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Stanciugelu SI, Patrascu JM, Florescu S, Marian C. Sticky Bone as a New Type of Autologous Bone Grafting in Schatzker Type II Tibial Plateau Fracture Case Report. Life (Basel) 2024; 14:1042. [PMID: 39202784 PMCID: PMC11355391 DOI: 10.3390/life14081042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2024] [Revised: 08/15/2024] [Accepted: 08/17/2024] [Indexed: 09/03/2024] Open
Abstract
BACKGROUND Schatzker type II fractures usually need to be grafted. Autograft bone from the iliac crest represents the gold standard, but it comes with high rates of morbidity on the donor side. Sticky bone is one of the regenerative therapies that aims to find new solutions to treat bone defects and to overcome the limitation of conventional options regarding bone grafts, due to their content in growth factors, which offer osteo-induction and osteo-conduction properties. Notably, regenerative dentistry has been at the forefront of applying these products in bone regeneration, demonstrating that PRF produces a highly promising "sticky bone" when combined with bone chips. To the best of our knowledge, this grafting technique has not been used in the orthopedic field to date. METHODS The subject was a 53-year-old woman with a Schatzker type II tibial plateau fracture, for which a new autologous bone grafting technique, i.e., sticky bone, was used for the treatment of the fracture. RESULTS This case reports the effectiveness of sticky bone as autologous bone graft used in Shatzker type II tibial plateau fracture. As an indispensable component of regenerative medicine, it seems to be an ideal biologic graft with a fibrin-rich structure that provides effective treatment in impressed tibial plateau fractures. CONCLUSION Sticky bone showed promising results and should be considered in the future as an appropriate bone implant.
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Affiliation(s)
- Stefan Iulian Stanciugelu
- Doctoral School, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania;
- “Pius Brinzeu” Emergency Clinical County Hospital, Bld. Liviu Rebreanu, No. 156, 300723 Timisoara, Romania;
- Orthopedics II Research Center, “Pius Brinzeu” Emergency Clinical County Hospital, Bld. Liviu Rebreanu, No. 156, 300723 Timisoara, Romania
| | - Jenel Marian Patrascu
- Doctoral School, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania;
- Prof. Univ. Dr. Teodor Șora Research Centre, Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
- Department of Orthopedics and Traumatology, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania
| | - Sorin Florescu
- “Pius Brinzeu” Emergency Clinical County Hospital, Bld. Liviu Rebreanu, No. 156, 300723 Timisoara, Romania;
- Prof. Univ. Dr. Teodor Șora Research Centre, Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
- Department of Orthopedics and Traumatology, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania
| | - Catalin Marian
- Department of Biochemistry and Pharmacology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square 2, 300041 Timisoara, Romania;
- Center for Complex Networks Science, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square 2, 300041 Timisoara, Romania
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de Lima Barbosa R, Rodrigues Santiago Rocha N, Stellet Lourenço E, de Souza Lima VH, Mavropoulos E, Mello-Machado RC, Spiegel C, Mourão CF, Alves GG. The Association of Nanostructured Carbonated Hydroxyapatite with Denatured Albumin and Platelet-Rich Fibrin: Impacts on Growth Factors Release and Osteoblast Behavior. J Funct Biomater 2024; 15:18. [PMID: 38248685 PMCID: PMC10817063 DOI: 10.3390/jfb15010018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Revised: 12/24/2023] [Accepted: 01/02/2024] [Indexed: 01/23/2024] Open
Abstract
Platelet-rich Fibrin (PRF), a second-generation blood concentrate, offers a versatile structure for bone regeneration due to its composition of fibrin, growth factors, and cytokines, with adaptations like denatured albumin-enriched with liquid PRF (Alb-PRF), showing potential for enhanced stability and growth factor dynamics. Researchers have also explored the combination of PRF with other biomaterials, aiming to create a three-dimensional framework for enhanced cell recruitment, proliferation, and differentiation in bone repair studies. This study aimed to evaluate a combination of Alb-PRF with nanostructured carbonated hydroxyapatite microspheres (Alb-ncHA-PRF), and how this association affects the release capacity of growth factors and immunomodulatory molecules, and its impact on the behavior of MG63 human osteoblast-like cells. Alb-PRF membranes were prepared and associated with nanocarboapatite (ncHA) microspheres during polymerization. MG63 cells were exposed to eluates of both membranes to assess cell viability, proliferation, mineralization, and alkaline phosphatase (ALP) activity. The ultrastructural analysis has shown that the spheres were shattered, and fragments were incorporated into both the fibrin mesh and the albumin gel of Alb-PRF. Alb-ncHA-PRF presented a reduced release of growth factors and cytokines when compared to Alb-PRF (p < 0.05). Alb-ncHA-PRF was able to stimulate osteoblast proliferation and ALP activity at lower levels than those observed by Alb-PRF and was unable to positively affect in vitro mineralization by MG63 cells. These findings indicate that the addition of ncHA spheres reduces the biological activity of Alb-PRF, impairing its initial effects on osteoblast behavior.
