analysis were conducted, analysing studies from MEDLINE (PubMed), the Cochrane Library, and ScienceDirect databases, published from January 29, 2018 until January 29, 2024 that compared maxillary sinus floor augmentation (MSFA) using bone graft material with and without platelet-rich fibrin (PRF). This review focused on patients 18 years and older who undergone MSFA before the dental implant placement. It systematically examined five studies, encompassing randomized controlled trials, and reported on 112 MSFA procedures conducted in 84 patients.

Results: The meta-analysis reveals a marginal significance in new bone formation with PRF, suggesting a trend towards beneficial outcomes that were not statistically significant. No significant impact on bone height was observed. However, a notable improvement in implant stability quotient (ISQ) was recorded, indicating enhanced implant stability with PRF. The Schneiderian membrane thickness did not show significant changes post-treatment with PRF.

Conclusions: While platelet-rich fibrin shows promise in enhancing implant stability, its effects on new bone formation and Schneiderian membrane thickness are inconclusive, highlighting the need for further research. Platelet-rich fibrin did not significantly affect bone height. The findings support platelet-rich fibrin's potential as a beneficial adjunct in maxillary sinus floor augmentation, particularly for implant stability.

富血小板纤维蛋白在窦底增高手术中的应用:系统性综述》(The Use of Platelet-Rich Fibrin in Sinus Floor Augmentation Surgery: a Systematic Review)。
目的:本系统综述旨在批判性评估富血小板纤维蛋白对上颌窦底增量术的影响,并概述新骨形成、骨高度、种植体稳定性商数和施奈德膜厚度等具体方面:对MEDLINE(PubMed)、Cochrane图书馆和ScienceDirect数据库中2018年1月29日至2024年1月29日期间发表的、使用富血小板纤维蛋白(PRF)和不使用富血小板纤维蛋白的植骨材料进行上颌窦底增高术(MSFA)比较的研究进行了系统综述和荟萃分析。本综述重点关注在种植牙前接受 MSFA 的 18 岁及以上患者。它系统地检查了五项研究,包括随机对照试验,并报告了在 84 名患者中进行的 112 次 MSFA 程序:结果:荟萃分析表明,PRF 对新骨形成的影响微乎其微,显示出有益的趋势,但在统计学上并不显著。对骨高度没有明显影响。不过,种植体稳定性商数(ISQ)有明显改善,表明 PRF 提高了种植体的稳定性。使用 PRF 治疗后,施奈德膜厚度没有发生明显变化:结论:虽然富血小板纤维蛋白有望增强种植体的稳定性,但其对新骨形成和施奈德膜厚度的影响尚无定论,因此需要进一步研究。富血小板纤维蛋白对骨高度没有明显影响。研究结果支持富血小板纤维蛋白作为上颌窦底增量术的一种有益辅助材料的潜力,尤其是在提高种植体稳定性方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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19
审稿时长
12 weeks
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