Effect of platelet-rich fibrin on orthodontic tooth movement: a systematic review
10.12016/j.issn.2096-1456.2023.02.006
- Author:
YAO Ke
1
;
WU Yongzhi
1
;
ZHAO Zhihe
1
Author Information
1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University
- Publication Type:Journal Article
- Keywords:
malocclusion / orthodontics / tooth extraction / tooth movement / platelet-rich fibrin / platelet concentrate / growth factor / local application / randomized controlled trials / systematic review
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2023;31(2):117-122
- CountryChina
- Language:Chinese
-
Abstract:
Objective : To evaluate the effect of platelet-rich fibrin (PRF) on orthodontic tooth movement (OTM) and to provide a basis for clinical application.
Methods:Literature searches were conducted in 7 electronic databases supplemented with a hand search. Randomized controlled trials focusing on OTM with PRF were included. The risk of bias was assessed by the Cochrane tool. Finally, due to the heterogeneity of patient clinical characteristics and research methods, the results in every study were qualitatively described.
Results:Six studies were included. Five studies were split-mouth designs, and 1 was a two-arm parallel design. Two studies used leukocyte- and platelet-rich fibrin, while the other 4 used injectable PRF. The risk of bias of 3 studies was graded as “Some concerns”, and 3 were graded as “Low risk”. The trials lasted from 4 weeks to 5 months. Four studies supported that PRF could accelerate OTM, 1 study demonstrated that PRF had no effect on OTM, and 1 study reported that PRF decreased OTM. There is moderate-quality evidence that PRF accelerates OTM in the first 3 months after application, while low-quality evidence supports that PRF loses its tooth-acceleration effect after 4 months.
Conclusion: Limited clinical evidence suggests that PRF could accelerate OTM in the early stages, but its long-term effect needs clarification.
- Full text:富血小板纤维蛋白对正畸牙移动影响的系统评价.pdf
