Regeneração óssea guiada para aumento ósseo horizontal de rebordo usando fibrina rica em plaquetas associada a enxertos ósseos (sticky bone): revisão de literatura

Abstract

Platelet aggregates have been increasingly used in dental surgeries due to the need for an effective healing process and tissue regeneration. Platelet-Rich Fibrin is a source of growth factors, platelets and fibrin that aid in the healing process. This aggregate serves as the basis for the production of other associated biomaterials, such as sticky bone. The bone graft matrix enriched with autologous growth factors, also known as sticky bone, is a flexible and biologically active mass. It consists of the combination of platelet-rich fibrin with bone particles of autogenous and/or xenogeneic origin. This bone graft matrix has the ability to be moldable, being easily adapted to different forms of bone defects. Therefore, this technique can be an alternative to block bone grafting and the use of titanium meshes, reducing post-operative morbidity. operative. Because it is easy to apply and obtain, many authors have studied the surgical applications of sticky bone and the results demonstrate that horizontal ridge augmentation using this technique can be performed in a predictable manner. However, although there are promising studies on the use of sticky bone, there is a lack of evidence in the literature about its clinical success. Thus, to understand the regenerative potential of this technique, a greater number of randomized studies are needed, with different graft materials and standardized protocols for obtaining the sticky bone.