Retrospective Clinical Evaluation of Platelet-Rich Plasma Application in Oral Surgery in Adults

A Comparative Study with a Control Group

Authors

DOI:

https://doi.org/10.24086/cuesj.v10n1y2026.pp1-5

Keywords:

Platelet-rich plasma, oral surgery procedures, tooth extraction, surgery procedures, tissue healing

Abstract

Platelet-rich plasma (PRP), an autologous blood concentrate rich in platelets and growth factors, has gained popularity in oral surgery due to its potential to enhance healing and reduce post-operative complications. However, its efficacy remains debated due to variations in preparation and application protocols. This retrospective comparative clinical study aimed to evaluate the healing enhancement and safety of PRP in various oral surgical procedures, such as tooth extractions, sinus lifts, periapical surgeries, and cyst enucleations, compared to a control group treated without PRP. A total of 84 adult patients (mean age 42.9 years) were included: 42 received PRP (study group) and 42 underwent standard surgery without PRP (control group). Healing was evaluated clinically and radiographically based on soft tissue closure, post-operative pain (Visual Analog Scale), infection, and bone regeneration. By day 30, complete soft tissue healing was achieved in 94.1% of PRP-treated cases versus 76.4% in controls (P < 0.05). Mean pain score on day 10 was 2.1 in PRP versus 3.8 in control (P < 0.01). Radiographic bone density increased in 6 months by 28.5% in PRP-treated sites and 14.2% in controls (P < 0.01). Patient satisfaction was higher in the PRP group (8.4 vs. 7.1). PRP appears to significantly improve both soft tissue and bone healing in oral surgical procedures compared with standard care, with high patient satisfaction and a favorable safety profile. Further prospective controlled trials are recommended for standardized protocol validation.

Downloads

Download data is not yet available.

Author Biographies

Ninous P. Philip, Department of Oral and Maxillofacial Surgery, College of Dentistry, Cihan University-Erbil, Kurdistan Region, Iraq

Ninous P. Philip is an assistant professor at  the Department of Oral and Maxillofacial Surgery, College of Dentistry, Cihan University-Erbil, Kurdistan Region, Iraq. He is a member of Iraqi Board For Medical Specializations, Fellowship Degree in oral & Maxillofacial surgery, USA national Board in Dentistry.


Bahoz Himdad, Department of Oral and Maxillofacial Surgery, College of Dentistry, Cihan University-Erbil, Kurdistan Region, Iraq

Bahoz Himdad is a lecturer at the Department of Oral and Maxillofacial Surgery, College of Dentistry, Cihan University-Erbil, Kurdistan Region, Iraq. His research interest is Orthodontics and Dental Surgery.

Amani A. Elfaki, Department of Anatomy, Faculty of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia

Amani A.d Elfaki is the  Head of Basic Medical Sciences Departments, Faculty of Medicine, Al Zaiem Al Azhari University, Khartoum and Head Department of Anatomy, Faculty of Medicine, Al Zaiem Al Azhari University, Khartoum North, SUDAN. Her research interest is Neuroanatomy.

References

1. Y. Khan et al., “The role of platelet-rich plasma in oral and maxillofacial surgery: A systematic review,” J. Oral Maxillofac. Surg., vol. 78, no. 3, pp. 455–467, 2020.

2. J. Zhang et al., “Efficacy of platelet-rich plasma in the treatment of oral and maxillofacial surgical procedures: A systematic review and meta-analysis,” Oral Surg. Oral Med. Oral Pathol. Oral Radiol., vol. 132, no. 2, pp. 165–175, 2021.

3. A. D. Mazzocca et al., “Platelet-rich plasma in orthopedic applications: A review,” J. Bone Joint Surg. Am., vol. 98, no. 11, pp. 911–919, 2016.

4. Zhao et al., “The effectiveness of platelet-rich plasma in oral surgery: A systematic review and meta-analysis,” Clin. Oral Investig., vol. 26, no. 5, pp. 3231–3242, 2022.Maxillofac. Surg., vol. 54, pp. 629–633, 2016.

5. D. M. Dohan Ehrenfest et al., “Platelet-rich plasma: A review of the current literature on its efficacy in oral and maxillofacial surgery,” Int. J. Oral Maxillofac. Surg., vol. 50, no. 4, pp. 430–438, 2021.

