Comparative Evaluation of Open Flap Debridement Therapy with Two Different Types of Platelet Concentrates, T-PRF and L-PRF as Adjuncts- A Systematic Review
Gowri Pendyala *
Department of Periodontics, Rural Dental College, Pravara Institute of Medical Sciences, Loni, Ahmednagar, Maharashtra, India.
Ekta Srivastava
Department of Pedodontics, S.M.B.T Dental college and Hospital, Sangamner, Dist. Ahmednagar, Maharashtra, India.
Babita Pawar
Department of Periodontics, Chhattisgarh dental college and research institute, Rajnandgoan, Chhattisgarh, India.
Satish Manthena
Department of Periodontics, Drs Sudha and Nageshwar Rao Siddhartha Instotute of Dental Sciences, Vijayawada, Andhra Pradesh, India.
Swati Pustake
Department of Prosthodontics and Crown and Bridge, MGV KBH Dental College and Hospital, Nashik, Maharashtra, India.
Saurabh Joshi
Department of Periodontics, Rural Dental College, Pravara Institute of Medical Sciences, Loni, Ahmednagar, Maharashtra, India.
Ameet Mani
Department of Periodontics, Rural Dental College, Pravara Institute of Medical Sciences, Loni, Ahmednagar, Maharashtra, India.
Vidyasagar Mopagar
Department of Periodontics, Rural Dental College, Pravara Institute of Medical Sciences, Loni, Ahmednagar, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Conventional Periodontal therapy such as scaling and root planing and open flap debridement aims to halt the inflammation process and promotes repair of disease-related defects. Current regenerative procedures offers a limited potential toward attaining a complete periodontal restoration and none is considered a gold standard in the treatment of intrabony defects. This study was done to compare the efficiency of Titanium-Platelet Rich Fibrin and Leukocyte-Platelet Rich Fibrin as adjuncts to Open Flap Debridement therapy to treat intra-bony periodontal defects. A search was conducted through PubMed and various other databases such as Cochrane, Google Scholar and EBSCO Host , under the key words, OFD , T-PRF,L-PRF, Clinical Outcomes, Comparison and Randomised Contolled Trials. Six relevant articles were selected for analysis. Compared to non-platelet concentrates, L-PRFproves to be the better adjunct to open flap debridement therapy. When compared to T-PRF, however, L-PRF has comparatively inferior properties of bone defect resolution and fill.We can conclude that T-PRF has better properties, greater bone defect fill and defect resolution as compared to L-PRF.
Keywords: Regeneration, open flap debridement, titanium-PRF, leukocyte-PRF, intrabony defect