Is autologous platelet concentrate beneficial for post-extraction socket healing? A systematic review

• Published in: International journal of oral and maxillofacial surgery Vol. 40; no. 9; pp. 891 - 900
• Main Authors: Del Fabbro, M, Bortolin, M, Taschieri, S
• Format: Journal Article
• Language: English
• Published: Kidlington Elsevier 01.09.2011
• Subjects: Biological and medical sciences; Biological Dressings; Dentistry; Evidence-Based Dentistry; Humans; Medical sciences; Otorhinolaryngology. Stomatology; Outcome Assessment (Health Care); Platelet-Rich Plasma; Surgery; Tooth Extraction - methods; Tooth Socket - physiology; Wound Healing - physiology; alveolar bone; healing; platelet concentrates; growth factors; systematic review; tooth extraction; platelets; platelets systematic review; Growth; Stomatology; Teeth; Alveolar bone; Autologous system; Review; Platelet; Treatment; Healing agent; Surgery; Extraction; Tooth; Cicatrization; Tooth alveolus; Bibliographic review
• ISSN: 0901-5027; 1399-0020
• DOI: 10.1016/j.ijom.2011.04.009

Abstract The aim of this systematic review was to assess if the use of autologous platelet concentrates may be beneficial to the healing of extraction sockets. Medline, Embase and Cochrane Central Register of Controlled Trials were searched using a combination of specific search terms. Hand searching of the relevant journals and of the bibliographies of reviews was also performed. Prospective comparative studies evaluating the effect of a platelet concentrate on fresh extraction sockets were included. Outcome variables related to hard and soft tissue healing, aesthetics and postoperative discomfort were considered. A methodological study quality assessment was made. The initial search yielded 425 articles, eight were finally included. 207 tooth extractions (104 tests and 103 controls) in 115 patients were evaluated. The articles provided a broad range of variable outcomes to assess the regenerative potential of platelet concentrate and its possible benefits to the treatment. Favourable effects on hard and soft tissue healing and postoperative discomfort reduction were often reported. A large heterogeneity was found regarding study design, sample size, surgical techniques and methods for preparing platelet concentrates. Standardization of experimental design is needed in order to detect the true effect of platelet concentrates in regenerative procedures of extraction sockets.