Comparison of the effects of injectable platelet-rich fibrin and autologous fibrin glue applications on palatal wound healing: a randomized controlled clinical trial

被引:38
作者
Kiziltoprak, Mehmet [1 ]
Uslu, Mustafa Ozay [2 ]
机构
[1] Batman Oral & Dent Hlth Ctr, Batman, Turkey
[2] Inonu Univ, Fac Dent, Dept Periodontol, TR-44280 Malatya, Turkey
关键词
Free gingival graft; Injectable platelet-rich fibrin; Pain; Platelet concentrates; Wound epithelization; PATIENT MORBIDITY; CONNECTIVE-TISSUE; GRAFTS; THERAPY; SCALE; LASER;
D O I
10.1007/s00784-020-03320-6
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective The aim of this study was to compare the effects of AFG and i-PRF on palatal wound healing and postoperative discomfort. Materials and methods Thirty-six patients in need of FGG were divided into three groups. AFG (n = 12) or i-PRF (n = 12) was applied and compared with control group (n = 12). Wound healing with H2O2 test, VAS, MSS, and LTH index were evaluated on the 3rd,7th, and 14th days and 1st month. The bleeding status was evaluated on the 3rd and 7th days. Palatal tissue thickness was measured at baseline, 1st month, and 3rd month. Results Epithelialization was higher in the test groups on the 14th day than the control group (p < 0.05). MSS scores at the 14th day and 1st month were lower in the AFG group than the control and the i-PRF group (p < 0.05). In the AFG group, LTH levels at the 3rd,7th, and 14th days and 1 month were higher than control and i-PRF groups (p < 0.05). VAS scores of the AFG group were lower than the control and i-PRF groups at the 7th day (p < 0.05). Bleeding was lower in the test groups than in the control group (p < 0.05). There was no difference between the groups in terms of tissue thickness (p > 0.05). Conclusion AFG and i-PRF have positive effects on the healing process by accelerating wound healing and reducing postoperative morbidity. Therewithal, AFG has superior properties in wound healing compared with i-PRF.
引用
收藏
页码:4549 / 4561
页数:13
相关论文
共 36 条
[1]   Utilization of Low-Intensity Laser During Healing of Free Gingival Grafts [J].
Almeida, Ana L. P. F. ;
Esper, Luis A. ;
Sbrana, Michyele C. ;
Ribeiro, Ingrid W. J. ;
Kaizer, Rosane O. F. .
PHOTOMEDICINE AND LASER SURGERY, 2009, 27 (04) :561-564
[2]   Use of Platelet-Rich Fibrin Membrane as a Palatal Bandage [J].
Aravindaksha, Shyam Prasad ;
Batra, Puneet ;
Sood, Vishal ;
Kumar, Ashish ;
Gupta, Geeti .
CLINICAL ADVANCES IN PERIODONTICS, 2014, 4 (04) :246-250
[3]   A new quantitative scale for clinical scar assessment [J].
Beausang, E ;
Floyd, H ;
Dunn, KW ;
Orton, CI ;
Ferguson, MWJ .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1998, 102 (06) :1954-1961
[4]   COMPLICATIONS OF FREE GRAFTS OF MASTICATORY MUCOSA [J].
BRASHER, WJ ;
REES, TD ;
BOYCE, WA .
JOURNAL OF PERIODONTOLOGY, 1975, 46 (03) :133-138
[5]  
Crichton N, 2001, J CLIN NURS, V10, P706
[6]  
Ehrenfest DMD, 2012, CURR PHARM BIOTECHNO, V13, P1145
[7]   Clinical Comparison of Platelet-Rich Fibrin and a Gelatin Sponge in the Management of Palatal Wounds After Epithelialized Free Gingival Graft Harvest: A Randomized Clinical Trial [J].
Femminella, Beatrice ;
Iaconi, Maria Chiara ;
Di Tullio, Marcella ;
Romano, Luigi ;
Sinjari, Bruna ;
D'Arcangelo, Camillo ;
De Ninis, Paolo ;
Paolantonio, Michele .
JOURNAL OF PERIODONTOLOGY, 2016, 87 (02) :103-113
[8]   The effect of low-level laser therapy on the healing of hard palate mucosa and the oxidative stress status of rats [J].
Firat, Ela Tules ;
Dag, Ahmet ;
Gunay, Ahmet ;
Kaya, Beyza ;
Karadede, Mehmet Irfan ;
Kanay, Berna Ersoz ;
Ketani, Aydin ;
Evliyaoglu, Osman ;
Uysal, Ersin .
JOURNAL OF ORAL PATHOLOGY & MEDICINE, 2014, 43 (02) :103-110
[9]  
Ghanaati S, 2019, Int J Growth Factors Stem Cells Dent, V2, P41, DOI DOI 10.4103/GFSC.GFSC_15_19
[10]   Evaluation of palatal donor site haemostasis and wound healing after free gingival graft surgery [J].
Keceli, Huseyin Gencay ;
Aylikci, Bahadir Ugur ;
Koseoglu, Serhat ;
Dolgun, Anil .
JOURNAL OF CLINICAL PERIODONTOLOGY, 2015, 42 (06) :582-589