AI Article Synopsis

  • Dental extraction is common but causes socket remodeling, often necessitating implants; a meta-analysis explored if leucocyte- and platelet-rich fibrin (L-PRF) could enhance outcomes.
  • Six studies involving 239 patients were analyzed, revealing that L-PRF treated patients showed significantly better bone formation, greater socket filling, and increased width post-extraction compared to controls.
  • Patients receiving L-PRF experienced quicker healing and reported less pain, indicating its potential as an effective treatment method to improve recovery after dental extractions.

Article Abstract

Background: Dental extraction is the most common oral surgery, but it leads to the remodelling of the socket, such that an implant is required for repair. We performed meta-analysis to determine whether leucocyte- and platelet-rich fibrin (L-PRF) improves dental extraction.

Material And Methods: Following a search of Scopus, Web of science, ProQuest and PubMed, six relevant studies were included (239 patients treated with L-PRF after dental extraction).

Results: The results provide higher percentage of bone formation after dental extraction in L-PRF implant patients with a mean difference of -13.16 (-15.89, -10.43) than control. Socket filling and horizontal width were also higher in the L-PRF implant group. A sub-group meta-analysis showed a significantly higher healing index 7 and 14 days after dental extraction in the L-PRF-treated group. The VAS score for pain stimuli was lower in the L-PRF group with a mean difference of 1.26 (1.00, 1.51) than control group; the difference in the heterogeneity of the studies was significant.

Conclusions: These results show that L-PRF prevents ridge formation by improving the percentage of bone formation and socket width (improved horizontal width and socket filling). In such patients, the healing index was higher and the VAS score for pain stimuli lower than in the control group.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584968PMC
http://dx.doi.org/10.4317/medoral.26724DOI Listing

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