INTRODUCTION:
Autogenous platelet-rich plasma (PRP) is a platelet-rich substance obtained after specific processing of peripheral blood.
AIM:
The purpose of the present study is to describe and examine the autogenous platelet-rich plasma and its application in periodontology.
DISCUSSION:
In the last decade, PRP has gained wide popularity and is used in a variety of fields of medicine. The implementation of PRP is basically a regenerative procedure using an autogenous graft. Therefore, it is believed that there is no danger of genetic interference, sensitization, or any kind of disease transmission. Platelet-rich plasma therapy is a safe and effective option with no known risks or side effects. In the last decade or two, the amount of published studies focused on the joined use of barrier membranes and bone repair materials with PRP has increased. One of the main benefits of using PRP to administer damaged tissues is that it activates and releases growth factors, which can enhance collagen and elastin formation by fibroblasts, boost blood supply and metabolism in the affected area, as well as help promote angiogenesis (the formation of new blood vessels). In this way, PRP therapy can effectively restore lost tissue.
CONCLUSION:
The presented study shows that the implementation of autogenous PRP is an innovative method for periodontal regenerative therapy based on the fact that regenerative therapy methods show different success rates and different long-term results, depending on the materials that are used.Carmagnola D, Pellegrini G, Dellavia C, Rimondini L, Varoni E. Tissue engineering in periodontology: Biological mediators for periodontal regeneration. Int J Artif Organs. 2019;42(5):241-57. doi: 10.1177/0391398819828558.
Timmerman MF, van der Weijden GA. Risk factors for periodontitis. Int J Dent Hyg. 2006;4(1):2-7. doi: 10.1111/j.1601-5037.2006.00168.x.
Melcher AH. On the repair potential of periodontal tissues. J Periodontol. 1976;47(5):256-60. doi: 10.1902/jop.1976.47.5.256.
Wang HL, Greenwell H, Fiorellini J, Giannobile W, Offenbacher S, Salkin L, et al. Periodontal regeneration. J Periodontol. 2005;76(9):1601-22. doi: 10.1902/jop.2005.76.9.1601.
Mueller HP. Periodontology: The essentials. 2nd Edition. Thieme; 2016. pp. 14-18,22,133,139,144,146,147,157-158,163,180-181,189,190,225-230.
Heitz -Mayfield LJ, Trombelli L, Heitz F, Needleman I, Moles D. A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis. J Clin Periodontol. 2002;29 Suppl 3:92-102; discussion 160-2. doi: 10.1034/j.1600-051x.29.s3.5.x.
Ivanovski S. Periodontal regeneration. Aust Dent J. 2009;54 Suppl 1:S118-28. doi: 10.1111/j.1834-7819.2009.01150.x.
Gerova T, Miteva M. Barrier membranes used in guided tissue regeneration - advantages and disadvantages. Int J Sci Res. 2019;8(10):1472-5. doi: 10.21275/ART20202083.
Miteva M, Gerova T. Bone repair materials used in guided tissue regeneration-advantages and disadvantages. Int J Sci Res. 2019;8(10):1490-4. doi: 10.21275/ART20202214.
Arora NS, Ramanayake T, Ren YF, Romanos GE. Platelet-rich plasma in sinus augmentation procedures: a systematic literature review: Part II. Implant Dent. 2010;19(2):145-57. doi: 10.1097/ID.0b013e3181cd706d.
Del Fabbro M, Bortolin M, Taschieri S, Weinstein R. Is platelet concentrate advantageous for the surgical treatment of periodontal diseases? A systematic review and meta-analysis. J Periodontol. 2011;82(8):1100-11. doi: 10.1902/jop.2010.100605.
Yotsova R, Peev S, Kolarov R. Application of platelet-rich plasma for alveolar ridge preservation. A review article. Scr Sci Med Dent. 2022;8(1):18-37. doi: 10.14748/ssmd.v8i1.8493.
Yotsova R, Peev S, Georgiev T. Alveolar ridge preservation using free gingival grafts. A review article. Scr Sci Med Dent. 2021;7(2):24-30. doi: 10.14748/ssmd.v7i2.8178.
