Comparative evaluation of mechanical properties of leukocyte rich platelet rich fibrin, advanced-platelet rich fibrin, titanium-platelet rich fibrin, selphyl platelet rich fibrin matrix and merisis platelet rich fibrin matrix
DOI:
https://doi.org/10.2340/biid.v12.44890Keywords:
Blood concentrates, modulus of elasticity, mechanical properties, tensile strengthAbstract
Purpose: The interest in mechanical properties of membranes derived from different autologous platelet concentrates (PCs) stems from the need to possess certain qualities to bring about the necessary clinical outcomes as regenerative materials. Despite recent advances leading to procurement of membranes from variety of PCs, there is a dearth in studies comparing and evaluating the mechanical characterisation of these potential membranes. Hence, the present study evaluated the mechanical properties of five different PCs.
Materials and methods: 9 mL of intravenous blood was taken and collected at different intervals for procurement of Leukocyte Rich Platelet Rich Fibrin (L-PRF), Advanced-Platelet Rich Fibrin (A-PRF), Titanium-Platelet Rich Fibrin (T-PRF), Selphyl Platelet Rich Fibrin Matrix (Selphyl PRFM), Merisis Platelet Rich Fibrin Matrix (Merisis PRFM). Dynamic Mechanical Analysis technique by surface indentation test using a Triboindenter at 200 μN load was performed to analyse the mechanical properties (hardness, storage modulus, loss modulus, and Tan δ) of the samples.
Results: On comparing the hardness, it was found that A-PRF, Merisis PRFM and Selphyl PRFM demonstrated higher hardness. As for storage modulus, loss modulus and Tan δ, PRFM group (Merisis PRFM and Selphyl PRFM) performed significantly (p < 0.01) better than PRF group (L-PRF, A-PRF, T- PRF).
Conclusion: Platelet Rich Fibrin Matrix group membranes demonstrated superior mechanical properties in comparison to PRF group membranes, and therefore seem a preferable choice as barrier membranes as well as for various regeneration purposes.
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Alpiste Illueca FM, Buitrago Vera PJ, Grado Cabanilles PD, Fuenmayor V, Gil Loscos F. Periodontal regeneration in clinical practice. Med Oral Patol Oral Cir Bucal. 2006;11(4):E382–92.
Siaili M, Chatzopoulou D, Gillam DG. An overview of periodontal regenerative procedures for the general dental practitioner. Saudi Dent J. 2018;30:26–37. https://doi.org/10.1016/j.sdentj.2017.11.001 DOI: https://doi.org/10.1016/j.sdentj.2017.11.001
Mohan SP, Jaishangar N, Devy S, Narayanan A, Cherian D, Madhavan SS. Platelet-rich plasma and platelet-rich fibrin in periodontal regeneration: a review. J Pharm Bioall Sci. 2019;11:S126–30. https://doi.org/10.4103/JPBS.JPBS_41_19 DOI: https://doi.org/10.4103/JPBS.JPBS_41_19
Lee SW, Kim SG. Membranes for the guided bone regeneration. Maxillofac Plast Reconstr Surg. 2014;36:239–46. https://doi.org/10.14402/jkamprs.2014.36.6.239 DOI: https://doi.org/10.14402/jkamprs.2014.36.6.239
Gassling V, Douglas T, Warnke PH, Açil Y, Wiltfang J, Becker ST. Platelet-rich fibrin membranes as scaffolds for periosteal tissue engineering. Clin Oral Implants Res. 2010;21:543–9. https://doi.org/10.1111/j.1600-0501.2009.01900.x DOI: https://doi.org/10.1111/j.1600-0501.2009.01900.x
Gassling V, Hedderich J, Açil Y, Purcz N, Wiltfang J, Douglas T. Comparison of platelet rich fibrin and collagen as osteoblast-seeded scaffolds for bone tissue engineering applications. Clin Oral Implants Res. 2013;24:320–8. https://doi.org/10.1111/j.1600-0501.2011.02333.x DOI: https://doi.org/10.1111/j.1600-0501.2011.02333.x
Orr TE, Villars PA, Mitchell SL, Hsu HP, Spector M. Compressive properties of cancellous bone defects in a rabbit model treated with particles of natural bone mineral and synthetic hydroxyapatite. Biomaterials. 2001;22:1953–9. https://doi.org/10.1016/S0142-9612(00)00370-7 DOI: https://doi.org/10.1016/S0142-9612(00)00370-7
Zhang Y, Zhang X, Shi B, Miron R. Membranes for guided tissue and bone regeneration. Ann Oral Maxillofac Surg. 2013;1(1):1–10. https://doi.org/10.13172/2052-7837-1-1-451 DOI: https://doi.org/10.13172/2052-7837-1-1-451
Lee SB, Kwon JS, Lee YK, Kim KM, Kim KN. Bioactivity and mechanical properties of collagen composite membranes reinforced by chitosan and β-tricalcium phosphate. J Biomed Mater Res B Appl Biomater. 2012;100(7):1935–42. https://doi.org/10.1002/jbm.b.32760 DOI: https://doi.org/10.1002/jbm.b.32760
Lynch SE, Marx RE, Nevins M, Wisner-Lynch LA, editors. Tissue engineering: applications in maxillofacial surgery and periodontics. 2nd ed. Quintessence Publishing Co. Ltd.; 2008.
