在治疗牙龈退缩时,富血小板纤维蛋白疗法与结缔组织移植疗法的效果如何?

Kelsea Collins, Quatesha Smith, Ashley Christman RDH, BS
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引用次数: 0

摘要

目的教育并告知患者有关富血小板纤维蛋白疗法和结缔组织移植术、牙龈退缩治疗以及富血小板纤维蛋白疗法的研究,以便他们能够就所需的牙龈手术做出明智的决定。方法对于本文献综述,问题的提出旨在发现有关牙龈退缩修复的新数据或鲜为人知的数据。具体来说,该问题的重点是比较富血小板纤维蛋白(PRF)疗法和结缔组织移植疗法在治疗牙龈退缩方面的效果。为查找相关文章,使用了以下 MeSH 术语:"牙龈、牙龈年轻化、牙龈移植、结缔组织移植、PRF 牙龈"。为确保搜索的具体性,排除了荟萃分析、文献综述、系统综述和 2018 年之前发表的文章。结果使用 PRF 疗法很有吸引力,因为它来自患者自己的身体,可能会引起较少的问题。所回顾的研究显示了不同的结果,其中一些研究表明 PRF 与结缔组织移植之间具有等效性,而另一些研究则强调结缔组织移植仍然是一种非常有效的选择。结论牙龈萎缩治疗是一个复杂的问题,结缔组织移植和富血小板纤维蛋白(PRF)疗法都是治疗选择。富血小板纤维蛋白疗法使用生长因子,效果显著,但取决于牙龈退缩情况、患者特异性因素和治疗方法。意义告知患者富血小板纤维蛋白疗法与结缔组织移植术的比较,让患者能够决定他们认为最好的治疗方法。
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What is the Outcome of Platelet-Rich Fibrin Therapy Compared to Connective Tissue Grafting When Treating Gingival Recession?

OBJECTIVES

To educate and inform patients about Research on PRF therapy and Connective Tissue Grafting, gingival recession treatment, and Platelet-Rich Fibrin therapy so they can make informed decisions about their needed gingival procedures.

METHODS

For this literature review, the question was formulated to uncover new or less-known data regarding the restoration of gingival recession. Specifically, the question focused on comparing the outcomes of plateletrich fibrin (PRF) therapy to connective tissue grafting in the treatment of gingival recession. To locate relevant articles, the following MeSH terms were used: “gingiva, gingiva rejuvenation, gum graft, connective tissue graft, and PRF gingiva.” To ensure the specifics of the search, meta-analyses, literature reviews, systematic reviews, and articles published before 2018 were excluded.

RESULTS

Using PRF therapy is appealing because it comes from the patient's own body and might cause fewer problems. The studies reviewed demonstrate a spectrum of outcomes, with some suggesting equivalence between PRF and connective tissue grafting, while others emphasize that connective tissue grafting is still a very effective option. One is not simply seen as better than the other, but a preference for the patients.

CONCLUSIONS

Gingival recession management is a complex issue, with both connective tissue grafting and platelet-rich fibrin (PRF) therapy being treatment options. PRF therapy, which uses growth factors, is effective but depends on gingiva receding, patient-specific factors, and treatment methods.

IMPLICATIONS

Informing patients about platelet- rich fibrin therapy in comparison to connective gingival tissue grafting gives the patient the ability to decide what they believe is best of care.

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