Yotsova R, Peev S, Georgiev T. Alveolar ridge preservation using dense polytetrafluoroethylene membranes. A review article. Scr Sci Med Dent. 2021;7(2):31-8. doi: 10.14748/ssmd.v7i2.8216.
Yotsova R, Peev S, Kolarov R. Immediate implant placement using customized healing abutments as a method of hard and soft tissue preservation. A review article. Scr Sci Med Dent. 2022;8(2):7-13. doi: 10.14748/ssmd.v8i2.8518.
Peev S, Atanasov D. Platelet-rich plasma - an accelerator of the secondary stability of immediate loaded implants. J IMAB. 2007;13(2):38-40.
Whitman DH, Berry RL, Green DM. Platelet gel: an autologous alternative to fibrin glue with applications in oral and maxillofacial surgery. J Oral Maxillofac Surg. 1997;55(11):1294-9. doi: 10.1016/s0278-2391(97)90187-7.
Dohan Ehrenfest DM, Andia I, Zumstein MA, Zhang CQ, Pinto NR, Bielecki T. Classification of platelet concentrates (Platelet-Rich Plasma-PRP, Platelet-Rich Fibrin-PRF) for topical and infiltrative use in orthopedic and sports medicine: current consensus, clinical implications and perspectives. Muscles Ligaments Tendons J. 2014;4(1):3-9.
Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;85(6):638-46. doi: 10.1016/s1079-2104(98)90029-4.
Fredriksson K, Stridh H, Lundahl J, Rennard SI, Skold CM. Red blood cells inhibit proliferation and stimulate apoptosis in human lung fibroblasts in vitro. Scand J Immunol. 2004;59(6):559-65. doi: 10.1111/j.1365-3083.2004.01433.x.
Harker LA, Roskos LK, Marzec UM, Carter RA, Cherry JK, Sundell B, et al. Effects of megakaryocyte growth and development factor on platelet production, platelet life span, and platelet function in healthy human volunteers. Blood. 2000;95(8):2514-22.
Lichtman MA, Beutler E, Kaushansky K, Kipps TJ, Seligsohn U, Prchal J. Williams hematology. 7th edition. New York McGraw-Hill; 2006.
Laki K. Our ancient heritage in blood clotting and some of its consequences. Ann NY Acad Sci. 1972;202:297-307. doi: 10.1111/j.1749-6632.1972.tb16342.x.
Fontana S, Olmedo DG, Linares JA, Guglielmotti MB, Crosa ME. Effect of platelet-rich plasma on the peri-implant bone response: an experimental study. Implant Dent. 2004;13(1):73-8. doi: 10.1097/01.id.0000116455.68968.29.
Pierce GF, Vande Berg J, Rudolph R, Tarpley J, Mustoe TA. Platelet-derived growth factor-BB and transforming growth factor beta 1 selectively modulate glycosaminoglycans, collagen, and myofibroblasts in excisional wounds. Am J Pathol. 1991;138(3):629-46.
Reigstad LJ, Varhaug JE, Lillehaug JR. Structural and functional specificities of PDGF-C and PDGF-D, the novel members of the platelet-derived growth factors family. FEBS J. 2005;272(22):5723-41. doi: 10.1111/j.1742-4658.2005.04989.x.
Luttenberger T, Schmid- Kotsas A, Menke A, Siech M, Beger H, Adler G, et al. Platelet-derived growth factors stimulate proliferation and extracellular matrix synthesis of pancreatic stellate cells: implications in pathogenesis of pancreatic fibrosis. Lab Invest. 2000;80(1):47-55. doi: 10.1038/labinvest.3780007.
Servin-Trujillo MA, Reyes-Esparza JA, Garrido-Fariña G, Flores-Gazca E, Osuna-Martinez U, Rodriguez-Fragoso L. Use of a graft of demineralized bone matrix along with TGF-β1 leads to an early bone repair in dogs. J Vet Med Sci. 2011;73(9):1151-61. doi: 10.1292/jvms.10-0155.
Weltermann A, Wolzt M, Petersmann K, Czerni C, Graselli U, Lechner K, et al. Large amounts of vascular endothelial growth factor at the site of hemostatic plug formation in vivo. Arterioscler Thromb Vasc Biol. 1999;19(7):1757-60. doi: 10.1161/01.atv.19.7.1757.
