Autologous Platelet Concentrate of 2nd and 3rd generations efficacy in the surgical treatment of gingival recession: an overview of systematic reviews

Background: Autologous platelet concentrate (APC)/platelet-rich fibrin (PRF) of second and third generations has increased use in periodontics to optimize wound healing. Few systematic reviews (SRs) have reported improved clinical outcomes, while other studies reported significantly better results f...

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Autores principales:	Gustavo Vicentis De Oliveira Fernandes, Nuno Bernardo Malta Santos, Rafael Amorim Cavalcanti De Siqueira, How-Lay Wang, Juan Blanco-Carrion, Juliana Campos Hasse Fernandes
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	autologous platelet concentrate gingival recession periodontal surgery root coverage systematic review Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/0217bfd67a8141699abf2c859326714f
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spelling	oai:doaj.org-article:0217bfd67a8141699abf2c859326714f2021-11-12T10:23:42ZAutologous Platelet Concentrate of 2nd and 3rd generations efficacy in the surgical treatment of gingival recession: an overview of systematic reviews0972-124X10.4103/jisp.jisp_515_20https://doaj.org/article/0217bfd67a8141699abf2c859326714f2021-01-01T00:00:00Zhttp://www.jisponline.com/article.asp?issn=0972-124X;year=2021;volume=25;issue=6;spage=463;epage=479;aulast=https://doaj.org/toc/0972-124XBackground: Autologous platelet concentrate (APC)/platelet-rich fibrin (PRF) of second and third generations has increased use in periodontics to optimize wound healing. Few systematic reviews (SRs) have reported improved clinical outcomes, while other studies reported significantly better results for the connective tissue graft (CTG). There is still unclear clinical evidence about APC/PRF use to treat gingival recession (GR) defects. Then, the purpose of this SR was to evaluate the use of APC/PRF membranes (2nd and 3rd generations) in root coverage (RC) procedures and assess its efficacy as a substitute biomaterial. Materials and Methods: An electronic search was conducted in PubMed, Cochrane Central, Web of Science, Google Scholar, BookSC databases, and gray literature. The search strategy, without date restriction up to April 2020, included keywords as “platelet-rich fibrin,” “autologous platelet concentrates,” “blood,” “systematic review,” “periodontics,” “surgery,” “tissue,” “gingiva,” “gingival recession,” “connective tissue,” “graft,” and “root coverage.” The methodological quality was evaluated through the AMSTAR2, and a population, index test, comparator, outcome strategy was used to assess specific clinical parameters such as recession depth, clinical attachment levels, and RC outcomes. Results: Nine SRs were included. Only three articles described the technique of APC/PRF production. Three studies reported unfavorable outcomes using APC, while six reported favorable results and postoperative discomfort reduction. Articles included in this SRs that provided information about APC/PRF membranes (n = 13) showed no significant difference between APC/PRF and the control group for the parameters analyzed. Conclusions: This implies that APC/PRF may be considered a feasible substitute biomaterial for treating GR defects, although the CTG still provides superior outcomes. Further long-term and controlled studies are needed to verify this finding.Gustavo Vicentis De Oliveira FernandesNuno Bernardo Malta SantosRafael Amorim Cavalcanti De SiqueiraHow-Lay WangJuan Blanco-CarrionJuliana Campos Hasse FernandesWolters Kluwer Medknow Publicationsarticleautologous platelet concentrategingival recessionperiodontal surgeryroot coveragesystematic reviewDentistryRK1-715ENJournal of Indian Society of Periodontology, Vol 25, Iss 6, Pp 463-479 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	autologous platelet concentrate gingival recession periodontal surgery root coverage systematic review Dentistry RK1-715
spellingShingle	autologous platelet concentrate gingival recession periodontal surgery root coverage systematic review Dentistry RK1-715 Gustavo Vicentis De Oliveira Fernandes Nuno Bernardo Malta Santos Rafael Amorim Cavalcanti De Siqueira How-Lay Wang Juan Blanco-Carrion Juliana Campos Hasse Fernandes Autologous Platelet Concentrate of 2nd and 3rd generations efficacy in the surgical treatment of gingival recession: an overview of systematic reviews
description	Background: Autologous platelet concentrate (APC)/platelet-rich fibrin (PRF) of second and third generations has increased use in periodontics to optimize wound healing. Few systematic reviews (SRs) have reported improved clinical outcomes, while other studies reported significantly better results for the connective tissue graft (CTG). There is still unclear clinical evidence about APC/PRF use to treat gingival recession (GR) defects. Then, the purpose of this SR was to evaluate the use of APC/PRF membranes (2nd and 3rd generations) in root coverage (RC) procedures and assess its efficacy as a substitute biomaterial. Materials and Methods: An electronic search was conducted in PubMed, Cochrane Central, Web of Science, Google Scholar, BookSC databases, and gray literature. The search strategy, without date restriction up to April 2020, included keywords as “platelet-rich fibrin,” “autologous platelet concentrates,” “blood,” “systematic review,” “periodontics,” “surgery,” “tissue,” “gingiva,” “gingival recession,” “connective tissue,” “graft,” and “root coverage.” The methodological quality was evaluated through the AMSTAR2, and a population, index test, comparator, outcome strategy was used to assess specific clinical parameters such as recession depth, clinical attachment levels, and RC outcomes. Results: Nine SRs were included. Only three articles described the technique of APC/PRF production. Three studies reported unfavorable outcomes using APC, while six reported favorable results and postoperative discomfort reduction. Articles included in this SRs that provided information about APC/PRF membranes (n = 13) showed no significant difference between APC/PRF and the control group for the parameters analyzed. Conclusions: This implies that APC/PRF may be considered a feasible substitute biomaterial for treating GR defects, although the CTG still provides superior outcomes. Further long-term and controlled studies are needed to verify this finding.
format	article
author	Gustavo Vicentis De Oliveira Fernandes Nuno Bernardo Malta Santos Rafael Amorim Cavalcanti De Siqueira How-Lay Wang Juan Blanco-Carrion Juliana Campos Hasse Fernandes
author_facet	Gustavo Vicentis De Oliveira Fernandes Nuno Bernardo Malta Santos Rafael Amorim Cavalcanti De Siqueira How-Lay Wang Juan Blanco-Carrion Juliana Campos Hasse Fernandes
author_sort	Gustavo Vicentis De Oliveira Fernandes
title	Autologous Platelet Concentrate of 2nd and 3rd generations efficacy in the surgical treatment of gingival recession: an overview of systematic reviews
title_short	Autologous Platelet Concentrate of 2nd and 3rd generations efficacy in the surgical treatment of gingival recession: an overview of systematic reviews
title_full	Autologous Platelet Concentrate of 2nd and 3rd generations efficacy in the surgical treatment of gingival recession: an overview of systematic reviews
title_fullStr	Autologous Platelet Concentrate of 2nd and 3rd generations efficacy in the surgical treatment of gingival recession: an overview of systematic reviews
title_full_unstemmed	Autologous Platelet Concentrate of 2nd and 3rd generations efficacy in the surgical treatment of gingival recession: an overview of systematic reviews
title_sort	autologous platelet concentrate of 2nd and 3rd generations efficacy in the surgical treatment of gingival recession: an overview of systematic reviews
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/0217bfd67a8141699abf2c859326714f
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Autologous Platelet Concentrate of 2nd and 3rd generations efficacy in the surgical treatment of gingival recession: an overview of systematic reviews

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