Platelet Rich Plasma for Jaw Bone Grafts
Platelet rich plasma (Platelet Rich Plasma) is exactly what the name suggests. The substance is a by-product of blood (plasma) that is rich in platelets. Until now, its use has been confined to the hospital setting. This was due mainly to the cost of separating the platelets from the blood (thousands) and the large amount of blood needed (one unit) to produce a suitable quantity of platelets. New technology permits the doctor to harvest and produce a sufficient quantity of platelets from only 55 cc of blood drawn from the patient while they are having outpatient surgery.
Why All The Excitement About Platelet Rich Plasma?
Platelet Rich Plasma permits the body to take advantage of the normal healing pathways at a greatly accelerated rate. During the healing process, the body rushes many cells and cell-types to the wound in order to initiate the healing process. One of those cell types is platelets. Platelets perform many functions, including formation of a blood clot and release of growth factors (GF) into the wound. These GF (platelet derived growth factors PGDF, transforming growth factor beta TGF, and insulin-like growth factor ILGF) function to assist the body in repairing itself by stimulating stem cells to regenerate new tissue. The more growth factors released sequestered into the wound, the more stem cells stimulated to produce new host tissue. Thus, one can easily see that Platelet Rich Plasma permits the body to heal faster and more efficiently.
A subfamily of TGF, is bone morphogenic protein (BMP). BMP has been shown to induce the formation of new bone in research studies in animals and humans. This is of great significance to the surgeon who places dental implants. By adding Platelet Rich Plasma, and thus BMP, to the implant site with bone substitute particles, the implant surgeon can now grow bone more predictably and faster than ever before.
Platelet Rich Plasma Has Many Clinical Applications
Bone grafting for dental implants. This includes onlay and inlay grafts, sinus lift procedures, ridge augmentation procedures, and closure of cleft, lip, and palate defects. Repair of bone defects creating by removal of teeth or small cysts. Repair of fistulas between the sinus cavity and mouth.
Platelet Rich Plasma Also Has Many Advantages
Safety: Platelet Rich Plasma is a by-product of the patients own blood, therefore, disease transmission is not an issue.
Convenience: Platelet Rich Plasma can be generated in the doctors office while the patient is undergoing an outpatient surgical procedure, such as placement of dental implants.
Faster healing: The supersaturation of the wound with Platelet Rich Plasma, and thus growth factors, produces an increase of tissue synthesis and thus faster tissue regeneration.
Cost effectiveness: Since Platelet Rich Plasma harvesting is done with only 55 cc of blood in the doctors office, the patient need not incur the expense of the harvesting procedure in hospital or at the blood bank.
Ease of use: Platelet Rich Plasma is easy to handle and actually improves the ease of application of bone substitute materials and bone grafting products by making them more gel-like.
Frequently Asked Questions About Platelet Rich Plasma
Is Platelet Rich Plasma safe? Yes. During the outpatient surgical procedure a small amount of your own blood is drawn out via the IV. This blood is then placed in the Platelet Rich Plasma centrifuge machine and spun down. In less than 15 minutes, the Platelet Rich Plasma is formed and ready to use.
Should Platelet Rich Plasma be used in all bone-grafting cases? Not always. In some cases, there is no need for Platelet Rich Plasma. However, in the majority of cases, application of Platelet Rich Plasma to the graft will increase the final amount of bone present in addition to making the wound heal faster and more efficiently.
Will my insurance cover the costs? Unfortunately not. The cost of the Platelet Rich Plasma application (approximately $400) is paid by the patient.
Can Platelet Rich Plasma be used alone to stimulate bone formation? No. Platelet Rich Plasma must be mixed with either the patients own bone, a bone substitute material such as demineralized freeze-dried bone, or a synthetic bone product, such as BIO-OSS.
Are there any contraindications to Platelet Rich Plasma? Very few. Obviously, patients with bleeding disorders or hematologic diseases do not qualify for this in-office procedure. Check with your surgeon and/or primary care physician to determine if Platelet Rich Plasma is right for you.