Análise da L-PRF para cirurgia de levantamento de seio maxilar: Revisão Narrativa / Analysis of L-PRF for maxillary sinus lift surgery: Narrative Review

Isabel Verlangeiro Vieira, Poliane Rodrigues Nunes, Flaviana Soares Rocha, André Luís Vieira Cortez

Abstract


Introdução: O objetivo deste trabalho foi realizar uma revisão narrativa, com o intuito de analisar os benefícios do emprego da L-PRF, como material de enxertia, para verificar sua relação com o reparo tecidual em procedimentos de levantamento de seio maxilar. Metodologia: Foi realizada uma revisão narrativa, cujos artigos foram selecionados por meio de busca em revistas indexadas, nas bases de dados PubMed/MEDLINE e Cochrane Library. Além disso, foi efetuada busca manual por citações nas publicações inicialmente selecionadas. Os termos de busca utilizados foram: “platelet-rich fibrin” e “sinus augmentation”, no modo avançado de busca, no período de 2005 a 2020. Resultados: Foram incluídos 11 artigos nessa revisão, segundo os critérios de elegibilidade. Foram observadas variações entre os autores, principalmente as relacionadas à técnica cirúrgica utilizada e ao tipo de material de enxerto. Três artigos compararam osso bovino liofilizado (DBBM) + L-PRF versus DBBM; cinco utilizaram apenas o L-PRF e quatro utilizaram apenas a combinação DBBM + L-PRF. Cinco realizaram histomorfometria de seus achados e três observaram perfurações na membrana de Schneider. Discussão/Conclusão: O uso da L-PRF como material de enxertia pareceu ter resultados benéficos, entretanto, os artigos apresentaram-se muito heterogêneos nas diferentes técnicas utilizadas, dificultando a análise dos dados.

Keywords


Substitutos Ósseos, Fibrina Rica em Plaquetas, Levantamento do Assoalho do Seio Maxilar, Enxerto Ósseo, Biomateriais

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DOI: https://doi.org/10.34119/bjhrv4n3-058

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