Question · asked by 1 review

Autologous platelet concentrates (APC) + open flap debridement (OFD) + bone graft (BG) vs OFD + BG (open flap debridement + bone graft): Attachment change

Population
Patients affected by infrabony defects requiring surgical treatment, regardless of their age or gender
Intervention
Autologous platelet concentrates (APC) + open flap debridement (OFD) + bone graft (BG)
Comparison
OFD + BG (open flap debridement + bone graft)
Outcome
Attachment change

It is very uncertain whether autologous platelet concentrates (APC) + open flap debridement (OFD)… changes change in clinical attachment level (CAL) (mm) compared with OFD + BG (open flap debridement + bone graft) (very low certainty).

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 2 · 66.7%Very low 1 · 33.3%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Autologous platelet concentrates (APC) + open flap debridement (OFD) + bone graft (BG) vs OFD + BG (open flap debridement + bone graft)
Change in clinical attachment level (CAL) (mm) · Patients affected by infrabony defects requiring surgical treatment, regardless of their age or gender · All follow-ups
It is very uncertain whether autologous platelet concentrates (APC) + open flap debridement (OFD)… changes change in clinical attachment level (CAL) (mm) compared with OFD + BG (open flap debridement + bone graft) (very low certainty).
Autologous platelet concentrates for treating periodontal infrabony defects (2018) · Cochrane All outcomes
MD 0.72 [0.43, 1.00]17 studies · 569 participantsVery low
Autologous platelet concentrates (APC) + open flap debridement (OFD) + bone graft (BG) vs OFD + BG (open flap debridement + bone graft)
Change in clinical attachment level (CAL) (mm) · Patients affected by infrabony defects requiring surgical treatment, regardless of their age or gender · 3 to 6 months
Autologous platelet concentrates (APC) + open flap debridement (OFD)… led to higher change in clinical attachment level (CAL) (mm) compared with OFD + BG (open flap debridement + bone graft); GRADE not reported.
Autologous platelet concentrates for treating periodontal infrabony defects (2018) · Cochrane All outcomes
MD 0.47 [0.11, 0.84]11 studies · 272 participantsGRADE not reported
Autologous platelet concentrates (APC) + open flap debridement (OFD) + bone graft (BG) vs OFD + BG (open flap debridement + bone graft)
Change in clinical attachment level (CAL) (mm) · Patients affected by infrabony defects requiring surgical treatment, regardless of their age or gender · 9 to 12 months, Split-mouth studies only
Autologous platelet concentrates (APC) + open flap debridement (OFD)… led to higher change in clinical attachment level (CAL) (mm) compared with OFD + BG (open flap debridement + bone graft); GRADE not reported.
Autologous platelet concentrates for treating periodontal infrabony defects (2018) · Cochrane All outcomes
MD 0.84 [0.62, 1.06]6 studies · 192 participantsGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Autologous platelet concentrates for treating periodontal infrabony defects
2018 · Cochrane All outcomes
27 February 2018Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.