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Pengaruh Penambahan Platelet-Rich Plasma Pada Cangkok Tulang Terhadap Kadar Osteocalcin Cairan Sulkus Gingiva Pada Terapi Poket Infraboni
Pengaruh Penambahan Platelet-Rich Plasma Pada Cangkok Tulang Terhadap Kadar Osteocalcin Cairan Sulkus Gingiva Pada Terapi Poket Infraboni
Pengaruh Penambahan Platelet-Rich Plasma Pada Cangkok Tulang Terhadap Kadar Osteocalcin Cairan Sulkus Gingiva Pada Terapi Poket Infraboni
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Korespondensi (correspondence): Puspito Ratih Hardhani, Program Studi Periodonsia, Program Pendidikan Dokter Gigi Spesialis, Fakultas Kedokteran
Gigi Universitas Gadjah Mada. Jl. Denta I, Sekip Utara Yogyakarta 55281, Indonesia. E-mail: p1pt@yahoo.com
ABSTRACT
Background: Periodontitis is an inflammatory process involving the periodontal tissues, characterized by pocket, alveolar bone
destruction and attachmentloss. Periodontal treatment aims to regenerate periodontal tissue and eliminate the damages. Purpose:
Bone graft is one of the infrabony pocket threatment. Bone graft will form a framework that require growth factors for cell
proliferation and differentiation. Platelet-rich plasma is an autologous plasma containing growth factors. Periodontal tissue
regeneration characterized by the formation of bone and cementum. Bone formation can be seen in the levels of osteocalcin (OC)
in the gingival crevicular fluid (GCF). The objective of this study was to know the effect of adding platelet-rich plasma into bone
graft to OC level in GCF. Case: This study used a sample of 26 infrabony pockets divided into 2 treatment groups; 13 pockets
were treated by bone graft and platelet rich plasma within and the others were treated by bone graft only. OC level in GCF were
taken and measured using ELISA kit for human E90471Hu96 before treatment, a month and three months after treatment. There
is an increased of OC level in both groups at 3 months observation. There was significantly differences between 2 treatment
groups (p=0.042). Growth factors contained in platelet-rich plasma would accelerate proliferation, differentiation of cells that
would enter into the scaffold of a bone graft. Conclusion: The addition of platelet-rich plasma in bone graft can increase the OC
levels in GCF as a specific marker of bone formation.
Key words: Periodontitis, platelet-rich plasma, bone graft, gingival crevicular fluid, osteocalcin
PENDAHULUAN
Periodontitis adalah proses inflamasi pada
jaringan pendukung gigi yang disebabkan oleh
kelompok mikroorganisme spesifik menghasilkan
kerusakan ligamen periodontal dan tulang alveolar
yang ditandai dengan pembentukan poket, resesi
maupun keduanya. Gambaran klinis yang
membedakan periodontitis dengan gingivitis
adalah hilangnya perlekatan atau attachment loss.1
Poket periodontal adalah pendalaman sulkus
gingiva yang bersifat patologis. Poket periodontal
merupakan gambaran klinis penyakit periodontal.1
76
Hardhani dkk: Pengaruh penambahan platelet-rich plasma pada cangkok tulang terhadap kadar osteocalcin
Jurnal PDGI 62 (3) Hal. 75-82 2013
Hardhani dkk: Pengaruh penambahan platelet-rich plasma pada cangkok tulang terhadap kadar osteocalcin
Jurnal PDGI 62 (3) Hal. 75-82 2013
77
78
Hardhani dkk: Pengaruh penambahan platelet-rich plasma pada cangkok tulang terhadap kadar osteocalcin
Jurnal PDGI 62 (3) Hal. 75-82 2013
Hardhani dkk: Pengaruh penambahan platelet-rich plasma pada cangkok tulang terhadap kadar osteocalcin
Jurnal PDGI 62 (3) Hal. 75-82 2013
HASIL
Hari-0
79
Kelompok P
er
lakuan
Per
erlakuan
Nilai
Kemaknaan
0,048
1 bulan
0,173
3 bulan
0,042
PEMBAHASAN
Tabel 1. Rerata dan simpangan baku kadar osteocalcin cairan
sulkus gingiva (ng/ml) 2 kelompok perlakuan hari ke 0,
1 bulan dan 3 bulan setelah perawatan
Kadar osteocalcin (ng/ml)
Kelompok
Har
Harii kkee 0
1 Bulan setelah
per
peraawatan
3 Bulan setelah
per
peraawatan
Cangkok tulang
dan PRP
0,3010,2235
0,37610,4112
3,3191,558
Cangkok Tulang
0,5700,4105
0,70840,7479
2,3220,604
Nilai K
emaknaan
Kemaknaan
75,633
0,000
Kelompok
0,524
0,454
5,860
0,004
80
Hardhani dkk: Pengaruh penambahan platelet-rich plasma pada cangkok tulang terhadap kadar osteocalcin
Jurnal PDGI 62 (3) Hal. 75-82 2013
Hardhani dkk: Pengaruh penambahan platelet-rich plasma pada cangkok tulang terhadap kadar osteocalcin
Jurnal PDGI 62 (3) Hal. 75-82 2013
81
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