Effectiveness of injectable platelet-rich fibrin in conjunction with scaling and root planing as local drug delivery in the treatment of periodontitis
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20253280Keywords:
Periodontitis, Injectable formulation of platelet rich fibrin, Non-surgical periodontal therapyAbstract
Periodontitis is a multifactorial disease, characterized by the progressive destruction of periodontal supporting tissues, resulting in periodontal pocket formation. Scaling and root planing (SRP) is not frequently resolute at repairing disease-related defects. To enhance the regeneration, adjunctive therapeutic procedures have been added to conventional therapy. Platelets are important reservoirs of various GFs and cytokines, which are vital in wound repair and homeostasis. Therefore, this study aimed to assess the effectiveness injectable formulation of platelet rich fibrin (I-PRF) enables easier use of the platelet concentrate in a liquid state. A total of 20 periodontitis subjects were selected and divided using a split-mouth study design into control site: SRP alone and test site: SRP + I-PRF injection. Clinical parameters like-gingival index (GI), plaque index (PI), bleeding on probing (BOP), clinical attachment loss (CAL), pocket probing depth (PPD) were evaluated at baseline and 6 weeks. Statistically significant reduction in the clinical parameters observed in both the sites. But comparatively, test site showed more reduction in clinical parameters with gain in CAL when compared to control site. I-PRF when used along with SRP show therapeutic benefit in periodontal regeneration.
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References
Kurgan S, Kantarci A. Molecular basis for immunohistochemical and inflammatory changes during progression of gingivitis to periodontitis. Periodontol 2000. 2018;76(1):51-67. DOI: https://doi.org/10.1111/prd.12146
Dye BA. The global burden of oral disease: research and public health significance. J Dental Res. 2017;96(4):361-3. DOI: https://doi.org/10.1177/0022034517693567
Dye BA. Global periodontal disease epidemiology. Periodontology 2000. 2012;58(1):10-25. DOI: https://doi.org/10.1111/j.1600-0757.2011.00413.x
Trombelli L, Farina R, Pollard A, Claydon N, Franceschetti G, Khan I, et al. Efficacy of alternative or additional methods to professional mechanical plaque removal during supportive periodontal therapy: A systematic review and meta‐analysis. J Clin Periodontol. 2020;47:144-54. DOI: https://doi.org/10.1111/jcpe.13269
Deas DE, Moritz AJ, Sagun Jr RS, Gruwell SF, Powell CA. Scaling and root planing vs. conservative surgery in the treatment of chronic periodontitis. Periodontology 2000. 2016;71(1):128-39. DOI: https://doi.org/10.1111/prd.12114
Brajović G, Popović B, Puletić M, Kostić M, Milašin J. Estimation of total bacteria by real-time PCR in patients with periodontal disease. Srpski Arhiv Celokupno Lekarstvo. 2016;144(1-2):10-4. DOI: https://doi.org/10.2298/SARH1602010B
Agrawal I, Chandran S, Nadig P. Comparative evaluation of the efficacy of platelet-rich fibrin and calcium phosphosilicate putty alone and in combination in the treatment of intrabony defects: a randomized clinical and radiographic study. Contemporary Clin Dentist. 2017;8(2):205-10. DOI: https://doi.org/10.4103/ccd.ccd_1147_16
Kanmaz B, Lappin DF, Nile CJ, Buduneli N. Effects of smoking on non‐surgical periodontal therapy in patients with periodontitis Stage III or IV, and Grade C. J Periodontol. 2020;91(4):442-53. DOI: https://doi.org/10.1002/JPER.19-0141
Verma A, Srivastava S, Khurshid S, Parveen F, Pandey P. Platelet rich fibrin: a promising innovation in regenerative therapy. J Evolut Med Dental Sci. 2015;4(33):5748-57. DOI: https://doi.org/10.14260/jemds/2015/840