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Affiliation(s)
- Renata de Lima Barbosa
- Graduate Program in Science and Biotechnology, Fluminense Federal University, Niteroi 24210-201, Brazil
- Clinical Research Unit, Antonio Pedro Hospital, Fluminense Federal University, Niteroi 24033-900, Brazil
| | | | - Emanuelle Stellet Lourenço
- Clinical Research Unit, Antonio Pedro Hospital, Fluminense Federal University, Niteroi 24033-900, Brazil
| | - Victor Hugo de Souza Lima
- Graduate Program in Science and Biotechnology, Fluminense Federal University, Niteroi 24210-201, Brazil
- Clinical Research Unit, Antonio Pedro Hospital, Fluminense Federal University, Niteroi 24033-900, Brazil
| | - Elena Mavropoulos
- Brazilian Center for Physics Research, Rio de Janeiro 22290-180, Brazil
| | | | - Carolina Spiegel
- Department of Cellular and Molecular Biology, Fluminense Federal University, Niteroi 24033-900, Brazil
| | - Carlos Fernando Mourão
- Department of Periodontology, Tufts University School of Dental Medicine, Boston, MA 02111, USA
| | - Gutemberg Gomes Alves
- Graduate Program in Science and Biotechnology, Fluminense Federal University, Niteroi 24210-201, Brazil
- Clinical Research Unit, Antonio Pedro Hospital, Fluminense Federal University, Niteroi 24033-900, Brazil
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Mathialagan Kalai Selvam L, M A, Lakshmanan S, Kumar SP. Effectiveness of Advanced Platelet-Rich Fibrin on Postoperative Sequelae for Impacted Mandibular Third Molar Surgery: A Prospective Study. Cureus 2024; 16:e52297. [PMID: 38357066 PMCID: PMC10865923 DOI: 10.7759/cureus.52297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 01/15/2024] [Indexed: 02/16/2024] Open
Abstract
Introduction Impacted third molar extraction is frequently removed surgically by maxillofacial surgeons, which is mostly associated with postoperative sequelae like pain and swelling. It is essential to minimize the complications and enhance wound healing in the extracted socket of the third molar. Hence, this study aimed to assess the efficiency of advanced platelet-rich fibrin (A-PRF) in wound healing and reducing pain after surgical extraction of the impacted mandibular third molar (IMTM). Materials and methods Thirty healthy patients who have been diagnosed with Pell and Gregory class II IMTM were included in this study. In the study group, which comprises 15 patients, extraction sockets were filled with A-PRF extract. In the control group, no material was placed in the extraction sockets. The pain was assessed preoperative and on the third and seventh postoperative days using a visual analog scale (VAS). Wound healing was assessed on the third and seventh postoperative days using a modified laundry scale. SPSS for Windows was used for data analysis. Categorical data was compared between the groups using the Chi-square test. P-value less than 0.05 was considered as statistically significant. Results The study population's mean age was 25.67 ± 2.4 years. Nineteen patients were male, and 11 patients were female. Differences in mean pain scores between the groups were not statistically significant both on the third postoperative day (p=0.59) and the seventh postoperative day (p=0.33). During the seventh day postoperative day, the study group exhibited better wound healing compared to the control group and the results were statistically significant (p=0.01). Conclusion A-PRF is a simple and effective method of reducing postoperative sequela by promoting wound healing after surgical extraction of IMTM. It has the advantage of less chance of allergic and anaphylactic reactions, unlike their predecessor platelet concentrates.
