Review Article

Effectiveness of Platelet-Rich Fibrin as an Adjunctive Material to Bone Graft in Maxillary Sinus Augmentation: A Meta-Analysis of Randomized Controlled Trails

Table 1

(a) Characteristics of the included studies

First Author (Year of Publication) Study DesignStudy LocationPopulation (Mean age)Female/
Male
Intervention

Nizam N (2018)RCT, SMSchool of Dentistry, Ege University, İzmir, TurkeyThirteen patients
(mean age ± SD: 49.92 ± 10.37)
4/9Bio-Oss and L-PRF mixture (test)
Bio-Oss alone (control)

Zhang Y
(2012)
RCT, PDepartment of Implant Dentistry, Peking University,
School and Hospital of Stomatology, Beijing, China
The test group: six sinuses from six patients (mean age, 43.5 years; range, 30-49)
the control group: five sinuses of five patients (mean age, 46.2 years; range, 37-53).
2/8Bio-Oss and L-PRF mixture (test)
Bio-Oss alone (control)

Comert K S, 2017RCT, PDepartment of Oral and Maxillofacial Surgery, Center for Oral and Dental Health, Erzurum, Turkey26 patients: Ages ranged from 22-51 years
The control group: 31.51±8.52 years
The P-PRP group: 34.01±9.59 years
The PRF group: 35.48±9.53 years
9 /17B-TCP (control);
P-PRP mixed B-TCP (The P-PRP group);
PRF mixed B-TCP (PRF group).

Tatullo M,
2012
RCT, PDept. of Basic Medical Science, University of Bari, Italy60 patients, 43 and 62 years48/12Deproteinized bovine bone (Bio-Oss)
PRF+deproteinized bovine bone (Bio-Oss)

Gurler G, 2016RCT, PDepartment of Oral and Maxillofacial Surgery, İstanbul Medipol University School of Dentistry, Atatürk Bulvarı24 patients: age ranged from 23-66 years (mean age 47.8)
The study group: mean age of 46.3 years
The control group: mean age of 49.3 years
10/14Allogenous bone + L-PRF (test)
Allogenous bone (control)

RCT: randomized controlled trial.
SM: split-mouth.
P: prospective.
(b) Characteristics of the included studies

First Author (Year of Publication) OutcomesFollow-upPRF Preparation
technique
RBH (mm)

Nizam N, 2018Primary outcomes: newly formed bone, residual bone graft, and newly formed bone-to-bone contact
Secondary outcomes: clinical and radiographic data (6 months after augmentation; implant survival rate 12 months after implant loading)
12 monthsA table centrifuge (Nüve Laboratory Equipment, NF200, Ankara, Turkey)
or 12 min at 400 × g
Test: 2.45 ± 0.79
Control:
2.53± 0.61

Zhang Y, 2012New bone formation: percentage of residual bone substitute contact length between newly formed bone and bone substitute6 monthsPRF by Choukroun’s Procedure (300 g for 10 min)< 5

Comert K S, 2017Primary outcomes: new bone formation, mean percentages of residual graft particle area, percentages of soft tissue, and no postoperative maxillary sinus infection
Secondary outcomes: mean densities of bone cells (osteoblasts, osteoclasts, osteocytes, and osteoprogenitors), capillary vessels, and inflammatory cells
Control group: 6.14±0.57
months;
P-PRP group: 6.08±0.67 months;
PRF group: 6.29±0.53 months
PRF by Choukroun’s Procedure (3000 rpm for 10 min)< 7

Tatullo M, 2012New bone; complications; ISQ values (Implant Stability Quotient); bone density; clinical success rate150 daysChoukroun’s procedure< 5

Gurler G, 2016Healing Index (HI) scores
Inflammatory and infectious reactions
Patient comfort
14 daysCentrifuge (IntraSpin, USA)
at 2700 rpm for 12 min
NA

RBH: residual bone height.