Choukroun J, Diss A, Simonpieri A, Girard MO, Schoeffler C, Dohan SL, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part V: histologic evaluations of PRF effects on bone allograft maturation in sinus lift. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2006;101(3):299-303. DOI: https://doi.org/10.1016/j.tripleo.2005.07.012
Miron RJ, Fujioka-Kobayashi M, Hernandez M, Kandalam U, Zhang Y, Ghanaati S, et al. Injectable platelet rich fibrin (i-PRF): opportunities in regenerative dentistry? Clin Oral Investigat. 2017;21:2619-27. DOI: https://doi.org/10.1007/s00784-017-2063-9
Chen FM, Gao LN, Tian BM, Zhang XY, Zhang YJ, Dong GY, et al. Treatment of periodontal intrabony defects using autologous periodontal ligament stem cells: a randomized clinical trial. Stem Cell Res Therapy. 2016;7:1-1. DOI: https://doi.org/10.1186/s13287-016-0288-1
Choukroun J, Ghanaati RS. Reduction of relative centrifugation force within injectable platelet-rich-fibrin (PRF) concentrates advances patients’ own inflammatory cells, platelets and growth factors: the first introduction to the low speed centrifugation concept. Eur J Trauma Emergency Surg. 2018;44:87-95. DOI: https://doi.org/10.1007/s00068-017-0767-9
El Bagdadi K, Kubesch A, Yu X, Al-Maawi S, Orlowska A, Dias A, et al. Reduction of relative centrifugal forces increases growth factor release within solid platelet-rich-fibrin (PRF)-based matrices: a proof of concept of LSCC (low speed centrifugation concept). Eur J Trauma Emergency Surg. 2019;45:467-79. DOI: https://doi.org/10.1007/s00068-017-0785-7
Marrelli M, Tatullo M. Influence of PRF in the healing of bone and gingival tissues. Clinical and histological evaluations. Eur Rev Med Pharmacol Sci. 2013;17(14):1958-62.
Timmerman MF, Van der Weijden GA, Van Steenbergen TJ, Mantel MS, De Graaff J, Van der Velden U. Evaluation of the long‐term efficacy and safety of locally‐applied minocycline in adult periodontitis patients. J Clin Periodontol. 1996;23(8):707-16. DOI: https://doi.org/10.1111/j.1600-051X.1996.tb00599.x
Zwittnig K, Kirnbauer B, Jakse N, Schlenke P, Mischak I, Ghanaati S, et al. Growth factor release within liquid and solid PRF. J Clin Med. 2022;11(17):5070. DOI: https://doi.org/10.3390/jcm11175070
Wong CC, Huang YM, Chen CH, Lin FH, Yeh YY, Bai MY. Cytokine and growth factor delivery from implanted platelet-rich fibrin enhances rabbit Achilles tendon healing. Int J Molecul Sci. 2020;21(9):3221. DOI: https://doi.org/10.3390/ijms21093221
Arweiler NB, Pietruska M, Pietruski J, Skurska A, Dolińska E, Heumann C, et al. Six-month results following treatment of aggressive periodontitis with antimicrobial photodynamic therapy or amoxicillin and metronidazole. Clin Oral Investigat. 2014;18(9):2129-35. DOI: https://doi.org/10.1007/s00784-014-1193-6
Milasin V, Nikolić N, Milašin J, Đorđević V, Milinković I, Asotić J, et al. The effect of injectable platelet-rich fibrin use in the initial treatment of chronic periodontitis. Srpski Arhiv Celokupno Lekarstvo. 2020;148(5-6):280-5. DOI: https://doi.org/10.2298/SARH190925022V
Kour P, Pudakalkatti PS, Vas AM, Das S, Padmanabhan S. Comparative evaluation of antimicrobial efficacy of platelet-rich plasma, platelet-rich fibrin, and injectable platelet-rich fibrin on the standard strains of Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans. Contemporary clinical dentistry. 2018;9(2):S325-30. DOI: https://doi.org/10.4103/ccd.ccd_367_18
Dohan EDM, Diss A, Odin G, Doglioli P, Hippolyte MP, Charrier JB. In vitro effects of Choukroun's PRF (platelet-rich fibrin) on human gingival fibroblasts, dermal prekeratinocytes, preadipocytes, and maxillofacial osteoblasts in primary cultures. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2009;108(3):341-52. DOI: https://doi.org/10.1016/j.tripleo.2009.04.020
Al-Rihaymee S, Mahmood MS, Abdulbaqi HR. Platelet-rich fibrin as an adjunct to scaling and root planing in treatment of shallow periodontal pockets: A randomized clinical trial. J Oral Biosci. 2024;66(3):612-8. DOI: https://doi.org/10.1016/j.job.2024.07.002