Journal of Oral Implantology October 2013 - (Page 525)
RESEARCH
Optimizing Platelet-Rich Plasma Gel Formation by Varying
Time and Gravitational Forces During Centrifugation
Chris H. Jo, PhD1
Young Hak Roh, MD2*
Ji Eun Kim, MS1
Sue Shin, PhD3
Kang Sup Yoon, PhD1
Despite the increasing clinical use of topical platelet-rich plasma (PRP) to enhance tissue healing and
regeneration, there is no properly standardized method of autologous PRP gel preparation. This study examined
the effect of the centrifugation time and gravitational force (g) on the platelet recovery ratio of PRP and
determined the most effective centrifugation conditions for preparing PRP. Two-step centrifugations for
preparing PRP were used in 39 subjects who had consented prior to the study’s start. The separating
centrifugation (Step 1, used to separate whole blood into its two main components: red blood cells and plasma)
was tested from 500g to 1900g at 200g increments for 5 minutes (min), and from 100g to 1300g at 200g
increments for 10 minutes. After separating centrifugation, upper plasma layer was transferred to another plain
tube for the condensation centrifugation and remaining lower cell layer was discarded. The condensation
centrifugation (Step 2, used to condense the platelets in the separated plasma) was tested at 1000g for 15 min,
1500g for 15 min, 2000g for 5 min and 3000g for 5 min, additionally at 1000g for 10 min and 1500g for 10 min.
Platelet gelation was induced by adding 10% calcium gluconate to final PRP with volume ratio of 1:10. The
optimal separating centrifugation conditions were followed by 900g for 5 minutes and the condensation
conditions were followed by 1500g for 15 minutes, of which recovery ratios were 92.0 6 3.1% and 84.3 6 10.0%,
respectively.
Key Words: platelet-rich plasma, platelet gel, preparation, centrifugation, recovery ratio
INTRODUCTION
T
opically applied platelet-rich plasma
(PRP) derived from autologous blood
was recently introduced to facilitate
tissue healing and regeneration and
widely used in almost all fields of surgery
for the acceleration of bone and soft tissue
formation and for the management of chronic
nonhealing wounds.1–4 The use of PRP combines
1
Department of Orthopedic Surgery, Seoul National University
Boramae Hospital, Seoul, South Korea.
2
Department of Orthopedic Surgery, Gil Medical Center, Gachon
University School of Medicine, Incheon, South Korea.
3
Department of Laboratory Medicine, Seoul National University
Boramae Hospital, Seoul, South Korea.
* Corresponding author, e-mail: ryhak@hanmail.net
DOI: 10.1563/AAID-JOI-D-10-00155
the advantage of an autologous fibrin clot that will
aid in hemostasis as well as the provision of growth
factors in high concentration to the site of a tissue
defect or a region requiring augmentation after
platelet release.3
Despite the increasing application of PRP for
local tissue healing and regeneration, there still
remains some controversy about clinical benefits of
PRP, and the heterogeneous PRP from different
preparation protocols in each study made it difficult
to compare the results.5,6 The actual quantity of
platelets is a prior requirement for the effectiveness
of PRP and there has, nevertheless, been no
properly standardized preparation method systemically verified in terms of platelet recovery ratio.7–9
For the evaluation of the effectiveness of preparation method within this study, both the platelet
Journal of Oral Implantology
525
Table of Contents for the Digital Edition of Journal of Oral Implantology October 2013
Food and Drug Administration: Reclassification of Blade Form Dental Implants
Optimizing Platelet-Rich Plasma Gel Formation by Varying Time and Gravitational Forces During Centrifugation
Effect of Surface Roughness and Low-Level Laser Therapy on Removal Torque of Implants Placed in Rat Femurs
Impression Techniques for Multiple Implants: A Photoelastic Analysis. Part I: Comparison of Three Direct Methods
Impression Techniques for Multiple Implants: A Photoelastic Analysis. Part II: Comparison of Four Acrylic Resins
A Pig Model for the Histomorphometric Evaluation of Hard Tissue Around Dental Implants
In Situ Tooth Replica Custom Implant: A 3-Dimensional Finite Element Stress and Strain Analysis
Influence of Different Soft Liners on Stress Distribution in Peri-Implant Bone Tissue During Healing Period. A 3D Finite Element Analysis
Influence of Surface Nano-Roughness on Osseointegration of Zirconia Implants in Rabbit Femur Heads Using Selective Infiltration Etching Technique
Modified Titanium Surfaces Alter Osteogenic Differentiation: A Comparative Microarray- Based Analysis of Human Mesenchymal Cell Response to Commercial Titanium Surfaces
Hemorrhage Secondary to Interforaminal Implant Surgery: Anatomical Considerations and Report of a Case
Rehabilitation of a Patient With Mandibular Resection Using Osteointegrated Implants: A Case Report
Two-Stage Bone Expansion Technique Using Spear-Shaped Implants Associated With Overlapped Flap: A Case Report
Implant Esthetic Restoration in Ridge Deficiencies in Cases of Trauma: A Case Report
Rehabilitation of the Atrophic Maxilla With Tilted Implants: Review of the Literature
Journal of Oral Implantology October 2013
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