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Review
. 2024 Feb;36(2):214-221.
doi: 10.1016/j.sdentj.2023.10.017. Epub 2023 Oct 31.

Effectiveness of i-PRF in periodontal regeneration - A systematic review and meta-analysis

Fawaz Pullishery  1 , Mustafa Hussein Alattas  2 , Mohamed Roshdy Abdelrasoul  3 , Ahmed Fouad Hassan  3 , Dina Abdelhamid Ahmed Derbala  4 , Shermin Hashir  5
Affiliations
Review

Effectiveness of i-PRF in periodontal regeneration - A systematic review and meta-analysis

Fawaz Pullishery et al. Saudi Dent J. 2024 Feb.

Abstract

Background: Periapical diseases are common dental conditions that require non-surgical endodontic intervention (NEI) for successful treatment. However, the impact of diabetes mellitus (DM) on the periapical healing (PH) outcome in diabetic patients remains somewhat unclear. This review aimed to evaluate the PH outcome following endodontic intervention among DM-afflicted individuals.

Methods: A comprehensive search was conducted across multiple electronic databases to identify relevant studies. Specifically devised selection criteria were applied to select studies that assessed PH outcomes in DM sufferers undergoing different treatment protocols. Data extraction and quality assessment were performed following predetermined protocols. ROB - 2 risk assessment tool assessed quality of the included studies.

Results: A total of 11 studies met the inclusion criteria and were included in the investigation. Four studies showed greater occurrence of apical periodontitis and five of them reduced healing and success rate in diabetic as compared to controls. Overall, nine studies showed that diabetes mellitus affected periapical outcome negatively. This suggests that diabetes mellitus is an important factor in the prognosis of endodontic intervention. Assessment tools used were PAI, PR, SC and FD analysis. RoB-2 assessed the included studies to have moderate risk of bias.

Conclusion: This review provided compelling evidence that DM patients experienced a noticeable negative impact on PH outcome as compared to control population. These findings highlight the importance of considering the diabetic status of patients when assessing the prognosis of periapical diseases and planning NEI interventions. Further research is needed to validate these findings and explore potential mechanisms underlying the observed associations.

Keywords: Diabetes mellitus; Endodontic success; Non-surgical endodontic intervention; Periapical healing; Root canal.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Framework representing the article selection process for this review.
Fig. 2
Fig. 2
Comparative evaluation of Probing Depth between test and control group after follow up.
Fig. 3
Fig. 3
Comparative evaluation of Clinical Attachment level between test and control group after follow up.
Fig. 4
Fig. 4
Comparative evaluation of Periodontal Index between test and control group after follow up.
Fig. 5
Fig. 5
Comparative evaluation of Gingival Index between test and control group after follow up.
Fig. 6
Fig. 6
Comparative evaluation of bleeding on probing between test and control group after follow up.
Fig. 7
Fig. 7
Risk of bias summary of included studies.
See this image and copyright information in PMC

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