Skip to main content

Advertisement

Log in

Mandibular Third Molar Extraction Wound Healing With and Without Platelet Rich Plasma: A Comparative Prospective Study

  • Comparative Study
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Aims

To evaluate the efficacy of autologous platelet rich plasma (PRP) in regeneration of bone and to assess clinical compatibility of the material in mandibular third molar extraction socket.

Objective of the Study

To compare the healing of mandibular third molar extraction wounds with and without PRP.

Materials and Methods

Group A consists of the 30 patients where PRP will be placed in the extraction socket before closure of the socket. Group B consists of 30 patients who will be the control group where the extraction sockets will be closed without any intra socket medicaments. The patients would be allocated to the groups randomly.

Results

Soft tissue healing was better in study site compared to control site. The result of the study shows rapid bone regeneration in the extraction socket treated with PRP when compared with the socket without PRP. Evaluation for bone blending and trabecular bone formation started earlier in PRP site compared to control, non PRP site. Also there was less postoperative discomfort on the PRP treated side.

Conclusion

Autologous PRP is biocompatible and has significant improved soft tissue healing, bone regeneration and increase in bone density in extraction sockets.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

Similar content being viewed by others

References

  1. Aghaloo TL, Moy PK, Freymiller EG (2002) Investigation of platelet rich plasma in rabbit cranial defects: a pilot study. J Oral Maxillofac Surg 60:1176–1181

    Article  PubMed  Google Scholar 

  2. Freymiller EG, Aghaloo TL (2004) Platelet rich plasma: ready or not? J Oral Maxillofac Surg 62:484–488

    Article  PubMed  Google Scholar 

  3. Marx RE (2004) Platelet rich plasma: evidence to support its use. J Oral Maxillofac Surg 62:489–496

    Article  PubMed  Google Scholar 

  4. Landry RG, Turnbull RS, Howley T (1988) Effectiveness of benzydamyne HCl in the treatment of periodontal post surgical patients. Res Clin Forums 10:105–118

    Google Scholar 

  5. Blum IR (2002) Contemporary views on dry socket (alveolar osteitis): a clinical appraisal of standardization, aetiopathogenesis and management: a critical review. Int J Oral Maxillofac Surg 31:309–317

    Article  CAS  PubMed  Google Scholar 

  6. Ogundipe OK, Ugboko VI (2011) Can autologous platelet rich plasma gel enhance healing after surgical extraction of mandibular third molars? J Oral Maxillofac Surg 69:2305–2310

    Article  PubMed  Google Scholar 

  7. Gonshor A (2002) Technique for producing platelet rich plasma and platelet concentrate: background and process. Int J Periodontics Restor Dent 22:547–557

    Google Scholar 

  8. Robiony M, Polini F, Politi M (2002) Osteogenesis distraction and platelet rich plasma for bone reconstruction of the severely atrophic mandible: preliminary results. J Oral Maxillofac Surg 60:630–635

    Article  CAS  PubMed  Google Scholar 

  9. Shanaman R, Filstein MR, Danesh-Meyer MJ (2001) Localized ridge augmentation using GBR and platelet rich plasma: three case reports. Int J Periodontics Restor Dent 21:343

    Google Scholar 

  10. Powell DM, Chang E, Farrior EH (2001) Recovery from deep plane rhytidectomy following unilateral wound treatment with autologous platelet gel: a pilot study. Arch Facial Plast Surg 3(4):245–250

    Article  CAS  PubMed  Google Scholar 

  11. Pradel W, Eckelt U, Lauer G (2006) Radiographic assessment of impacted mandibular third molar socket filled with composite xenogenic bone graft. Dentomaxillofacial Radiol 35:371–375

    Article  Google Scholar 

  12. Smet ED, Jacobs R, Gijbels F, Naert I (2002) The accuracy and reliability of radiographic methods for the assessment of marginal bone level around oral implants. Dentomaxillofacial Radiol 31:176–181

    Article  Google Scholar 

  13. Simon D (2004) Potential for osseous regeneration of platelet rich plasma—a comparative study in mandibular third molar sockets. Ind J Dent Res 15(4):133–136

    Google Scholar 

  14. Kim SG, Kim WK, Park JC, Kim HJ (2002) A comparative study of osseointegration of avana implants in a demineralized freeze dried bone alone or with platelet rich plasma. J Oral Maxillofac Surg 60:1018–1025

    Article  PubMed  Google Scholar 

  15. Wang HL, Avila G (2007) Platelet rich plasma: myth or reality? Eur J Dent 1(4):192–194

    PubMed Central  PubMed  Google Scholar 

  16. Tsay RC, Jennifer VO, Burke A, Eisig S, Landesberg R (2005) Differential growth factor retention by platelet rich plasma composites. J Oral Maxillofac Surg 63:521–528

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shubha Ranjan Dutta.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dutta, S.R., Singh, P., Passi, D. et al. Mandibular Third Molar Extraction Wound Healing With and Without Platelet Rich Plasma: A Comparative Prospective Study. J. Maxillofac. Oral Surg. 14, 808–815 (2015). https://doi.org/10.1007/s12663-014-0738-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-014-0738-1

Keywords

Navigation