The effect of platelet-rich fibrin (PRF) on maxillary incisor retraction rate

Abstract

Objective: To investigate the efficiency of platelet-rich fibrin (PRF) injection on maxillary incisor retraction rate.

Materials and methods: The study included 40 patients (23 women and 17 men; mean age; 20.7 ± 1.45) with Class II Division 1 malocclusion. The treatment plan for all patients was extraction of the maxillary first premolars and canine distalization, followed by retraction of the maxillary incisors. Patients were randomly divided into two groups. The study group received injectable platelet-rich fibrin (i-PRF) two times with an interval of 2 weeks; the control group did not receive i-PRF. In both groups, the measurements were bilaterally assessed as the distances between the lateral and canine teeth on the plaster models at five time points. The rate of incisor movement was evaluated by Student's t-test, analysis of variance, and Tukey honestly significant difference tests. Statistical significance was set as P < .05.

Results: The average movements of incisors were significantly higher in the study group than the control group at all time points (P < .05). According to the within-group comparison, none of the measurements showed any significant differences between the right and left sides in both groups at all time points (P > .05). While the movement of incisors was significantly higher in the study group in the week following the PRF injection compared to the other weeks (P < .05), there were no significant differences in the control group at all-time points (P > .05).

Conclusions: Applying i-PRF significantly increased the rate of maxillary incisor retraction at all time intervals. Platelet-rich fibrin injection can be an effective method for shortening treatment duration.

Keywords: Incisor retraction rate; Injectable platelet-rich fibrin; Rate of tooth movement; i-PRF.

Figure 1.

Schematic drawing of the study design.

Figure 2.

Intraoral clinical view of the study design.

Figure 3.

(A) Reference points on the plaster models: 1. Sistal contact point of the upper left lateral incisor. 2. Distal contact point of the upper right lateral incisor. 3. Mesial contact point of the upper left canine. 4. Mesial contact point of the upper right canine. (B) Measurements on the plaster models: 1. Distance between the distal contact point of the left lateral incisor and mesial contact point of the left canine. 2. Distance between the distal contact point of the right lateral incisor and mesial contact point of the right canine.