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Resultados diagnósticos y clínicos de tres estrategias regenerativas para los defectos óseos alveolares: un estudio
Sorin Gheorghe Mihali1, Șerban Talpoș2, Mălina Popa3
1Department of Prosthodontics, Faculty of Dentistry, "Vasile Goldiș" Western University of Arad, 94 Revoluției Blvd., 310025 Arad, Romania.
Diagnostics (Basel, Switzerland)
|August 28, 2025
Resumen
La fibrina rica en plaquetas (PRF) mejora significativamente la regeneración ósea y la estabilidad del implante en procedimientos dentales. La combinación de PRF con injertos y membranas ofrece resultados superiores, reduciendo las complicaciones y mejorando la curación.
Área de la Ciencia:
- Periodontología
- Implantología dental
- La Medicina Regenerativa
Sus antecedentes:
- Los defectos del hueso alveolar plantean desafíos para el éxito del implante dental.
- Las técnicas de regeneración ósea guiada (GBR) tienen como objetivo restaurar el volumen óseo.
- La fibrina rica en plaquetas (PRF) se explora por su potencial regenerativo.
Objetivo del estudio:
- Evaluar la eficacia del PRF en GBR para los implantes dentales.
- Para comparar el PRF combinado con injertos y membranas frente al control.
- Para evaluar la regeneración ósea, la estabilidad del implante y los resultados de curación.
Principales métodos:
- Estudio clínico prospectivo con 65 pacientes con defectos óseos alveolares.
- Tres grupos: injerto + PRF, injerto + PRF + membrana, injerto + membrana (control).
- CBCT para la evaluación ósea, ISQ para la estabilidad del implante y monitoreo de la curación/complicaciones.
Principales resultados:
- El grupo de injerto + PRF + membrana mostró la mayor ganancia ósea (3,0 mm) y estabilidad del implante (ISQ 74,2).
- El grupo de PRF solamente demostró un aumento óseo moderado (2,3 mm) y una buena estabilidad (ISQ 71,5).
- El grupo de control tuvo el menor aumento óseo (2,1 mm), la estabilidad más baja (ISQ 68, 9) y la mayoría de las complicaciones.
Conclusiones:
- El PRF mejora significativamente la regeneración de los tejidos duros y blandos en GBR.
- La combinación de PRF con injertos óseos y membranas optimiza los resultados para los implantes dentales.
- El PRF puede reducir el tiempo de curación y el malestar postoperatorio, mejorando los procedimientos regenerativos.
Palabras clave:
Injerto óseomembrana de colágenoRegeneración ósea guiadaEstabilidad del implanteFibrina rica en plaquetasLa curación de los tejidos blandosMás Videos Relacionados
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