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Herrero-Llorente S, Salgado-Peralvo Á, Schols JG. Do platelet concentrates accelerate orthodontic tooth movement?: a systematic review. Journal of Periodontal & Implant Science. 2023. doi:10.5051/jpis.2201600080
AutoresSergio Herrero-Llorente, Ángel-Orión Salgado-Peralvo, Jan G.J.H. Schols
Se ha realizado una revisión sistemática para evaluar si los concentrados plaquetarios (CP) pueden acelerar el movimiento dental ortodóncico, especialmente en combinación con técnicas quirúrgicas. La investigación buscó determinar la efectividad de los CP en el sitio quirúrgico en comparación con su ausencia, enfocándose en la celeridad del movimiento. Los resultados preliminares de los estudios incluidos sugieren una posible aceleración del movimiento dental, particularmente en la distalización de caninos tras extracción de premolares cuando se inició simultáneamente la distalización. También se observa una posible relación entre la inyección de CP y la retracción canina. Sin embargo, el estudio concluye que no es posible afirmar una reducción del tiempo total de tratamiento con el uso de CP en corticotomías, dado que la evidencia actual es insuficiente para respaldar esta conclusión de manera concluyente.
PURPOSE: Surgical techniques in orthodontics have received widespread attention in recent years. Meanwhile, biomaterials with high molecular content have been introduced, such as platelet concentrates (PCs), which may accelerate orthodontic tooth movement (OTM) and reduce periodontal damage. The present systematic review aimed to answer the following PICO question: "In patients in whom orthodontic surgical techniques are performed (P), what is the effectiveness of using PCs over the surgical site (I) when compared to not placing PCs (C) to achieve faster tooth movement (O)?" METHODS: A search was performed in 6 databases. The criteria employed were those described in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses declaration. The present review included studies with a control group that provided information about the influence of PCs on the rate of OTM. RESULTS: The electronic search identified 10 studies that met the established criteria. CONCLUSIONS: The included studies were very diverse, making it difficult to draw convincing conclusions. However, a tendency was observed for OTM to be accelerated when PCs were used as an adjuvant for canine distalization after premolar extraction when distalization was started in the same session. Likewise, studies seem to indicate an association between PC injection and the amount of canine retraction. However, it is not possible to affirm that the use of PCs in corticotomy shortens the overall treatment time, as this question has not been studied adequately. TRIAL REGISTRATION: PROSPERO Identifier: CRD42021278542.
Herrero-Llorente S, Salgado-Peralvo Á, Schols JG. Do platelet concentrates accelerate orthodontic tooth movement?: a systematic review. Journal of Periodontal & Implant Science. 2023. doi:10.5051/jpis.2201600080
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