Osteocalcin expression of platelet-rich fibrin (PRF) and platelet-rich plasma (PRP) added with hydroxyapatite (HA) in rabbit’s post extraction tooth sockets

Meta Maulida Damayanti, Bethy Suryawathy Hernowo, Susi Susanah

Abstract


Introduction: Platelets play an important role in wound healing because it is a reservoir for growth factors and cytokines which is important in bone regeneration and soft tissue healing. The purpose of this study was to compare the use of scaffolds in platelet-rich fibrin (PRF) and platelet-rich plasma (PRP) which added with hydroxyapatite (HA) in the socket healing process after tooth extraction in the value of regenerating an alveolar bone tissue. Methods: The research was conducted at biomedical laboratory Bandung Islamic University. Eighteen rabbits (Oryctolagus cuniculus) with extracted anterior and inferior teeth were divided into 2 treatment groups and 3 observation times. The tooth socket is filled with PRF (Group 1) and PRP + HA (Group 2). The observation was conducted on Day 3, Day 7 and Day 14. Immunoexpression Osteocalcin was performed to assess the healing process of alveolar bone. Data was analyzed with the SPSS software program. Analysis of normality data by Shapiro-Wilk test, homogeneity of variance with Levene's test and comparison between treatment groups with the Chi-square test. Results: Group 1 shown the average score was higher than in Group 2 with a strong category of 72.2% for Group 1 and 56.6% for Group 2. Based on statistically,  there was no difference in osteocalcin immunoexpression between Group 1 and Group 2 with the p-value>0.05. Conclusion: Regeneration of rabbit’s alveolar bone tissue by application of PRF and PRP plus HA as scaffolds have results was similar. The use of PRF in post-extraction wound recovery is a better choice because it has an easy procedure and lower cost.


Keywords


Hydroxyapatite (HA); osteocalcin expression; platelet-rich fibrin (PRF); platelet-rich plasma (PRP); tooth socket

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References


Chandran P, Sivadas A. Platelet-rich fibrin: Its role in periodontal regeneration. Saudi J Dent Res. 2014; 5(2): 117-22. DOI: 10.1016/j.ksujds.2013.09.001

Srinivas B, Das P, Rana MM, Qureshi AQ, Vaidya KC, Raziuddin SJA. Wound healing and bone regeneration in post-extraction sockets with and without platelet-rich fibrin. Ann Maxillofac Surg. 2018; 8(1): 28-34. DOI: 10.4103/ams.ams_153_17

Araújo MG, Silva CO, Misawa M, Sukekava F. Alveolar socket healing: What can we learn? Periodontol 2000. 2015; 68(1): 122-34. DOI: 10.1111/prd.12082

Su NY, Yang LC, Chang YC. Platelet-rich fibrin is the first-line treatment option for periodontal regeneration. J Dent Sci. 2017; 12(3): 203-4. DOI : 10.1016/j.jds.2017.02.005

Kitamura Y, Watanabe T, Nakamura M, Isobe K, Kawabata H, Uematsu K, et al. Platelet counts in insoluble platelet-rich fibrin clots: A direct method for accurate determination. Front Bioeng Biotechnol. 2018; 6: 4. DOI: 10.3389/fbioe.2018.00004

Bucur M, Constantin C, Neagu M, Zurac S, Dinca O, Vladan C, et al. Alveolar blood clots and platelet-rich fibrin induce in vitro fibroblast proliferation and migration. Exp Ther Med. 2019; 17(2): 982-89. DOI: 10.3892/etm.2018.7063

Choukroun J, Ghanaati S. Reduction of relative centrifugation force within injectable platelet-rich-fibrin (PRF) concentrates advances patients’ own inflammatory cells, platelets and growth factors: The first introduction to the low speed centrifugation concept. Eur J Trauma Emerg Surg. 2018. 44(1): 87–95. DOI: 10.1007/s00068-017-0767-9

Baslarli O, Tumer C, Ugur O, Vatankulu B. Evaluation of osteoblastic activity in extraction sockets treated with platelet-rich fibrin. Med Oral Patol Oral Cir Bucal. 2015; 20(1): e111-6. DOI: 10.4317/medoral.19999