Simões-Pedro M, Tróia PMBPS, Dos Santos NBM, Completo AMG, Castilho RM, de Oliveira Fernandes GV. Tensile strength essay comparing three different platelet-rich fibrin membranes (L-PRF, A-PRF, and A-PRF+): a mechanical and structural in vitro evaluation. Polymers (Basel). 2022;14(7):1392. https://doi.org/10.3390/polym14071392 DOI: https://doi.org/10.3390/polym14071392
Dohan Ehrenfest DM, Andia I, Zumstein MA, Zhang CQ, Pinto NR, Bielecki T. Classification of platelet concentrates (Platelet-Rich Plasma-PRP, Platelet-Rich Fibrin-PRF) for topical and infiltrative use in orthopedic and sports medicine: current consensus, clinical implications and perspectives. Muscles Ligaments Tendons J. 2014;4:3–9. https://doi.org/10.32098/mltj.01.2014.02 DOI: https://doi.org/10.11138/mltj/2014.4.1.0013
Walia KD, Belludi SA, Pradhan N, Jain V, Shaik S. Evaluation of platelet-rich fibrin matrix as a regenerative material in the surgical management of human periodontal intraosseous defects – a randomized controlled trial. Contemp Clin Dent. 2022;13(1):9–17. https://doi.org/10.4103/ccd.ccd_832_20 DOI: https://doi.org/10.4103/ccd.ccd_832_20
Singhal L, Belludi SA, Pradhan N, Manvi S. A comparative evaluation of the effect of platelet rich fibrin matrix with and without peripheral blood mesenchymal stem cells on dental implant stability: a randomized controlled clinical trial. J Tissue Eng Regen Med. 2022;16(4):422–30. https://doi.org/10.1002/term.3290 DOI: https://doi.org/10.1002/term.3290
Belludi SA, Singhal L, Gubbala M. Peripheral blood mesenchymal stem cells and platelet rich fibrin matrix in the management of class II gingival recession: a case report. J Dent. 2021;22:67–70.
Das N, Amaranath BJJ. Qualitative analysis of modified advanced-platelet-rich fibrin buffy coat among diabetic patients and tobacco smokers with chronic periodontitis: a cell block cytology study. Contemp Clin Dent. 2022;13:173–82. https://doi.org/10.4103/ccd.ccd_1018_20 DOI: https://doi.org/10.4103/ccd.ccd_1018_20
Srirangarajan S, Sindhu V, Prabhu S, Rao RJ, Rudresh V. Does cigarette smoking induce changes in biologic and mechanical properties of platelet-rich fibrin membranes? Int J Periodontics Restorative Dent. 2021;41:e213–21. https://doi.org/10.11607/prd.4573 DOI: https://doi.org/10.11607/prd.4573
Gupta S, Jain A, Gupta M, Gupta J, Kansal S, Bhansali S, et al. Influence of periodontitis and diabetes on structure and cytokine content of platelet-rich fibrin. Oral Dis. 2022;29(8):3620–9. https://doi.org/10.1111/odi.14275 DOI: https://doi.org/10.1111/odi.14275
Kariyazono H, Nakamura K, Shinkawa T, Moriyama Y, Toyohira H, Taira A, et al. Inhibitory effects of antibiotics on platelet aggregation in vitro. Hum Exp Toxicol. 1997;16:662–66. https://doi.org/10.1177/096032719701601106 DOI: https://doi.org/10.1177/096032719701601106
Das N, Janardhana Amaranath BJ. Quantitative evaluation of modified advanced platelet-rich fibrin buffy coat among diabetic patients and tobacco smokers with chronic periodontitis. J Indian Soc Periodontol. 2022;26:24–31. https://doi.org/10.4103/jisp.jisp_498_20 DOI: https://doi.org/10.4103/jisp.jisp_498_20
Miron RJ, Pinto NR, Quirynen M, Ghanaati S. Standardization of relative centrifugal forces in studies related to platelet-rich fibrin. J Periodontol. 2019;90(8):817–20. https://doi.org/10.1002/JPER.18-0553 DOI: https://doi.org/10.1002/JPER.18-0553
Miron RJ, Dham A, Dham U, Zhang Y, Pikos MA, Sculean A. The effect of age, gender, and time between blood draw and start of centrifugation on the size outcomes of platelet-rich fibrin (PRF) membranes. Clin Oral Investig. 2019;23(5):2179–85. https://doi.org/10.1007/s00784-018-2673-x DOI: https://doi.org/10.1007/s00784-018-2673-x
Miron RJ, Xu H, Chai J, Wang J, Zheng S, Feng M, et al. Comparison of platelet-rich fibrin (PRF) produced using 3 commercially available centrifuges at both high (~ 700 g) and low (~ 200 g) relative centrifugation forces. Clin Oral Investig. 2020;24(3):1171–82.doi: 10.1007/s00784-019-02981-2. Epub 2019 Jul 19. Erratum in: Clin Oral Investig. 2024 Sep 24;28(10):546. https://doi.org/10.1007/s00784-024-05949-z DOI: https://doi.org/10.1007/s00784-024-05949-z
