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Effects of relative centrifugation force on L-PRF: An in vivo submandibular boney defect regeneration study

Texto completo
Autor(es):
Tovar, Nick [1, 2, 3] ; Jalkh, Ernesto B. Benalcazar [4, 1] ; Ramalho, Ilana S. [4] ; Colon, Ricardo Rodriguez [5] ; Kim, Heoijin [1] ; Bonfante, Estevam A. [4] ; Torroni, Andrea [6] ; Coelho, Paulo G. [6, 1, 7] ; Witek, Lukasz [8, 1]
Número total de Autores: 9
Afiliação do(s) autor(es):
[1] NYU, Coll Dent, Dept Biomat & Biomimet, 433 1st Ave, Room 842, New York, NY 10010 - USA
[2] Bellevue Hosp Ctr, New York, NY 10016 - USA
[3] NYU, Dept Oral & Maxillofacial Surg, Langone Med Ctr, New York, NY - USA
[4] Univ Sao Paulo, Bauru Sch Dent, Dept Prosthodont & Periodontol, Bauru, SP - Brazil
[5] Icahn Sch Med Mt Sinai, New York, NY 10029 - USA
[6] NYU, Hansjorg Wyss Dept Plast Surg, Langone Med Ctr, New York, NY - USA
[7] NYU, Tandon Sch Engn, Dept Mech & Aerosp Engn, Brooklyn, NY - USA
[8] NYU, Tandon Sch Engn, Dept Biomed Engn, Brooklyn, NY - USA
Número total de Afiliações: 8
Tipo de documento: Artigo Científico
Fonte: JOURNAL OF BIOMEDICAL MATERIALS RESEARCH PART B-APPLIED BIOMATERIALS; v. 109, n. 12, p. 2237-2245, DEC 2021.
Citações Web of Science: 0
Resumo

Properties and composition of leukocyte- and platelet-rich fibrin (L-PRF) clots may be largely affected by centrifugation protocols (function of relative centrifugal force {[}RCF]), which may impact biological potential repair in bone regeneration. The present in vivo study sought to assess the effect of the RCF on the composition of L-PRF clots, as well as to compare the repair potential of L-PRF clots obtained with different RCF protocols in submandibular boney defects using PLGA scaffolds for bone regeneration. Complete blood count and volumetric evaluations were performed on L-PRF clots obtained through centrifugation for 12 min at 200, 400, and 600 RCF-clot centrifugation speeds. These evaluations were completed from blood collected immediately prior to any surgical procedures. The in vivo portion comprised of three submandibular unilateral, full thickness, osteotomies (similar to 0.40cm(3)) which were created in the submandibular region of six sheep, using rotary instrumentation under continuous irrigation. Subsequently, poly(lactic-co-glycolic acid) (PLGA) scaffolds were enveloped in a L-PRF membrane from one of the three spinning speeds (n = 6/RCF) and inserted into the defect (sites were interpolated to avoid site bias). Six-weeks after surgery, the mandibles were harvested en bloc and prepared for volumetric and histomorphometric evaluations. Membranes harvested from 600 RCF produced significantly larger L-PRF clots (6.97g +/- 0.95) in comparison to the lower 200 RCF (5.7g +/- 0.95), with no significant differences between 600 and 400, and from 400 and 200 RCF. The three tested RCFs did not alter the platelet count of the L-PRF clot. For the in vivo component, quantitative bone regeneration analyses demonstrated significantly higher values obtained with L-PRF membranes extracted post 600 RCF (27.01 +/- 8%) versus 200 RCF (17.54 +/- 8%), with no significant differences regarding 400 RCF (similar to 23 +/- 8%). At the qualitative histological analyses, L-PRF membranes obtained at 600 and 400 RCFs yielded improved healing throughout the defect, where the L-PRF sourced from the lowest speed, 200 RCF, presented healing primarily at the margins along with the presence of connective tissue at the central aspect of the surgical defect. Higher 600 RCF yielded larger L-PRF clots/membranes, resulting in enhanced bone repair potential in association with PLGA scaffolds for the treatment of critical size bone defects. (AU)

Processo FAPESP: 18/03072-6 - Compósitos experimentais 70%Al2O3-30%ZrO2: caracterização estrutural e da sobrevida antes e após envelhecimento
Beneficiário:Ernesto Byron Benalcazar Jalkh
Linha de fomento: Bolsas no Brasil - Doutorado
Processo FAPESP: 19/00452-5 - COMPÓSITOS EXPERIMENTAIS 70%Al2O3-30%ZrO2: CARACTERIZAÇÃO MECÂNICA, ESTRUTURAL E TOPOGRÁFICA
Beneficiário:Ernesto Byron Benalcazar Jalkh
Linha de fomento: Bolsas no Exterior - Estágio de Pesquisa - Doutorado
Processo FAPESP: 12/19078-7 - Desenvolvimento e processamento de compósito de Al2O3-ZrO2 para próteses monolíticas CAD/CAM: efeito do envelhecimento na resistência à flexão biaxial
Beneficiário:Estevam Augusto Bonfante
Linha de fomento: Auxílio à Pesquisa - Jovens Pesquisadores
Processo FAPESP: 16/18818-8 - EMU concedido no processo 2012/19078-7: ElectroPuls E3000 Linear-Torsion All-Electric dynamic test instrument package
Beneficiário:Estevam Augusto Bonfante
Linha de fomento: Auxílio à Pesquisa - Programa Equipamentos Multiusuários