Fufa D, Shealy B, Jacobson M, Kevy S, Murray MM. Activation of platelet-rich plasma using soluble type I collagen. J Oral Maxillofac Surg. 2008;66(4):684-90. doi: 10.1016/j.joms.2007.06.635.
Froum SJ, Wallace SS, Tarnow DP, Cho SC. Effect of platelet-rich plasma on bone growth and osseointegration in human maxillary sinus grafts: three bilateral case reports. Int J Periodontics Restorative Dent. 2002;22(1):45-53.
Butt AJ, Firth SM, Baxter RC. The IGF axis and programmed cell death. Immunol Cell Biol. 1999;77(3):256-62. doi: 10.1046/j.1440-1711.1999.00822.x.
Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part III: leukocyte activation: a new feature for platelet concentrates? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(3):e51-5. doi: 10.1016/j.tripleo.2005.07.010.
Babbush CA, Kevy SV, Jacobson MS. An in vitro and in vivo evaluation of autologous platelet concentrate in oral reconstruction. Implant Dent. 2003;12(1):24-34. doi: 10.1097/01.id.0000052020.81109.c7.
Andrade MG, de Freitas Brandão CJ, Sá CN, de Bittencourt TC, Sadigursky M. Evaluation of factors that can modify platelet-rich plasma properties. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(1):e5-12. doi: 10.1016/j.tripleo.2007.07.032.
Castillo TN, Pouliot MA, Kim HJ, Dragoo JL. Comparison of growth factor and platelet concentration from commercial platelet-rich plasma separation systems. Am J Sports Med. 2011;39(2):266-71. doi: 10.1177/0363546510387517.
Dohan Ehrenfest DM, Bielecki T, Del Corso M, Inchingolo F, Sammartino G. Shedding light in the controversial terminology for platelet-rich products: platelet-rich plasma (PRP), platelet-rich fibrin (PRF), platelet-leukocyte gel (PLG), preparation rich in growth factors (PRGF), classification and commercialism. J Biomed Mater Res A. 2010;95(4):1280-2. doi: 10.1002/jbm.a.32894.
Everts PA, van Zundert A, Schönberger JP, Devilee RJ, Knape JT. What do we use: platelet-rich plasma or platelet-leukocyte gel? J Biomed Mater Res A. 2008;85(4):1135-6. doi: 10.1002/jbm.a.31570.
Anitua E. Plasma rich in growth factors: preliminary results of use in the preparation of future sites for implants. Int J Oral Maxillofac Implants. 1999;14(4):529-35.
Nyman S, Lindhe J, Karring T, Rylander H. New attachment following surgical treatment of human periodontal disease. J Clin Periodontol. 1982;9(4):290-6. doi: 10.1111/j.1600-051x.1982.tb02095.x.
Balaji VR, Manikandan D, Ramsundar A. Bone grafts in periodontics. Matrix Sci Med. 2020;4(3):57 -63. doi: 10.4103/MTSM.MTSM_2_19.
Sheikh Z, Hamdan N, Ikeda Y, Grynpas M, Ganss B, Glogauer M. Natural graft tissues and synthetic biomaterials for periodontal and alveolar bone reconstructive applications: a review. Biomater Res. 2017;21:9. doi: 10.1186/s40824-017-0095-5.
Kawamura M, Urist MR. Human fibrin is a physiological delivery system for bone morphogenetic protein. Clin Orthop Relat Res. 1988;(235):302-10.
Tuan TL, Song A, Chang S, Younai S, Nimni ME. In vitro fibroplasia: matrix contraction, cell growth, and collagen production of fibroblasts cultured in fibrin gels. Exp Cell Res. 1996;223(1):127-34. doi: 10.1006/excr.1996.0065.
Dohan Ehrenfest DM, Del Corso M, Diss A, Mouhyi J, Charrier JB. Three-dimensional architecture and cell composition of a Choukroun's platelet-rich fibrin clot and membrane. J Periodontol. 2010;81(4):546-55. doi: 10.1902/jop.2009.090531.
Eshwar SSP, Dhayanand JV, Sangeetha S, Prakash PSG. Platelet rich plasma in periodontal therapy. J Pharm Sci Res. 2017;9(6):965–71.