6. X. Xiang, P. Shi, P. Zhang, J. Shen, and J. Kang, “Impact of platelet-rich fibrin on mandibular third molar surgery recovery: A systematic review and meta-analysis,” BMC Oral Health, vol. 19, pp. 1–10, 2019. DOI: https://doi.org/10.1186/s12903-019-0824-3

7. P. Daugela, V. Grimuta, D. Sakavicius, J. Jonaitis, and G. Juodzbalys, “Influence of leukocyte-and platelet-rich fibrin (L-PRF) on the outcomes of impacted mandibular third molar removal surgery: A split-mouth randomized clinical trial,” Quintessence Int., vol. 49, 2018.

8. G. Trybek, J. Rydlińska, M. Aniko-Włodarczyk, and A. Jaroń, “Effect of platelet-rich fibrin application on non-infectious complications after surgical extraction of impacted mandibular third molars,” Int. J. Environ. Res. Public Health, vol. 18, pp. 8249, 2021. DOI: https://doi.org/10.3390/ijerph18168249

9. O. Ozgul et al., “Efficacy of platelet rich fibrin in the reduction of the pain and swelling after impacted third molar surgery: Randomized multicenter split-mouth clinical trial,” Head Face Med., vol. 11, pp. 1–5, 2015. DOI: https://doi.org/10.1186/s13005-015-0094-5

10. K. Bilginaylar and L. Uyanik, “Evaluation of the effects of platelet-rich fibrin and piezosurgery on outcomes after removal of impacted mandibular third molars,” Br. J. Oral and Max. Surgery. vol. 54, pp. 629-633, 2016. DOI: https://doi.org/10.1016/j.bjoms.2016.03.016

11. U. Gülşen and M. F. Şentürk, “Effect of platelet rich fibrin on edema and pain following third molar surgery: a split mouth control study,” BMC Oral Health, vol. 17, pp. 1–6, 2017. DOI: https://doi.org/10.1186/s12903-017-0371-8

12. O. Baslarli, C. Tumer, O. Ugur, and B. Vatankulu, “Evaluation of osteoblastic activity in extraction sockets treated with platelet-rich fibrin,” Med. Oral Patol. Oral Cir. Bucal, vol. 20, pp. e111, 2014. DOI: https://doi.org/10.4317/medoral.19999

13.K. Zwittnig et al., “Platelet-rich fibrin in oral surgery and implantology: A narrative review,” Transfus. Med. Hemother., vol. 50, pp. 348–359, 2023. DOI: https://doi.org/10.1159/000527526

14. X.-L. Sun et al., “Flapless immediate implant placement into fresh molar extraction socket using platelet-rich fibrin: A case report,” World J. Clin. Cases, vol. 7, pp. 3153, 2019. DOI: https://doi.org/10.12998/wjcc.v7.i19.3153

15. E. Öncü and A. A. Erbeyoğlu, “Enhancement of immediate implant stability and recovery using platelet-rich fibrin,” Int. J. Periodontics Restorative Dent., vol. 39, 2019. DOI: https://doi.org/10.11607/prd.2505

16. J. Hehn, T. Schwenk, M. Striegel, and M. Schlee, “The effect of PRF (platelet-rich fibrin) inserted with a split-flap technique on soft tissue thickening and initial marginal bone loss around implants: Results of a randomized, controlled clinical trial,” Int. J. Implant Dent., vol. 2, pp. 1–10, 2016. DOI: https://doi.org/10.1186/s40729-016-0044-4

Published

2026-01-01

How to Cite

1.
Philip NP, Himdad B, Elfaki AA. Retrospective Clinical Evaluation of Platelet-Rich Plasma Application in Oral Surgery in Adults: A Comparative Study with a Control Group. Cihan U Erbil SCI J [Internet]. 2026 Jan. 1 [cited 2026 Jun. 23];10(1):1-5. Available from: https://journals.cihanuniversity.edu.iq/index.php/cuesj/article/view/1590

Issue

Section

Research Article

Similar Articles

1 2 3 > >> 

You may also start an advanced similarity search for this article.