Davis VL, Abukabda AB, Radio NM, Witt-Enderby PA, Clafshenkel WP, Cairone JV, et al. Platelet-rich preparations to improve healing part I: Workable options for every size practice. J Oral Implantol. 2014; 40(4): 500-10. DOI: 10.1563/AAID-JOI-D-12-00104

Marques LF, Stessuk T, Camargo ICC, Sabeh Junior N, dos Santos L, Ribeiro-Paes JT. Platelet-rich plasma (PRP): Methodological aspects and clinical applications. Platelets. 2015; 26(2): 101-13. DOI: 10.3109/09537104.2014.881991

Monga P, Grover R, Mahajan P, Keshav V, Singh N, Singh G. A comparative clinical study to evaluate the healing of large periapical lesions using platelet-rich fibrin and hydroxyapatite. Endodontology. 2016; 28(1): 27. DOI: 10.4103/0970-7212.184336.

Thanikasalam M, Ahamed S, Narayana SS, Bhavani S, Rajaraman G. Evaluation of healing after periapical surgery using platelet-rich fibrin and nanocrystalline hydroxyapatite with collagen in combination with platelet-rich fibrin. Endodontology. 2018; 30(1): 25. DOI: 10.4103/endo.endo_55_17.

Singh J, Takhar RK, Bhatia A, Goel A. Bone graft materials: dental aspects. J Nov Res Healthc Nurs. 2016; 3: 99-103.

Saleh A, Abd el Rehim S, Kawana K, Osman S. Effect of autogenous dentin graft combined with platelet rich plasma on alveolar bone healing after tooth extraction in rabbits. Alex Den J. 2018; 43(1): 6-10. DOI: 10.21608/ADJALEXU.2018.57588.

Antonino A, Maria E L, Bianca P, Campisi G. Platelet-rich plasma (PRP) in dental and oral surgery: from wound healing to bone regeneration. Immun Ageing. 2013; 10:23. DOI: 10.1186/1742-4933-10-23.

Yu-Chao C, Kuo-Chin W, Jiing-Huei Z. Clinical application of platelet-rich fibrin as the sole grafting material in periodontal intrabony defects. J Den Sci. 2011; 6. DOI: 10.1016/j.jds.2011.05.010.

Zhao J H, Tsai C H, Chang Y C. Clinical and histologic evaluations of healing in an extraction socket filled with platelet-rich fibrin. J Den Sci. 2011; 6(2): 116-22. DOI: 10.1016/j.jds.2011.03.004.

Alzahrani A A; Murriky A, Shafik S. Influence of platelet rich fibrin on post-extraction socket healing: a clinical and radiographic study. Saudi Den J. 2017; 29(4): 149-55. DOI: 10.1016/j.sdentj.2017.07.003.

Andia I; Maffulli N. A contemporary view of platelet-rich plasma therapies: moving toward refined clinical protocols and precise indications. Reg Med. 2018; 13(06): 717-28. DOI: 10.2217/rme-2018-0042.

Bhatia G, Khatri M, Bansal M, Saxena S, Agarwal V, Kumar A. A comparative evaluation of porous hydroxyapatite bone graft with and without platelet-rich plasma in the treatment of periodontal intrabony osseous defects: a clinico-radiographic study. Indian J Den Sci. 2018; 10(2): 72. 10.4103/IJDS.IJDS_5_18.

Wang W, Yeung KWK. Bone grafts and biomaterials substitutes for bone defect repair: a review. Bioact Mat. 2017; 2(4): 224-47. DOI: 10.1016/j.bioactmat.2017.05.007.

Giannini S, Cielo A, Bonanome L, Rastelli C, Derla C, Corpaci F, Falisi G. Comparison between PRP, PRGF And PRF: lights and shadows in three similar but different protocols. Eur Rev Med Pharmacol Sci. 2015;19(6):927-30.

Seyed Ahmad Raeissadat, Marzieh Babaee, Seyed Mansour Rayegani, Zahra Hashemi, Amir Ali Hamidieh, Parviz Mo-jgani, et al. An overview of platelet products (PRP, PRGF, PRF, etc.) in the Iranian studies. Fut Sci. 2017;3(4). DOI: 10.4155/fsoa-2017-0045



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DOI : https://doi.org/10.24198/pjd.vol32no3.24848


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