Solakoglu Ö, Heydecke G, Amiri N, Anitua E. The use of plasma rich in growth factors (PRGF) in guided tissue regeneration and guided bone regeneration. A review of histological, immunohistochemical, histomorphometrical, radiological and clinical results in humans. Ann Anat. 2020;231:151528. doi: 10.1016/j.aanat.2020.151528.
Tsai CH, Sheen SY, Zhao JH, Chang YC. Platelet-rich fibrin modulates cell proliferation of human periodontally related cells in vitro. J Dent Sci. 2009;4(3):302–10. doi: 10.1016/S1991-7902(09)60018-0.
Marx RE. Platelet-rich plasma (PRP): what is PRP and what is not PRP? Implant Dent. 2001;10(4):225-8. doi: 10.1097/00008505-200110000-00002.
Saleem M, Pisani F, Zahid FM, Georgakopoulos I, Pustina-Krasniqi T, Xhajanka E, et al. Adjunctive platelet-rich plasma (PRP) in infrabony regenerative treatment: A systematic review and RCT's meta-analysis. Stem Cells Int. 2018;2018:9594235. doi: 10.1155/2018/9594235.
Roselló-Camps À, Monje A, Lin GH, Khoshkam V, Chávez-Gatty M, Wang HL, et al. Platelet-rich plasma for periodontal regeneration in the treatment of intrabony defects: a meta-analysis on prospective clinical trials. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120(5):562-74. doi: 10.1016/j.oooo.2015.06.035.
Velich N, Németh Z, Hrabák K, Suba Z, Szabó G. Repair of bony defects with combination biomaterials. J Craniofac Surg. 2004;15(1):11-5. doi: 10.1097/00001665-200401000-00006.
Döri F, Huszár T, Nikolidakis D, Tihanyi D, Horváth A, Arweiler NB, et al. Effect of platelet-rich plasma on the healing of intrabony defects treated with Beta tricalcium phosphate and expanded polytetrafluoroethylene membranes. J Periodontol. 2008;79(4):660-9. doi: 10.1902/jop.2008.070473.
Kovács K, Velich N, Huszár T, Szabó G, Semjén G, Reiczigel J, et al. Comparative study of beta-tricalcium phosphate mixed with platelet-rich plasma versus beta-tricalcium phosphate, a bone substitute material in dentistry. Acta Vet Hung. 2003;51(4):475-84. doi: 10.1556/AVet.51.2003.4.5.
Kovács K, Velich N, Huszár T, Fenyves B, Suba Z, Szabó G. Histomorphometric and densitometric evaluation of the effects of platelet-rich plasma on the remodeling of beta-tricalcium phosphate in beagle dogs. J Craniofac Surg. 2005;16(1):150-4. doi: 10.1097/00001665-200501000-00030.
Yassibag -Berkman Z, Tuncer O, Subasioglu T, Kantarci A. Combined use of platelet-rich plasma and bone grafting with or without guided tissue regeneration in the treatment of anterior interproximal defects. J Periodontol. 2007;78(5):801-9. doi: 10.1902/jop.2007.060318.
Christgau M, Moder D, Wagner J, Glässl M, Hiller KA, Wenzel A, et al. Influence of autologous platelet concentrate on healing in intra-bony defects following guided tissue regeneration therapy: a randomized prospective clinical split-mouth study. J Clin Periodontol. 2006;33(12):908-21. doi: 10.1111/j.1600-051X.2006.00999.x.
Döri F, Huszár T, Nikolidakis D, Arweiler NB, Gera I, Sculean A. Effect of platelet-rich plasma on the healing of intra-bony defects treated with a natural bone mineral and a collagen membrane. J Clin Periodontol. 2007;34(3):254-61. doi: 10.1111/j.1600-051X.2006.01044.x.
Döri F, Huszár T, Nikolidakis D, Arweiler NB, Gera I, Sculean A. Effect of platelet-rich plasma on the healing of intrabony defects treated with an inorganic bovine bone mineral and expanded polytetrafluoroethylene membranes. J Periodontol. 2007;78(6):983-90. doi: 10.1902/jop.2007.060349.