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GDC
Platelet Rich Plasma
Dr Ramesh R
Kannur dental College
GDC
Definition
• PRP (Pletelet rich plasma)
:concentrated source of autologous
PLTs.
• Platelet concentrate
• APG(Autologous platelet gel)
• Buffy coat
GDC
Α-granules
• At least 7 different growth factors
that stimulate bone & soft tissue
healing
• PDGF
• TGF
• VEGF
• EGF
GDC
Α-granules
• Do not contain insulin-like growth factors nor
BMP
• Adhesion molecule
fibronectin
vitronectin
fibrin
GDC
The role of PLT in wound healing
• Injury
• PLT activation
• Within 10 min, granule migrate
to the cell membrane surface
and secrete growth factors
( inactive)
GDC
Days of operation
GDC
7 days later
• PLT exhausted after 7 days
• Macrophage by low oxygen
tension, acidity, lactate
concentration
• Secrete same growth factors
• Activated until it is down regulated
by the restoration of normal
oxygen tension
GDC
Day 3rd
GDC
17days
• Graft is completely permeated by
new capillaries
• Initial osteoid formation
• Osteoclast resorb osteoid and BMP
released
• New bone formation and
maturation
GDC
Days 14
GDC
Growth factors in PLT
GDC
PDGF(pletelet-derived growth factors)
• PDGF
• Promoting angiogenesis,
re-epithelization,formation of
granulation tissue
• Chemotaxis for mesenchymal
cell,monocyte,neutrophiles
GDC
TGF(transforming growth factor)
• TGF
• Stimulate cell replication
similar to PDGF
• Stimulate matrix
production and guide
differentiation towards
cartilage or bone
GDC
• Most potent multifuctional
regulator of bone cell
metabolism
GDC
VEGF(vascular endothelial growth factor)
• Effects on endothelial cells
GDC
EGF(epithelial growth facator)
• Effect limited on the basal cells of skin and
mucus membrane
GDC
The mechanism of growth factor effects on
cells
Inactive state
GDC
Activation
activation
GDC
Clinical effects of PRP on bone regeneration
Platelet
RBC
Normal blood PRP
GDC
• 4~7 times above a concentration of platelets
than peripheral blood plates level
• Bone mineral density 1.6~2,2 times increased
• Rapid bone formation & earlier maturation.
GDC
Trabecular area
Native mandible Autogenous BG
PRP
GDC
Clinical effects of PRP on soft tissue healing
• Split thickness skin graft
GDC
6 days
Thrombin side
: 5% epithelization
95% granulation
tissue
PRP side
; 95% epithelization
5% granulation
tissue
GDC
6 months
Thrombin side
scarring
hypo and hyper-
pigmentation area
PRP side
less scarring
Much less
pigmentation
change
GDC
Patient discomfort
• Patient discomfort
decrease
GDC
Epithelization
GDC
6days
↔
↔
GDC
1 months
GDC
Mechanism
• Growth factors contained PRP stimulated
complete revascularization earlier and more
complete
• Early epithelial covering of exposed
granulation tissue and C.T, the development of
dermis is the mechanism that reduced scarring
and a maximum regeneration of normal skin
pigmentation
GDC
Bovine thrombin issue
• Bovine thrombin + CaCl2
clot initiator to activate PRP
• CJD
mad cow disease
• Postop bleeding
100mg/ml of bovine factor
GDC
Contraindications
• Pre-existing coagulation defect
: thrombocytopenia, hypofibrinogen
• Hypersensitivity to bovine thrombin
GDC
Clinical Application
Chronic & Non-Healing Wounds
Ears, Nose and Throat Surgery
Gerneral Surgery
Neurosurgery
Ophthalmology
Oral Surgery, Peridontal, Dental Implant
Orthopedic Surgery
Reconstructive / Plastic Surgery
Urology

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