The anti-inflammatory effect of the platelet-rich plasma in the periodontal pocket

Lubaba A Abdul Ameer, Zainab J Raheem, Saif Saadedeen Abdulrazaq, Basima Gh Ali, Maysaa Mahdi Nasser, Azza Wala Aldeen Khairi, Lubaba A Abdul Ameer, Zainab J Raheem, Saif Saadedeen Abdulrazaq, Basima Gh Ali, Maysaa Mahdi Nasser, Azza Wala Aldeen Khairi

Abstract

Objective: Chronic periodontitis (CP) is a common inflammatory disease that causes destruction to the supporting tissues of the teeth. Many treatment modalities tried to stop the disease progression. Platelet-rich plasma (PRP) is one of the regenerative methods that used in adjunct to conventional periodontal treatment. The aim of this study was to evaluate the anti-inflammatory effect of PRP by monitoring the lymphocyte count before and after its application to the periodontal pocket.

Materials and methods: Twenty patients, with CP and a pocket depth equal to or deeper than 4 mm, subjected to scaling, root planing, and PRP injection into the pocket. The lymphocyte count measured before and after 1 month from PRP application. Clinical periodontal parameters were taken during two visits (1 month apart), with customized stent fabrication.

Results: All clinical periodontal parameters showed a reduction in their value following 1 month of PRP application. There was a noticeable reduction in lymphocyte count from (mean 2.47 ± 0.91) to (mean 1.94 ± 0.77).

Conclusion: In addition to its traditional uses, PRP has a great role in the periodontal treatment by its anti-inflammatory effect.

Keywords: Lymphocyte count; periodontal pocket; platelet-rich plasma.

Conflict of interest statement

There are no conflicts of interest.

References

    1. Novak MJ, Novak KF. Chronic periodontitis. In: Newman MG, Takei HH, Klokkevold ER, Carranza FA, editors. Carranza's Clinical Periodontology. 11th ed. Missouri: Saunders, An Imprint of Elsevier Inc; 2012. p. 160.
    1. Craig RG, Yip JK, Mijares DQ, LeGeros RZ, Socransky SS, Haffajee AD, et al. Progression of destructive periodontal diseases in three urban minority populations: Role of clinical and demographic factors. J Clin Periodontol. 2003;30:1075–83.
    1. Anitua E, Andia I, Ardanza B, Nurden P, Nurden AT. Autologous platelets as a source of proteins for healing and tissue regeneration. Thromb Haemost. 2004;91:4–15.
    1. Tözüm TF, Keçeli HG, Serper A, Tuncel B. Intentional replantation for a periodontally involved hopeless incisor by using autologous platelet-rich plasma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:e119–24.
    1. Pejcić A, Kesić L, Pesić Z, Mirković D, Stojanović M. White blood cell count in different stages of chronic periodontitis. Acta Clin Croat. 2011;50:159–67.
    1. Heitz-Mayfield LJ, Trombelli L, Heitz F, Needleman I, Moles D. A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis. J Clin Periodontol. 2002;29(Suppl 3):92–102.
    1. Hanna R, Trejo PM, Weltman RL. Treatment of intrabony defects with bovine-derived xenograft alone and in combination with platelet-rich plasma: A randomized clinical trial. J Periodontol. 2004;75:1668–77.
    1. Lindhe J, Ranney R, Lamster I, Charles A, Chung CP, Flemmig T, et al. Consensus report: chronic periodontitis. Annals Periodontol. 1999;4:38.
    1. Jo CH, Roh YH, Kim JE, Shin S, Yoon KS. Optimizing platelet-rich plasma gel formation by varying time and gravitational forces during centrifugation. J Oral Implantol. 2013;39:525–32.
    1. Agarwal A, Gupta ND. Platelet-rich plasma combined with decalcified freeze-dried bone allograft for the treatment of noncontained human intrabony periodontal defects: A randomized controlled split-mouth study. Int J Periodontics Restorative Dent. 2014;34:705–11.
    1. Armonk, NY: International Business Machines Corporation; 2011. International Business Machines Corporation. Released International Business Machines SPSS Statistics for Windows, Version 20.0.
    1. Roselló-Camps À, Monje A, Lin GH, Khoshkam V, Chávez-Gatty M, Wang HL, et al. Platelet-rich plasma for periodontal regeneration in the treatment of intrabony defects: A meta-analysis on prospective clinical trials. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120:562–74.
    1. El-Sharkawy H, Kantarci A, Deady J, Hasturk H, Liu H, Alshahat M, et al. Platelet-rich plasma: Growth factors and pro- and anti-inflammatory properties. J Periodontol. 2007;78:661–9.
    1. Tavassoli-Hojjati S, Sattari M, Ghasemi T, Ahmadi R, Mashayekhi A. Effect of platelet-rich plasma concentrations on the proliferation of periodontal cells: An in vitro study. Eur J Dent. 2016;10:469–74.
    1. Kobayashi E, Fujioka-Kobayashi M, Sculean A, Chappuis V, Buser D, Schaller B, et al. Effects of platelet rich plasma (PRP) on human gingival fibroblast, osteoblast and periodontal ligament cell behaviour. BMC Oral Health. 2017;17:91.
    1. Holme PA, Müller F, Solum NO, Brosstad F, Frøland SS, Aukrust P, et al. Enhanced activation of platelets with abnormal release of RANTES in human immunodeficiency virus type 1 infection. FASEB J. 1998;12:79–89.

Source: PubMed

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