Enhanced bone-to-implant contact by platelet-released growth factors in mandibular cortical bone: a histomorphometric study in minipigs

Int J Oral Maxillofac Implants. 2003 Sep-Oct;18(5):685-90.

Abstract

Purpose: To determine the effects of platelet-released growth factors (PRGF) on bone-to-implant contact (BIC) in minipig cortical bone.

Materials and methods: In each of 8 adult minipigs, 2 implants were placed in the facial wall of the mandible, one implant with and one without PRGF. PRGF was defined as the supernatant from washed, thrombin-activated, allogenic, platelet-rich plasma cells obtained after centrifugation. Four animals were sacrificed at 4 weeks, and the remaining 4 were sacrificed at 8 weeks. For histomorphometric analyses, undecalcified ground specimens were prepared and stained with the Levai-Laczko stain.

Results: For the entire follow-up time, 55.30% BIC was found with PRGF versus 38.91% without PRGF (P = .0198). At 4 weeks, BIC was 44.20% with PRGF versus 29.62% without PRGF (P = .0632), and at 8 weeks there was 70.36% BIC with PRGF versus 48.20% without PRGF (P = .1221).

Discussion: Growth factors and other molecules released upon activation of platelet-rich plasma cells can enhance implant anchorage in cortical bone. PRGF obtained from allogenic sources does not impair healing.

Conclusion: The results indicated that a single application of PRGF before implant placement can be sufficient to increase the percent BIC in minipig cortical bone.

MeSH terms

  • Animals
  • Cell Division / drug effects
  • Dental Implants*
  • Female
  • Fibroblasts / drug effects
  • Freezing
  • Gingiva / drug effects
  • Gingiva / pathology
  • Growth Substances / pharmacology*
  • Male
  • Mandible / drug effects
  • Mandible / pathology*
  • Osseointegration / physiology*
  • Osteogenesis / drug effects
  • Platelet Transfusion*
  • Surface Properties
  • Swine
  • Swine, Miniature
  • Time Factors
  • Transplantation, Homologous
  • Wound Healing / physiology

Substances

  • Dental Implants
  • Growth Substances