A randomized comparative prospective study of platelet-rich plasma, platelet-rich fibrin, and hydroxyapatite as a graft material for mandibular third molar extraction socket healing.
OBJECTIVE
The purpose of this study was to compare the efficacy of platelet-rich plasma (PRP), platelet-rich fibrin (PRF), and hydroxyapatite (HA) for reduction of pain and swelling, absence of dry socket, soft tissue healing, and bone regeneration after mandibular third molar extraction in human patients.


METHODS
Forty patients requiring extraction of mandibular third molars were randomly grouped as control, PRP, PRF, and HA-treated. The patients were assessed for postoperative pain, swelling, dry socket, and soft tissue healing on the 3rd, 7th, and 14thday of postoperative periods depending on the standard methods. Radiological assessment of the extraction site was done at 1, 2, and 6 months interval to compare the change in bone density in the sockets in control and treated patients.


RESULTS
Pain and swelling were less on PRP and PRF site when compared to HA and control site. PRP and PRF site showed better soft tissue healing when compared to HA and control site. Radiographic assessment showed comparatively lesser bone density values in PRP, PRF, and control site at 1, 2, and 6 months than HA site.


CONCLUSIONS
Our study showed that PRP and PRF are better graft materials than HA regarding pain, swelling, dry socket, and soft tissue healing. Bone regeneration is induced promptly by HA as compared to other graft materials. However, a more elaborate study with a larger number of clinical cases is very much essential to be more conclusive regarding the efficacy of the graft materials.
Department of Oral and Maxillofacial Surgery, M.B. Kedia Dental College, Birgunj, Nepal.
Shubha Ranjan
SR
Dutta
Department of Oral and Maxillofacial Surgery, ESIC Dental College and Hospital, New Delhi, India.
Deepak
D
Passi
Department of Physiology, M.B. Kedia Dental College, Birgunj, Nepal.
Purnima
P
Singh
Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, New Delhi, India.
Sarang
S
Sharma
Department of Oral and Maxillofacial Surgery, Uttaranchal Dental and Medical Research Institute, Dehradun, Uttarakhand, India.
Mahinder
M
Singh
Department of Oral and Maxillofacial Surgery, ESIC Dental College and Hospital, New Delhi, India.
Dhirendra
D
Srivastava
Bone density; hydroxyapatite; mandibular third molar extraction; pain; platelet-rich fibrin; platelet-rich plasma; swelling