富血小板纤维蛋白:在牙周再生中的作用

Preeja Chandran , Arun Sivadas
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引用次数: 131

摘要

血小板在牙周再生中起着至关重要的作用,因为它们是生长因子和细胞因子的储存库,而生长因子和细胞因子是骨再生和软组织成熟的关键因素。富血小板血浆(PRP)和富血小板纤维蛋白(PRF)是从患者自身血液中制备的自体血小板浓缩物。最近的研究重点是开发易于制备、无毒或与活组织具有生物相容性、经济便宜、可能导致局部释放生长因子加速硬组织和软组织愈合的治疗替代品。PRF是一种天然的基于纤维蛋白的生物材料,由无抗凝血的血液制备而成,无需任何人工生化修饰,可以获得富含血小板和生长因子的纤维蛋白膜。文献证据表明PRF在牙周再生和组织工程中的潜在作用。在离心过程中缓慢的聚合和纤维蛋白为基础的结构使PRF成为比PRP和其他纤维蛋白粘接剂更好的愈合生物材料。本文就新型血小板浓缩物PRF及其在牙周再生中的潜在作用作一综述。
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Platelet-rich fibrin: Its role in periodontal regeneration

Platelets can play a crucial role in periodontal regeneration as they are reservoirs of growth factors and cytokines which are the key factors for regeneration of the bone and maturation of the soft tissue. Platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) are autologous platelet concentrates prepared from patient’s own blood. Recent researches are being focused on the development of therapeutic alternatives which are easy to prepare, non-toxic or biocompatible to living tissues and economically cheap that might result in the local release of growth factors accelerating hard and soft tissue healing. PRF is a natural fibrin-based biomaterial prepared from an anticoagulant-free blood harvest without any artificial biochemical modification that allows obtaining fibrin membranes enriched with platelets and growth factors. Evidence from the literature suggests the potential role of PRF in periodontal regeneration and tissue engineering. The slow polymerization during centrifugation and fibrin-based structure makes PRF a better healing biomaterial than PRP and other fibrin adhesives. The main aim of this review article is to briefly describe the novel platelet concentrate PRF and its potential role in periodontal regeneration.

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