CC BY-NC-ND 4.0 · Eur J Dent 2017; 11(04): 447-454
DOI: 10.4103/ejd.ejd_76_17
Original Article
Dental Investigation Society

The clinical evaluation of platelet-rich plasma on free gingival graft's donor site wound healing

Mahmoud Khosravi Samani
1   Department of Periodontology, Oral Health Research Center, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran
,
Bardia Vadiati Saberi
2   Department of Periodontology, Faculty of Dentistry, Guilan University of Medical Sciences, Guilan, Iran
,
S. M. Ali Tabatabaei
3   Department of Periodontology, Faculty of Dentistry, Birjand University of Medical Sciences, Birjand, Iran
,
Mahdjoube Goldani Moghadam
4   Department of Orthodontics, Faculty of Dentistry, Birjand University of Medical Sciences, Birjand, Iran
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
01. Oktober 2019 (online)

ABSTRACT

Objective: It has been proved that platelet-rich plasma (PRP) can promote wound healing. In this way, PRP can be advantageous in periodontal plastic surgeries, free gingival graft (FGG) being one such surgery. Materials and Methods: In this randomized split-mouth controlled trial, 10 patients who needed bilateral FGG were selected, and two donor sites were randomly assigned to experience either natural healing or healing-assisted with PRP. The outcome was assessed based on the comparison of the extent of wound closure, Manchester scale, Landry healing scale, visual analog scale, and tissue thickness between the study groups at different time intervals. Statistical Analysis Used: Repeated measurements of analysis of variance and paired t-test were used. Statistical significance was P ≤ 0.05. Results: Significant differences between the study groups and also across different time intervals were seen in all parameters except for the changes in tissue thickness. Conclusion: PRP accelerates the healing process of wounds and reduces the healing time.

