CC BY-NC-ND 4.0 · Eur J Dent 2018; 12(04): 528-531
DOI: 10.4103/ejd.ejd_49_18
Original Article
Dental Investigation Society

The anti-inflammatory effect of the platelet-rich plasma in the periodontal pocket

Lubaba A. Abdul Ameer
1   Department of Periodontics, College of Dentistry, University of Baghdad, Baghdad, Iraq
,
Zainab J. Raheem
1   Department of Periodontics, College of Dentistry, University of Baghdad, Baghdad, Iraq
,
Saif Saadedeen Abdulrazaq
2   Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Baghdad, Baghdad, Iraq
,
Basima Gh. Ali
1   Department of Periodontics, College of Dentistry, University of Baghdad, Baghdad, Iraq
,
Maysaa Mahdi Nasser
3   AL-Sader Dental Specialized Center, Baghdad, Iraq
,
Azza Wala Aldeen Khairi
1   Department of Periodontics, College of Dentistry, University of Baghdad, Baghdad, Iraq
› Author Affiliations
Further Information

Publication History

Publication Date:
23 September 2019 (online)

ABSTRACT

Objective: Chronic periodontitis (CP) is a common inflammatory disease that causes destruction to the supporting tissues of the teeth. Many treatment modalities tried to stop the disease progression. Platelet-rich plasma (PRP) is one of the regenerative methods that used in adjunct to conventional periodontal treatment. The aim of this study was to evaluate the anti-inflammatory effect of PRP by monitoring the lymphocyte count before and after its application to the periodontal pocket. Materials and Methods: Twenty patients, with CP and a pocket depth equal to or deeper than 4 mm, subjected to scaling, root planing, and PRP injection into the pocket. The lymphocyte count measured before and after 1 month from PRP application. Clinical periodontal parameters were taken during two visits (1 month apart), with customized stent fabrication. Results: All clinical periodontal parameters showed a reduction in their value following 1 month of PRP application. . There was a noticeable reduction in lymphocyte count from (mean 2.47 ± 0.91) to (mean 1.94 ± 0.77). Conclusion: In addition to its traditional uses, PRP has a great role in the periodontal treatment by its anti-inflammatory effect.

 
  • REFERENCES

  • 1 Novak MJ, Novak KF. Chronic periodontitis. Newman MG, Takei HH, Klokkevold ER, Carranza FA. Carranza's Clinical Periodontology. 11th ed.. Missouri: Saunders: An Imprint of Elsevier Inc.; 2012: p. 160
  • 2 Craig RG, Yip JK, Mijares DQ, LeGeros RZ, Socransky SS, Haffajee AD. et al. Progression of destructive periodontal diseases in three urban minority populations: Role of clinical and demographic factors. J Clin Periodontol 2003; 30: 1075-83
  • 3 Anitua E, Andia I, Ardanza B, Nurden P, Nurden AT. Autologous platelets as a source of proteins for healing and tissue regeneration. Thromb Haemost 2004; 91: 4-15
  • 4 Tözüm TF, Keçeli HG, Serper A, Tuncel B. Intentional replantation for a periodontally involved hopeless incisor by using autologous platelet-rich plasma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: e119-24
  • 5 Pejcić A, Kesić L, Pesić Z, Mirković D, Stojanović M. White blood cell count in different stages of chronic periodontitis. Acta Clin Croat 2011; 50: 159-67
  • 6 Heitz-Mayfield LJ, Trombelli L, Heitz F, Needleman I, Moles D. A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis. J Clin Periodontol 2002; 29 (Suppl. 03) 92-102
  • 7 Hanna R, Trejo PM, Weltman RL. Treatment of intrabony defects with bovine-derived xenograft alone and in combination with platelet-rich plasma: A randomized clinical trial. J Periodontol 2004; 75: 1668-77
  • 8 Lindhe J, Ranney R, Lamster I, Charles A, Chung CP, Flemmig T. et al. Consensus report: chronic periodontitis. Annals Periodontol 1999; 4: 38
  • 9 Jo CH, Roh YH, Kim JE, Shin S, Yoon KS. Optimizing platelet-rich plasma gel formation by varying time and gravitational forces during centrifugation. J Oral Implantol 2013; 39: 525-32
  • 10 Agarwal A, Gupta ND. Platelet-rich plasma combined with decalcified freeze-dried bone allograft for the treatment of noncontained human intrabony periodontal defects: A randomized controlled split-mouth study. Int J Periodontics Restorative Dent 2014; 34: 705-11
  • 11 International Business Machines Corporation. Released International Business Machines SPSS Statistics for Windows, Version 20.0. Armonk, NY: International Business Machines Corporation. 2011; 00: 00
  • 12 Roselló-Camps À, Monje A, Lin GH, Khoshkam V, Chávez-Gatty M, Wang HL. et al. Platelet-rich plasma for periodontal regeneration in the treatment of intrabony defects: A meta-analysis on prospective clinical trials. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 120: 562-74
  • 13 El-Sharkawy H, Kantarci A, Deady J, Hasturk H, Liu H, Alshahat M. et al. Platelet-rich plasma: Growth factors and pro- and anti-inflammatory properties. J Periodontol 2007; 78: 661-9
  • 14 Tavassoli-Hojjati S, Sattari M, Ghasemi T, Ahmadi R, Mashayekhi A. Effect of platelet-rich plasma concentrations on the proliferation of periodontal cells: An in vitro study. Eur J Dent 2016; 10: 469-74
  • 15 Kobayashi E, Fujioka-Kobayashi M, Sculean A, Chappuis V, Buser D, Schaller B. et al. Effects of platelet rich plasma (PRP) on human gingival fibroblast, osteoblast and periodontal ligament cell behaviour. BMC Oral Health 2017; 17: 91
  • 16 Holme PA, Müller F, Solum NO, Brosstad F, Frøland SS, Aukrust P. et al. Enhanced activation of platelets with abnormal release of RANTES in human immunodeficiency virus type 1 infection. FASEB J 1998; 12: 79-89