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Sinus Floor Elevation With Platelet-Rich Fibrin From Horizontal Centrifugation and Xenograft: Randomized Clinical Trial

Medicina
Imagem de arquivo, ilustrativa — não é do estudo. Células do sangue humano ao microscópio eletrônico de varredura: hemácias, leucócito e plaquetas. Bruce Wetzel e Harry Schaefer/NCI · domínio público · Wikimedia Commons

Ensaio clínico randomizadoNível 2 · Nova evidênciaClinical implant dentistry and related research1 out 202510 citações

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Resumo original em inglês

O que aconteceu

To evaluate the effects of maxillary sinus augmentation (MSA) using deproteinized bovine bone material (DBBM) combined with or without platelet-rich fibrin obtained by horizontal centrifugation (H-PRF) after a short healing period of 4 months.

Thirteen patients underwent bilateral two-stage MSA using a split-mouth model. Each side was randomly assigned to receive DBBM alone (control group) or DBBM + H-PRF (test group). Bone tissue samples were harvested 4 months after implant placement and evaluated using microcomputed tomography (micro-CT), as well as histological and histomorphometric analyses. Data were statistically analyzed using paired t-tests (Wilcoxon signed-rank test; p < 0.05).

O que encontraram

Histomorphometric analysis demonstrated higher amounts (p < 0.05) of newly formed bone in the DBBM + H-PRF group compared to the control group (51.33% ± 6.17% versus 45.68% ± 6.65%, respectively). Micro-CT also revealed significantly higher bone volume (30.38% ± 11.24% and 21.38% ± 9.83%, respectively) and connectivity density (4485 ± 1469 and 2562 ± 1271, respectively) in the DBBM + H-PRF group than in the DBBM-alone group (p < 0.05).

Por que isso importa

Compared with DBBM alone, maxillary sinuses augmented with H-PRF combined with DBBM exhibited improved qualitative and quantitative new bone formation after 4 months of healing. However, the effects on the long-term survival and early stability of dental implants remain unknown and warrant further investigation with long-term follow-up.

Resumo publicado sob licença CC BY. A tradução para o português ainda não chegou a este estudo.

O estudo original

Sinus Floor Elevation With Platelet-Rich Fibrin From Horizontal Centrifugation and Xenograft: Randomized Clinical Trial

Gabriel Guerra David Reis, Ricardo Júnior Denardi, Sergio Luís Scombatti de Souza, Pedro Henrique Felix Silva, Flávia Furlaneto, Richard J Miron, Carlos Fernando Mourão, Michel Reis Messora

Descritores MeSH

  • Bone Substitutes
  • Bone Transplantation
  • Sinus Floor Augmentation
  • Platelet-Rich Fibrin
  • Centrifugation
  • Dental Implantation, Endosseous
  • Female
  • Humans
  • Male
  • Maxillary Sinus

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