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Inchingolo F, Cantore S, Dipalma G, Georgakopoulos I, Almasri M, Gheno E, Motta A, Marrelli M, Farronato D, Ballini A, Marzullo A. Platelet rich fibrin in the management of medication-related osteonecrosis of the jaw: a clinical and histopathological evaluation. J BIOL REG HOMEOS AG 2017; 31:811-816. [PMID: 28958140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Bisphosphonates are antiresorptive pharmacological agents used in the treatment of osteoporosis. Recently, osteonecrosis of the jaw has been recognized as a potential side effect in patients on long-term bisphosphonate therapy. This condition, popularly called bisphosphonate-related osteonecrosis of the jaw (BRONJ), has been rechristened as MRONJ (medication-related osteonecrosis of the jaw) to accommodate the increasing number of cases of osteonecrosis of jaws associated with various other antiresorptive and antigiogenic pharmacological therapies. The aim of the present study was to assess the outcome of using platelet-rich fibrin (PRF) for the treatment of MRONJ in a single study group. Twenty-three consecutive patients (15 females and 8 males; aged 52-73 years) with MRONJ were enrolled in this study. These patients presented a history of bisphosphonate medication of varying duration, presence of exposed bone in the maxillofacial region for more than eight weeks, and no history of radiation therapy to the jaws. These patients were managed by surgical curettage and application of platelet rich fibrin (PRF). The outcomes were assessed using clinical and histopathological methods. On the basis of the present findings, we can conclude that PRF can act as an effective barrier membrane between the alveolar bone and the oral cavity and may offer a fast, easy and effective alternative method for the closure of bone exposure in MRONJ patients.
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Affiliation(s)
- F Inchingolo
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari Aldo Moro, Bari, Italy
- City Unity College, Athens, Greece
- World Academy of Growth Factors and Stem Cells in Dentistry, Athens, Greece
| | - S Cantore
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari Aldo Moro, Bari, Italy
- City Unity College, Athens, Greece
| | - G Dipalma
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari Aldo Moro, Bari, Italy
- City Unity College, Athens, Greece
| | - I Georgakopoulos
- World Academy of Growth Factors and Stem Cells in Dentistry, Athens, Greece
- Dentist Education Institute, Athens, Greece
| | - M Almasri
- BPP School of Health, University Faculty of Dentistry, Birmingham, UK
| | - E Gheno
- World Academy of Growth Factors and Stem Cells in Dentistry, Athens, Greece
| | - A Motta
- Private practice, Trento, Italy
| | - M Marrelli
- Maxillofacial Unit, Calabrodental Clinic, Crotone, Italy
| | - D Farronato
- Department of Morphologic and Surgical Sciences, Insubria University, Varese, Italy
| | - A Ballini
- City Unity College, Athens, Greece
- World Academy of Growth Factors and Stem Cells in Dentistry, Athens, Greece
- Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari Aldo Moro, Bari, Italy
| | - A Marzullo
- Department of Emergency and Organ Transplantation, Section of Pathological Anatomy University of Bari Aldo Moro, Bari, Italy
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Inchingolo F, Paracchini L, DE Angelis F, Cielo A, Orefici A, Spitaleri D, Santacroce L, Gheno E, Palermo A. Biomechanical behaviour of a jawbone loaded with a prosthetic system supported by monophasic and biphasic implants. ACTA ACUST UNITED AC 2017; 9:65-70. [PMID: 28280534 DOI: 10.11138/orl/2016.9.1s.065] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Modern implantology is based on the use of endosseous dental implants and on the study of osseointegration processes. The loss of marginal bone around a dental implant can be caused by many factors; the proper distribution of the masticatory loads is important and is closely dependent on the quality and quantity of bone tissue surrounding the implant. In fact, bone has the ability to adapt its microstructure, through processes of resorption and neoformation of new bone matrix, as a result of the mechanical stimuli that are generated during the chewing cycles. The purpose of this article is to redefine in a modern key and in light of current industrial and engineering technology, clinical and biomechanical concepts that characterize the monophasic implants, in order to assess proper use by evaluating the biomechanical differences with the biphasic implants.
