Application of Platelet-rich fibrin (PRF) Combined with Demineralized Freeze-dried Bone Allograft (DFDBA) to Enhance Osteogenesis in Periodontal Treatment: Report of 1 Case

Main Article Content

Sinit Koslanun

Abstract

          Preparing various platelet concentrates using blood centrifugation has been introduced to accelerate tissue regeneration. Platelet-rich fibrin (PRF), the second generation of platelet concentrates, contains many growth factors and fibrin. PRF has higher adhesive, tensile, and viscosity than other platelet preparations; it promotes wound healing and accelerates osteogenesis. PRF has been used in medical and dental procedures, such as periodontal surgery, for a few years.


          This article focused on the preparation and clinical application of PRF combined with demineralized freeze-dried bone allograft (DFDBA) in periodontal regeneration, and 1 case was reported. This study showed PRF combined with demineralized freeze-dried bone allograft (DFDBA) in periodontal regeneration can improve pocket depth reduction and a gain in clinical attachment level. And radiologic evaluation demonstrated a gain of height and density of bone, more defect fill.

Article Details

Section
Case Report

References

Socransky SS, Haffajee AD. Microbial mechanisms in the pathogenesis ofdestructive periodontal diseases: a critical assessment. J Periodontal Res 1991;26(3 Pt 2):195-212.

Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet 2005; 366(9499): 1809-20

Rosen PS, Reynolds MA, Bowers GM. The treatment of intrabony defects withbone grafts. Periodontol 2000;22:88-103.

DohanEhrenfest DM, Rasmusson L, Albrektsson T. Classification of plateletconcentrates: from pure platelet-rich plasma (P-PRP) to leucocyte- and platelet-rich fibrin (L-PRF). Trends Biotechnol 2009;27:158-67.

He L, Lin Y, Hu X, Zhang Y, Wu H. A comparative study of platelet-rich fibrin(PRF) and platelet-rich plasma (PRP) on the effect of proliferation anddifferentiation of rat osteoblasts in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:707-13.

Gassling V, Douglas T, Warnke PH, Açil Y, Wiltfang J, Becker ST. Platelet-rich fibrin membranes as scaffolds for periosteal tissue engineering. Clin OralImplants Res 2010;21: :543-9.

Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J, Gogly B. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part I:technological concepts and evolution. Oral Surg Oral Med Oral Pathol Oral Radiol Endod [Internet]. 2006 [cited 2023 June 2];101(3):e37-44.Available from: https://www.oooojournal.net/article/S1079-2104(05)00586-X/fulltext

Sharma A, Pradeep AR. Treatment of 3-wall intrabony defects in patients with chronic periodontitis with autologous platelet rich fibrin: a randomized controlled clinical trial. J Periodontol 2011;82:1705-12.

Sharma A, Pradeep AR. Autologous platelet-rich fibrin in the treatment of mandibular degree II furcation defects: a randomized clinical trial. J Periodontol 2011;82:1396-403.

Su CY, Kuo YP, Tseng YH, Su CH, Burnouf T. In vitro release of growth factors from platelet-rich fibrin (PRF): a proposal to optimize the clinical application of PRF. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:56-61.

Cortellini S, Castro AB, Temmerman A, Dessel JV, Pinto N, Jacobs R, et al. Leucocyte- and platelet-rich fibrin block for bone augmentation procedure: A proof-of-concept study. J Clin Periodontol 2018;45:624-34.

Agarwal A, Gupta ND, Jain A. Platelet rich fibrin combined with decalcified freeze-dried bone allograft for the treatment of human intrabony periodontal defects: a randomized split mouth clinical trail. Acta Odontol Scand 2016;74:36-43.

Pinto NR, Pereda A, Jimenez P, Corso MD, Kang BS, Wang HL, et al. The impact of centrifuge characteristics and centrifugation protocols on the cells, growth factors and fibrin architecture of a Leukocyte-and Platelet-Rich Fibrin (L-PRF) clot and membrane. Part 2: macroscopic, photonic microscopy and Scanning Electron Microscopy analysis of 4 kinds of L-PRF clots and membrane. POSEIDO 2014;2:141-54

Chandran P, Sivadas A. Platelet-rich fibrin: Its role in periodontal regeneration. The Saudi Journal for Dental Research 2014;5:117-22.