Treatment of oroantral communication with Platelet-Rich Fibrin: A systematic review

doi:10.1016/j.jormas.2022.03.014

Q2 · DentistryImpact Factor · 1.759

AutoresÁngel-Orión Salgado-Peralvo, María‐Victoria Mateos‐Moreno, Andrea Uribarri, Naresh Kewalramani, Juan‐Francisco Peña‐Cardelles, Eugenio Velasco‐Ortega

Por qué importa

Se presenta una revisión sistemática centrada en el tratamiento de la comunicación oronasal (CON) y la fístula oronasal (FON), condiciones que facilitan la infección del seno maxilar. El estudio evalúa la eficacia de la fibrina rica en plaquetas (PRF) como alternativa terapéutica, buscando superar las limitaciones de los métodos convencionales, como la morbilidad postoperatoria y los costes elevados. La revisión analizó 11 estudios que emplearon PRF, sola o combinada con técnicas bi- o trilaminares, reportando un 100% de resolución completa de los casos. Los hallazgos sugieren que la PRF es una opción viable, especialmente para comunicaciones de hasta 5 mm, y su combinación con técnicas de regeneración ósea podría mejorar el manejo preimplantario. La técnica destaca por su mínima morbilidad asociada y la preservación de la posición de la unión mucogingival.

Abstract original

Oroantral communication (OAC) is the opening between the maxillary sinus and the oral cavity, which constitutes a gate for the mucosal infection in the maxillary sinus. On the other hand, an OAF develops when the OAC does not close spontaneously, remains manifest and is epithelialized. Several methods have been proposed to solve these situations, however, they are associated with increased postoperative morbidity and/or higher associated costs and require some experience of the surgeon to perform them. To overcome these disadvantages, the use of Platelet-Rich Fibrin (PRF) is proposed. The present study aims to perform a systematic review of the literature, collecting cases in which PRF was used in the treatment of OACs/OAFs. An electronic search of the MEDLINE database (via PubMed) and Web of Science was performed using the following MeSH terms (Medical Subjects Headings): (oroantral communication OR oroantral fistula OR buccosinusal communication) AND (platelet-rich fibrin OR prf OR fibrin mesh). The criteria used were those described by the PRISMA® Statement. The search was not time-restricted and was updated to April 2021. After searching, 11 articles were included that met the established criteria. In these, PRF was used alone or in combination with bi- or trilaminar techniques achieving complete resolution in 100% of cases (n = 116). With the limitations of this study, it can be established that PRF can be used alone for the treatment of OACs/OAFs up to 5 mm and, in larger defects, it is advisable to combine it with bi- or trilaminar techniques. PRF is an effective therapeutic option, with minimal associated postoperative morbidity compared to other techniques and allows the position of the mucogingival junction to be preserved. Its combination with bone grafting improves the starting point before the replacement of the missing tooth with a dental implant.

Leer texto completo ↗DOI · 10.1016/j.jormas.2022.03.014

Autores Doctor&Cols

Cómo citar

Salgado-Peralvo Á, Mateos‐Moreno M, Uribarri A, Kewalramani N, Peña‐Cardelles J, Velasco‐Ortega E. Treatment of oroantral communication with Platelet-Rich Fibrin: A systematic review. Journal of Stomatology Oral and Maxillofacial Surgery. 2022. doi:10.1016/j.jormas.2022.03.014