Plasma rich in growth factors in human extraction sockets: a radiographic and histomorphometric study on early bone deposition

Roberto Farina, Eriberto Bressan, Andrei Taut, Alessandro Cucchi, Leonardo Trombelli, Roberto Farina, Eriberto Bressan, Andrei Taut, Alessandro Cucchi, Leonardo Trombelli

Abstract

Objectives: To determine whether and to what extent the additional application of plasma rich in growth factors (PRGF) to an extraction socket may influence the early bone deposition, as assessed by micro-computed tomography (micro-CT) scan as well as histomorphometric markers.

Material and methods: Twenty-eight patients (age range: 34-74 years) contributing 36 extraction sockets were included in the study. Sockets were either treated with PRGF (PRGF group; 18 sites in 11 patients) or left to spontaneous healing (control group; 18 sites in 17 patients). Radiographic and histomorphometric analysis was performed on bone cores trephined from each healing socket after 4-6 (T1) or 7-10 (T2) weeks of healing.

Results: Patients treated with PRGF application showed (i) similar bone volume and tissue mineral content, (ii) a trend, although not statistically significant, toward a greater number of CD68+ cells (at T1 and T2) and vVW+ cells (at T1), and (iii) a similar OCN staining score throughout the study, when compared with control group.

Conclusions: Plasma rich in growth factors-treated group did not show any enhancement in early (4 and 8 weeks) bone deposition compared with control group.

Keywords: CD68 antigen; alveolar process; bone remodeling; growth factors; histology; osteocalcin; plasma; platelet-rich plasma; tooth extraction; von Willebrand factor.

© 2012 John Wiley & Sons A/S.

Source: PubMed

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