 
  • REFERENCES

  • 1 Marques FP, Ingham SJ, Forgas A, Franciozi CE, Sasaki PH, Abdalla RJ. et al. A manual method to obtain platelet rich plasma. Acta Ortop Bras 2014; 22: 75-7
  • 2 Moghe S, Saini N, Moghe A. Platelet-rich plasma in periodontal defect treatment after extraction of impacted mandibular third molars. Natl J Maxillofac Surg 2012; 3: 139-43
  • 3 Albanese A, Licata ME, Polizzi B, Campisi G. Platelet-rich plasma (PRP) in dental and oral surgery: From the wound healing to bone regeneration. Immun Ageing 2013; 10: 23
  • 4 Longo F, Guida A, Aversa C, Pavone E, Di Costanzo G, Ramaglia L. et al. Platelet rich plasma in the treatment of bisphosphonate-related osteonecrosis of the jaw: Personal experience and review of the literature. Int J Dent 2014; 2014: 298945
  • 5 Georgakopoulos I, Tsantis S, Georgakopoulos P, Korfiatis P, Fanti E, Martelli M. et al. The impact of Platelet Rich Plasma (PRP) in osseointegration of oral implants in dental panoramic radiography: Texture based evaluation. Clin Cases Miner Bone Metab 2014; 11: 59-66
  • 6 Kumar KA, Rao JB, Pavan Kumar B, Mohan AP, Patil K, Parimala K. et al. A prospective study involving the use of platelet rich plasma in enhancing the uptake of bone grafts in the oral and maxillofacial region. J Maxillofac Oral Surg 2013; 12: 387-94
  • 7 Giudice G, Cutrignelli DA, Leuzzi S, Robusto F, Sportelli P, Nacchiero E. et al. Autologous bone grafting with platelet-rich plasma for alveolar cleft repair in patient with cleft and palate. Ann Ital Chir 2016; 87: 5-12
  • 8 El-Anwar MW, Nofal AA, Khalifa M, Quriba AS. Use of autologous platelet-rich plasma in complete cleft palate repair. Laryngoscope 2016; 126: 1524-8
  • 9 Cieślik-Bielecka A, Glik J, Skowroński R, Bielecki T. Benefit of leukocyte- and platelet-rich plasma in operative wound closure in oral and maxillofacial surgery. Biomed Res Int 2016; 2016: 7649206
  • 10 Doiphode AM, Hegde P, Mahindra U, Santhosh Kumar SM, Tenglikar PD, Tripathi V. et al. Evaluation of the efficacy of platelet-rich plasma and platelet-rich fibrin in alveolar defects after removal of impacted bilateral mandibular third molars. J Int Soc Prev Community Dent 2016; 6: 47-52
  • 11 Park JB. Widening keratinized tissue using modified free gingival graft. J Oral Implantol 2016; 42: 114-6
  • 12 Cortellini P, Pini Prato G. Coronally advanced flap and combination therapy for root coverage. Clinical strategies based on scientific evidence and clinical experience. Periodontol 2000 2012; 59: 158-84
  • 13 Baltacıoǧlu E, Baǧış B, Korkmaz FM, Aydın G, Yuva P, Korkmaz YT. et al. Peri-implant plastic surgical approaches to increasing keratinized mucosa width. J Oral Implantol 2015; 41: 73-81
  • 14 Kulkarni MR, Thomas BS, Varghese JM, Bhat GS. Platelet-rich fibrin as an adjunct to palatal wound healing after harvesting a free gingival graft: A case series. J Indian Soc Periodontol 2014; 18: 399-402
  • 15 Wessel JR, Tatakis DN. Patient outcomes following subepithelial connective tissue graft and free gingival graft procedures. J Periodontol 2008; 79: 425-30
  • 16 Beausang E, Floyd H, Dunn KW, Orton CI, Ferguson MW. A new quantitative scale for clinical scar assessment. Plast Reconstr Surg 1998; 102: 1954-61
  • 17 Camargo PM, Lekovic V, Weinlaender M, Divnic-Resnik T, Pavlovic M, Kenney EB. et al. A surgical reentry study on the influence of platelet-rich plasma in enhancing the regenerative effects of bovine porous bone mineral and guided tissue regeneration in the treatment of intrabony defects in humans. J Periodontol 2009; 80: 915-23
  • 18 Rozman P, Bolta Z. Use of platelet growth factors in treating wounds and soft-tissue injuries. Acta Dermatovenerol Alp Pannonica Adriat 2007; 16: 156-65
  • 19 Lee HW, Reddy MS, Geurs N, Palcanis KG, Lemons JE, Rahemtulla FG. et al. Efficacy of platelet-rich plasma on wound healing in rabbits. J Periodontol 2008; 79: 691-6
  • 20 Keceli HG, Sengun D, Berberoǧlu A, Karabulut E. Use of platelet gel with connective tissue grafts for root coverage: A randomized-controlled trial. J Clin Periodontol 2008; 35: 255-62
  • 21 Lawlor DK, Derose G, Harris KA, Lovell MB, Novick TV, Forbes TL. et al. The role of platelet-rich plasma in inguinal wound healing in vascular surgery patients. Vasc Endovascular Surg 2011; 45: 241-5
  • 22 Powell CA, Bannister SR, Mackey SA, Maller SC, McDonnell HT, Deas DE. et al. Periodontal wound healing with and without platelet-rich plasma: Histologic observations and assessment of flap tensile strength. J Periodontol 2009; 80: 985-92
  • 23 Alissa R, Esposito M, Horner K, Oliver R. The influence of platelet-rich plasma on the healing of extraction sockets: An explorative randomised clinical trial. Eur J Oral Implantol 2010; 3: 121-34
  • 24 Sammartino G, Tia M, Gentile E, Marenzi G, Claudio PP. Platelet-rich plasma and resorbable membrane for prevention of periodontal defects after deeply impacted lower third molar extraction. J Oral Maxillofac Surg 2009; 67: 2369-73
  • 25 Sammartino G, Tia M, Marenzi G, di Lauro AE, D'Agostino E, Claudio PP. et al. Use of autologous platelet-rich plasma (PRP) in periodontal defect treatment after extraction of impacted mandibular third molars. J Oral Maxillofac Surg 2005; 63: 766-70
  • 26 Lindeboom JA, Mathura KR, Aartman IH, Kroon FH, Milstein DM, Ince C. et al. Influence of the application of platelet-enriched plasma in oral mucosal wound healing. Clin Oral Implants Res 2007; 18: 133-9
  • 27 Pierce GF, Mustoe TA, Senior RM, Reed J, Griffin GL, Thomason A. et al. In vivo incisional wound healing augmented by platelet-derived growth factor and recombinant c-sis gene homodimeric proteins. J Exp Med 1988; 167: 974-87
  • 28 Mustoe TA, Purdy J, Gramates P, Deuel TF, Thomason A, Pierce GF. et al. Reversal of impaired wound healing in irradiated rats by platelet-derived growth factor-BB. Am J Surg 1989; 158: 345-50
  • 29 Cáceres M, Hidalgo R, Sanz A, Martínez J, Riera P, Smith PC. et al. Effect of platelet-rich plasma on cell adhesion, cell migration, and myofibroblastic differentiation in human gingival fibroblasts. J Periodontol 2008; 79: 714-20
  • 30 Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. et al. Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 85: 638-46
  • 31 Ono I, Yamashita T, Hida T, Jin HY, Ito Y, Hamada H. et al. Local administration of hepatocyte growth factor gene enhances the regeneration of dermis in acute incisional wounds. J Surg Res 2004; 120: 47-55
  • 32 Ha X, Li Y, Lao M, Yuan B, Wu CT. Effect of human hepatocyte growth factor on promoting wound healing and preventing scar formation by adenovirus-mediated gene transfer. Chin Med J (Engl) 2003; 116: 1029-33
  • 33 Barbul AR. Biology of wound healing. Surgical Basic Science. St. Louis: Mosby; 2013
  • 34 Monteleone G, Marx R. GR Wound Repair/Cosmetic Surgery Healing Enhancement of Skin Graft Donor Sites with Platelet-Rich Plasma (PRP). Presented at the 82nd Annual American Academy of Oral and Maxillofacial Surgery Meeting. San Francisco: 2013
  • 35 Huang LH, Neiva RE, Soehren SE, Giannobile WV, Wang HL. The effect of platelet-rich plasma on the coronally advanced flap root coverage procedure: A pilot human trial. J Periodontol 2005; 76: 1768-77
  • 36 Sánchez AR, Sheridan PJ, Kupp LI. Is platelet-rich plasma the perfect enhancement factor? A current review. Int J Oral Maxillofac Implants 2003; 18: 93-103