Shubha Ranjan Dutta1, Purnima Singh2, Deepak Passi3, Pradeep Patter4. 1. Department of Oral and Maxillofacial Surgery, M.B. Kedia Dental College, Birgunj, Nepal. 2. Department of Physiology, Vyas Dental College and Hospital, Rajasthan, India. 3. Department of Oral and Maxillofacial Surgery, ESIC Dental College and Hospital, Delhi, India. 4. Department of Oral and Maxillofacial Surgery, Vyas Dental College and Hospital, Rajasthan, India.
Abstract
AIMS: To evaluate the efficacy of autologous platelet rich plasma (PRP) in regeneration of bone and to assess clinical compatibility of the material in mandibular third molar extraction socket. OBJECTIVE OF THE STUDY: To compare the healing of mandibular third molar extraction wounds with and without PRP. MATERIALS AND METHODS: Group A consists of the 30 patients where PRP will be placed in the extraction socket before closure of the socket. Group B consists of 30 patients who will be the control group where the extraction sockets will be closed without any intra socket medicaments. The patients would be allocated to the groups randomly. RESULTS:Soft tissue healing was better in study site compared to control site. The result of the study shows rapid bone regeneration in the extraction socket treated with PRP when compared with the socket without PRP. Evaluation for bone blending and trabecular bone formation started earlier in PRP site compared to control, non PRP site. Also there was less postoperative discomfort on the PRP treated side. CONCLUSION:Autologous PRP is biocompatible and has significant improved soft tissue healing, bone regeneration and increase in bone density in extraction sockets.
RCT Entities:
AIMS: To evaluate the efficacy of autologous platelet rich plasma (PRP) in regeneration of bone and to assess clinical compatibility of the material in mandibular third molar extraction socket. OBJECTIVE OF THE STUDY: To compare the healing of mandibular third molar extraction wounds with and without PRP. MATERIALS AND METHODS: Group A consists of the 30 patients where PRP will be placed in the extraction socket before closure of the socket. Group B consists of 30 patients who will be the control group where the extraction sockets will be closed without any intra socket medicaments. The patients would be allocated to the groups randomly. RESULTS: Soft tissue healing was better in study site compared to control site. The result of the study shows rapid bone regeneration in the extraction socket treated with PRP when compared with the socket without PRP. Evaluation for bone blending and trabecular bone formation started earlier in PRP site compared to control, non PRP site. Also there was less postoperative discomfort on the PRP treated side. CONCLUSION: Autologous PRP is biocompatible and has significant improved soft tissue healing, bone regeneration and increase in bone density in extraction sockets.
Entities:
Keywords:
Bone density; Bone trabeculae; Mandibular third molar extraction socket; Platelet rich plasma; Soft tissue healing
Authors: Edmund Bailey; Wafa Kashbour; Neha Shah; Helen V Worthington; Tara F Renton; Paul Coulthard Journal: Cochrane Database Syst Rev Date: 2020-07-26