El uso de plasma rico en plaquetas después de una alveoloplastia. Caso clínico
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Fecha
2016-05
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
El plasma rico en plaquetas es un producto de la centrifugación diferencial de la
sangre, logrando una alta concentración de plaquetas, su función está
directamente ligada a la liberación por parte de las plaquetas de Factores de
Crecimiento. Estos factores tienen propiedades de inducción de la regeneración
de los tejidos. Desde la primera aplicación del plasma rico en plaquetas en el
tratamiento de úlceras cutáneas en 1980, una gran cantidad de aplicaciones en
muy distintos terrenos de la Medicina (Cirugía Maxilofacial y Estética), para el
tratamiento de: heridas quirúrgicas, patologías musculo esqueléticas, reparación
de nervios periféricos algunas de estas aplicaciones con resultados francamente
positivos o muy prometedores. Durante los últimos años, este producto ha
aparecido de forma repetida en publicaciones científicas y en medios de
comunicación generales como un producto que por sus características induce la
curación y regeneración de los tejidos. La premisa de su uso es que las elevadas
concentraciones de plaquetas en el PRP, liberan cantidades significativas de
factores de crecimiento, donde la optimización de la cicatrización de tejidos
blandos, la regeneración de tejido óseo y la disminución de la respuesta
inflamatoria postquirúrgica ha sido reportada en trabajos de investigación. Se
reflexionará sobre potenciales efectos adversos y, por último, se realizará un
análisis crítico de la evidencia científica que avala su posible uso en la consulta de
odontológica. El procedimiento para su obtención es fácil, rápido y económico y
los resultados referidos en la mayoría de las publicaciones son alentadores, sin
que se hayan comunicado reacciones adversas.
The platelet rich plasma is a differential centrifugation product of the blood, getting a high concentration of platelets, its function is directly linked to the release of growth factors by platelets. These factors have properties of induction of tissue regeneration. Since their first application in the treatment of skin ulcers in 1980, a considerable number of novel applications in different fields of medicine have emerged (Maxillofacial Surgery surgical wounds, musculoskeletal disorders, Esthetic Surgery, repair of peripheral nerves, etc.), some of these applications with clearly positive or very promising results. In the last decade, scientific and media interest has been generated by this product that apparently has the capacity of inducing and promoting tissue healing and regeneration. The premise of its use is that the large number of platelets in PRP release significant amounts of growth factors, where the optimization of soft tissue healing, bone tissue regeneration and decreasing postoperative inflammatory response has been reported in research papers. We will reflect on potential adverse effects and, finally, there will be a critical analysis of the scientific evidence that supports its potential use in the dental clinic. The procedure for obtaining platelet factor is easy, quick and inexpensive and the results reported in most publications are encouraging, without any reported adverse reactions.
The platelet rich plasma is a differential centrifugation product of the blood, getting a high concentration of platelets, its function is directly linked to the release of growth factors by platelets. These factors have properties of induction of tissue regeneration. Since their first application in the treatment of skin ulcers in 1980, a considerable number of novel applications in different fields of medicine have emerged (Maxillofacial Surgery surgical wounds, musculoskeletal disorders, Esthetic Surgery, repair of peripheral nerves, etc.), some of these applications with clearly positive or very promising results. In the last decade, scientific and media interest has been generated by this product that apparently has the capacity of inducing and promoting tissue healing and regeneration. The premise of its use is that the large number of platelets in PRP release significant amounts of growth factors, where the optimization of soft tissue healing, bone tissue regeneration and decreasing postoperative inflammatory response has been reported in research papers. We will reflect on potential adverse effects and, finally, there will be a critical analysis of the scientific evidence that supports its potential use in the dental clinic. The procedure for obtaining platelet factor is easy, quick and inexpensive and the results reported in most publications are encouraging, without any reported adverse reactions.
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Palabras clave
PLASMA RICO EN PLAQUETAS, REGENERACION OSEA, PLAQUETAS