2015, Number 2
<< Back Next >>
Rev Odont Mex 2015; 19 (2)
Treatment of localized aggressive periodontitis with platelet-rich plasma and bone allograft. Clinical case report
Yáñez OBR, Marín GMG
Language: Spanish
References: 19
Page: 106-114
PDF size: 545.91 Kb.
ABSTRACT
Introduction: Platelet-rich plasma (PRP) has emerged as an alternative in periodontal therapy. Presently, there is an evidence-based learning curve showing a first stage when it was used as cementing biomaterial as well as bone tissue regeneration stimulant. In a second current stage based and substantiated on biological evidence, it is applied for soft tissue wounds healing. This has elicited great expectations in several medical specialties, including dentistry.
Method: The case here presented is of a healthy, non-smoker, 29 year old female patient who attended the Graduate and Research School, National School of Dentistry, National University of Mexico (UNAM). Diagnosis emitted was localized aggressive periodontitis. After phase I, the patient was subjected to flap surgery with PRP and bone allograft.
Results: The patient was assessed 6 and 12 months after treatment. Based on the six maintenance parameters established by Drs. Lang and Tonetti, she was classified as presenting low risk of periodontal disease recurrence.
Conclusions: Today’s clinical operator increasingly understands the need of making decisions based upon scientific evidence. To the present date we recognize that it is biologically possible for a higher platelet concentration to foster healing.
REFERENCES
Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999; 4: 1-6.
Marx RE, Garg AK. Dental and craniofacial applications of platelet-rich plasma. Chicago: Ed Quintessence; 2005.
Arcuri A. Plasma rico en plaquetas. Recuperación de tejidos con factores estimulantes de crecimiento autólogos. Argentina: Editorial AMOLCA; 2013.
Steven R, Thomas M. “Platelets”. Encyclopedia of life sciences/& 2001 Nature Publishing Group/www.els.net
Guyton H. Tratado de fisiología médica. 12a edición. México: editorial Elsevier; 2011.
Anitua E. Un nuevo enfoque en la regeneración periodontal. Plasma rico en factores de crecimiento. Vitoria-España: Editorial Puesta al Día Publicaciones; 2000.
The potential role of growth and differentiation factors in periodontal regeneration. J Periodontol. 1996; 67 (5): 545-553.
Marx RE. Platelet-rich plasma: evidence to support its use. J Oral Maxillofac Surg. 2004; 62: 489-496.
Norma Oficial Mexicana NOM-253-SSA1-2012. Para la disposición de sangre humana y sus componentes con fines terapéuticos.
Asociación Argentina de Hemoterapia. Manual técnico de la Asociación de Banco de Sangre. 15 edición. Argentina, 2008.
Lang NP, Tonetti MS. Periodontal risk assessment for patients in supportive periodontal therapy. Oral Health Prev Dent. 2003; 1 (1): 7-16.
Lindhe J. Clinical periodontology and implant dentistry. Cap. 32. 4ta ed. Editorial Médica Panamericana; 2003: pp. 816-838.
Marx RE, Carlson ER, Eichstaedt RM, Strauss JE, Georgeff KR. Platelet-rich plasma, growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998; 85: 638-646.
Freymiller EG, Aghaloo TL. Platelet-rich plasma: ready or not? J Oral Maxillofac Surg. 2004; 62 (4): 484-488.
Carlson NE, Roach RB Jr. Platelet-rich plasma clinical applications in dentistry. J Am Assoc. 2002; 133 (10): 1383-1386.
— Linch SE, Genco RJ. Tissue engineering applications in maxillofacial surgery an periodontics. Chicago (USA): Quintessence Publishing Co. Inc; 1999: pp. 18-25, 71-82.
— Cho MI, Lin WL, Genco RJ. Platelet-derived growth factor modulated guided tissue regenerative therapy. J Periodontal. 1995; 66 (6): 522-530.
— Tolga F, Burak D. Platelet-rich plasma: a promising innovation in dentistry. J of the Canadian Dental Association. 2003; 69: 10.
— Sánchez AR, Sheridan PJ, Kupp LI. Is platelet-rich plasma the perfect enhancement factor? A current review. Int J Oral Maxillofac Implants. 2003; 18 (1): 93-103.