A systematic critical appraisal of the ethodological quality of systematic reviews on the effect of autologous platelet concentrates in the treatment of periodontal intraosseous defects

Agostino Guida, Gennaro Cecoro, Rosario Rullo, Luigi Laino, Massimo Del Fabbro, Marco Annunziata

Research output: Contribution to journalArticlepeer-review

Abstract

The present study aimed to perform a systematic critical appraisal of the methodological quality of systematic reviews (SRs) on the effect of autologous platelet concentrates (APCs) in the treatment of periodontal intraosseous defects and to provide a synthesis of the main clinical findings available. An electronic and hand search was performed up to February 2020; 14 systematic reviews of randomized controlled trials (RCTs), of which 11 were meta-analyses, were included. Only one SR fully satisfied all 11 items of the AMSTAR ("A Measurement Tool to Assess Systematic Reviews") checklist for methodological quality evaluation, 3 SRs were classified of high quality, 8 of medium quality, and 2 of low quality. There is some evidence on the beneficial additive effect of APCs in the surgical treatment of intraosseous defects when used alone or in combination with bone grafts. APCs did not show any advantage when used together with guided tissue regeneration (GTR) or enamel matrix derivative (EMD). Undertaking SRs which adhere to rigorous standards and protocols is strongly recommended. There are increasing data on the positive adjunctive effect of APCs in the surgical treatment of intraosseous defects but, due to the heterogeneity of the available primary studies, the quality of evidence remains rather low and further long-term well-designed RCTs are encouraged.

Original languageEnglish
Article number4180
JournalMaterials
Volume13
Issue number18
DOIs
Publication statusPublished - Sep 2020
Externally publishedYes

Keywords

  • Intraosseous defect
  • Meta-analysis
  • Periodontal regeneration
  • Platelet concentrate
  • Systematic review

ASJC Scopus subject areas

  • Materials Science(all)

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