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Affiliation(s)
- Lavanya Mathialagan Kalai Selvam
- Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND
| | - Arun M
- Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND
| | - Saravanan Lakshmanan
- Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND
| | - Santhosh P Kumar
- Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND
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Elver A, Caymaz MG. Novel approaches to the use of platelet-rich fibrin: A literature review. Saudi Dent J 2023; 35:797-802. [PMID: 38025602 PMCID: PMC10658391 DOI: 10.1016/j.sdentj.2023.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Revised: 07/03/2023] [Accepted: 07/04/2023] [Indexed: 12/01/2023] Open
Affiliation(s)
- Atalay Elver
- Cyprus Health and Social Sciences University, Department of Oral and Maxillofacial Surgery, Güzelyurt, TRNC (Turkish Republic of North Cyprus), Mersin 10, Turkey
| | - Mehmet Gagari Caymaz
- Cyprus Health and Social Sciences University, Department of Oral and Maxillofacial Surgery, Güzelyurt, TRNC (Turkish Republic of North Cyprus), Mersin 10, Turkey
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Keranmu D, Nuermuhanmode N, Ainiwaer A, Guli, Taxifulati D, Shan W, Ling W. Clinical application of concentrate growth factors combined with bone substitute in Alveolar ridge preservation of anterior teeth. BMC Oral Health 2022; 22:54. [PMID: 35241047 PMCID: PMC8895668 DOI: 10.1186/s12903-022-02091-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 02/17/2022] [Indexed: 11/29/2022] Open
Abstract
Objective To investigate the clinical effect of concentrated growth factors (CGF) combined with deproteinized bovine bone mineral (DBBM) on Alveolar ridge preservation during implantology.
Methods A total of 38 patients were selected and randomly divided into 2 groups, with 19 cases in each group. The extraction sockets were filled with DBBM with or without CGF. Visual analogue scale (VAS) pain score was recorded within1 week and Landry wound healing index (LWHI) was recorded at 1, 2 and 3 weeks after operation. CBCT was taken preoperatively and 3 and 6 months postoperatively to measure and compare the changes of vertical height, width and gray value of alveolar bone at extraction site. The changes of alveolar bone contour were observed clinically and compared between the two groups. Results The VAS score of CGF group was lower than control group on the 1st and 3rd day after operation (P < 0.05). The LWHI of CGF group was higher than control group 1 week after operation (P < 0.05). The absorption of the labial and palatal plates height and the width in the CGF group was significantly less than the control group at 3 months (P < 0.05). The gray value of alveolar bone in CGF group was significantly higher than control group at 3 months (P < 0.05). There was no significant difference in new bone contour between the two groups (P > 0.05). 94.7% cases in CGF group did not undergo bone grafting, which was significantly higher than control group (78.9%). Conclusions The use of CGF combined with DBBM can help to reduce postoperative pain at the early stage of healing, form sufficient keratinized gingival tissue, effectively maintain the height and width of alveolar bone in the three-dimensional direction and provide good conditions for implant repair in the future.
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Affiliation(s)
- Dilinuer Keranmu
- Outpatient Department of Oral Surgery, The First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital). Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, No.393, Xinyi Road, Xinshi District, Ürümqi, 830054, Xinjiang, China
| | - Nijiati Nuermuhanmode
- Outpatient Department of Oral Surgery, The First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital). Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, No.393, Xinyi Road, Xinshi District, Ürümqi, 830054, Xinjiang, China
| | - Ailimaierdan Ainiwaer
- Outpatient Department of Oral Surgery, The First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital). Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, No.393, Xinyi Road, Xinshi District, Ürümqi, 830054, Xinjiang, China
| | - Guli
- Outpatient Department of Oral Surgery, The First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital). Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, No.393, Xinyi Road, Xinshi District, Ürümqi, 830054, Xinjiang, China
| | - Dilidaer Taxifulati
- Outpatient Department of Oral Surgery, The First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital). Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, No.393, Xinyi Road, Xinshi District, Ürümqi, 830054, Xinjiang, China
| | - Wang Shan
- Outpatient Department of Oral Surgery, The First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital). Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, No.393, Xinyi Road, Xinshi District, Ürümqi, 830054, Xinjiang, China
| | - Wang Ling
- Outpatient Department of Oral Surgery, The First Affiliated Hospital of Xinjiang Medical University (Affiliated Stomatological Hospital). Research Institute of Stomatology of Xinjiang Uygur Autonomous Region, No.393, Xinyi Road, Xinshi District, Ürümqi, 830054, Xinjiang, China.
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