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Affiliation(s)
- F Inchingolo
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", Bari, Italy
| | | | - F DE Angelis
- Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy
| | - A Cielo
- Private practice in Rome, Rome, Italy
| | - A Orefici
- Private practice in Rome, Rome, Italy
| | | | - L Santacroce
- Jonian Department DISGEM, University of Bari "Aldo Moro", Bari, Italy
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Inchingolo F, Ballini A, Mura SA, Farronato D, Cirulli N, Pettini F, Gheno E, Vermesan D, Pederzoli P, Resta G, Caprio M, Muollo F, Marinelli G, Inchingolo AD, Malcangi G, Cantore S, Del Corso M, De Benedittis M, Inchingolo AM, Serafini M, Diteodoro S, Schinco F, Cagiano R, De Vito D, Cortelazzi R, Dipalma G. Use of platelet rich fibrin and Bio-OSS/SINT-Oss for implant-prosthetic rehabilitation in maxillary atrophy with sinus pathology: A 48-month follow-up. EUR J INFLAMM 2015. [DOI: 10.1177/1721727x15578346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The maxillary sinus floor elevation procedure has gained popularity with predictable results, and is a safe, acceptable technique for bone augmentation, providing a base for dental implant treatment. Faint radiopaque lesions at the base of the maxillary sinus are frequent diagnoses on radiographs and must be identified during dental implant planning. The use of autografts, xenografts, allografts, and alloplasts or a combination between them has been demonstrated to be effective for increasing bone height and bone volume in maxillary sinus. The objective of this study was to evaluate the outcome of subjects with considerable sinus membrane pathology (test group) undergoing maxillary sinus floor augmentation using Platelet Rich Fibrin (PRF) as a filling material, in association with the Bio-Oss and Sint-Oss and simultaneous implant placement in a one-stage surgical procedure. All patients reported no pain to percussion, no sign of tissue suffering to the soft peri-implant tissues, the presence of an optimal primary stability of the inserted implants, and the increase in the peri-implant bone density. No complications were encountered during follow-up periods in these patients, including no negative evolution in the sinusitis and all implants are functioning successfully. In conclusion, the use of PRF and Piezosurgery reduced the healing time, favoring optimal bone regeneration and allowing sinus membrane integrity to be maintained during surgical procedures, according to evidence-based dentistry.
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Affiliation(s)
- F Inchingolo
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - A Ballini
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - SA Mura
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - D Farronato
- Department of Surgical and Morphological Science, Research Center Innovative Technology and Engineered Biomaterials, University of Isubria, Varese, Italy
| | - N Cirulli
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - F Pettini
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - E Gheno
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - D Vermesan
- University of Medicine and Pharmacy “Victor Babes”, Timisoara, Romania
| | - P Pederzoli
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - G Resta
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - M Caprio
- Department of Biomedical Sciences and Human Oncology, Medical Faculty, University “Aldo Moro”, Bari, Italy
| | - F Muollo
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - G Marinelli
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - AD Inchingolo
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - G Malcangi
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - S Cantore
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - M Del Corso
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - M De Benedittis
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - AM Inchingolo
- School of Medicine, University of Milan, Milan, Italy
| | - M Serafini
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - S Diteodoro
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - F Schinco
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - R Cagiano
- Department of Biomedical Sciences and Human Oncology, Medical Faculty, University “Aldo Moro”, Bari, Italy
| | - D De Vito
- Department of Base Medical Sciences, Neurosciences and Sense Organs, University “Aldo Moro”, Bari, Italy
| | - R Cortelazzi
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
| | - G Dipalma
- School of Medicine, University of Bari “Aldo Moro”, Bari, Italy
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