Healing of Postextraction Sockets Preserved With Autologous Platelet Concentrates. A Systematic Review and Meta-Analysis

Massimo Del Fabbro, Cristina Bucchi, Alessandra Lolato, Stefano Corbella, Tiziano Testori, Silvio Taschieri

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

Purpose The true benefit of autologous platelet concentrates (APCs) for enhancing the healing of postextraction sites is still a matter of debate, and in recent years several clinical trials have addressed this issue. The purpose of this study was to determine the effectiveness of an APC adjunct in the preservation of fresh extraction sockets. Materials and Methods An electronic search was performed on Medline, Embase, Scopus, and the Cochrane Central Register of Controlled Trials. Only controlled clinical trials or randomized clinical trials were included. Selected articles underwent risk-of-bias assessment. The outcomes were complications and adverse events, discomfort and quality of life, bone healing and remodeling assessed by histologic and radiographic techniques, and soft tissue healing. Results Thirty-three comparative studies were included. Nine articles had a parallel design and 24 had a split-mouth design. Twenty studies were considered to have a low risk of bias and 13 were considered to have a high risk. Overall, 1,193 teeth were extracted from 911 patients. Meta-analysis showed that soft tissue healing, probing depth at 3 months, and bone density at 1, 3, and 6 months were statistically better for the APC group. Qualitative analysis suggested that APCs might be associated with a decrease in swelling and trismus. However, no relevant difference among groups was found for probing depth at 1 month, incidence of alveolar osteitis, acute inflammation or infection, percentage of new bone, and indirect measurement of bone metabolism. Conclusion APCs should be used in postextraction sites to improve clinical and radiographic outcomes such as bone density and soft tissue healing and postoperative symptoms. The actual benefit of APCs on decreasing pain in extraction sockets is still not quantifiable.

Original languageEnglish
Pages (from-to)1601-1615
Number of pages15
JournalJournal of Oral and Maxillofacial Surgery
Volume75
Issue number8
DOIs
Publication statusPublished - Aug 1 2017

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Meta-Analysis
Blood Platelets
Bone Density
Dry Socket
Trismus
Histological Techniques
Bone and Bones
Bone Remodeling
Controlled Clinical Trials
Mouth
Tooth
Randomized Controlled Trials
Quality of Life
Clinical Trials
Inflammation
Pain
Incidence
Infection

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Cite this

Healing of Postextraction Sockets Preserved With Autologous Platelet Concentrates. A Systematic Review and Meta-Analysis. / Del Fabbro, Massimo; Bucchi, Cristina; Lolato, Alessandra; Corbella, Stefano; Testori, Tiziano; Taschieri, Silvio.

In: Journal of Oral and Maxillofacial Surgery, Vol. 75, No. 8, 01.08.2017, p. 1601-1615.

Research output: Contribution to journalReview article

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