Sam G, Vadakkekuttical RJ, Amol NV. In vitro evaluation of mechanical properties of platelet-rich fibrin membrane and scanning electron microscopic examination of its surface characteristics. J Indian Soc Periodontol. 2015;19(1):32–36. https://doi.org/10.4103/0972-124X.145821 DOI: https://doi.org/10.4103/0972-124X.145821
Pascoal MANC, Dos Santos NBM, Completo AMG, Fernandes GVO. Tensile strength assay comparing the resistance between two different autologous platelet concentrates (leucocyte-platelet rich fibrin versus advanced-platelet rich fibrin): a pilot study. Int J Implant Dent. 2021;7:1–8. https://doi.org/10.1186/s40729-020-00284-w DOI: https://doi.org/10.1186/s40729-020-00284-w
Shah R, Triveni MG, Thomas R, Tarun Kumar AB. Advanced platelet rich fibrin demonstrates improved osteogenic induction potential in human periodontal ligament cells, growth factor production and mechanical properties as compared to leukocyte and platelet fibrin and injectable platelet rich fibrin. Oral Maxillofac Surg. 2024;28(1):413–24. https://doi.org/10.1007/s10006-023-01160-8 DOI: https://doi.org/10.1007/s10006-023-01160-8
Choukroun J, Ghanaati S. Reduction of relative centrifugation force within injectable platelet-rich-fibrin (PRF) concentrates advances patients’ own inflammatory cells, platelets and growth factors: the first introduction to the low speed centrifugation concept. Eur J Trauma Emerg Surg. 2018;44(1):87–95. https://doi.org/10.1007/s00068-017-0767-9 DOI: https://doi.org/10.1007/s00068-017-0767-9
Kubesch A, Barbeck M, Al-Maawi S, Orlowska A, Booms PF, Sader RA, et al. A low-speed centrifugation concept leads to cell accumulation and vascularization of solid platelet-rich fibrin: an experimental study in vivo. Platelets. 2019;30(3):329–40. https://doi.org/10.1080/09537104.2018.1445835 DOI: https://doi.org/10.1080/09537104.2018.1445835
Kumar RV, Shubhashini N. Platelet rich fibrin: a new paradigm in periodontal regeneration. Cell Tissue Bank. 2013;14:453–63. https://doi.org/10.1007/s10561-012-9349-6 DOI: https://doi.org/10.1007/s10561-012-9349-6
Lucarelli E, Beretta R, Dozza B, Tazzari PL, O’Connell SM, Ricci F, et al. A recently developed bifacial platelet-rich fibrin matrix. Eur Cell Mater. 2010;20:13–23. https://doi.org/10.22203/eCM.v020a02 DOI: https://doi.org/10.22203/eCM.v020a02
Ravi S, Santhanakrishnan M. Mechanical, chemical, structural analysis and comparative release of PDGF-AA from L-PRF, A-PRF and T-PRF-an in vitro study. Biomater Res. 2020;24(1):1–10. https://doi.org/10.1186/s40824-020-00193-4 DOI: https://doi.org/10.1186/s40824-020-00193-4
Aggour R, Sabry H, Hassan G. In vitro evaluation of mechanical and structural properties of leukocyte-platelet-rich fibrin and platelet-rich fibrin matrix. Egypt Dent J. 2017;63(2):1531–9. https://doi.org/10.21608/edj.2017.74550 DOI: https://doi.org/10.21608/edj.2017.74550
Khorshidi H, Raoofi S, Bagheri R, Banihashemi H. Comparison of the mechanical properties of early leukocyte- and platelet-rich fibrin versus PRGF/endoret membranes. Int J Dent. 2016;2016:1849207. https://doi.org/10.1155/2016/1849207 DOI: https://doi.org/10.1155/2016/1849207
Sousa LLdL, Brunale DF, Fernandes GVO, Giro G, Faveri M. A comparison of the dimensional characteristics and plasma parameters of different centrifuges used for the preparation of autologous platelet concentrates: a randomized correlational study. Materials. 2025;18:414. https://doi.org/10.3390/ma18020414 DOI: https://doi.org/10.3390/ma18020414
Friis SJ, Hansen TS, Poulsen M, Gregersen H, Nygaard JV. Dynamic viscoelastic properties of porcine gastric tissue: effects of loading frequency, region and direction. J Biomech. 2022;143:111302. https://doi.org/10.1016/j.jbiomech.2022.111302 DOI: https://doi.org/10.1016/j.jbiomech.2022.111302
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