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Table 6 Clinical and radiographic outcomes of treatment and control groups after 12–18 months (meta)

From: Are platelet concentrate scaffolds superior to traditional blood clot scaffolds in regeneration therapy of necrotic immature permanent teeth? A systematic review and meta-analysis

Author (year)

No. of teeth (group)

No. of teeth drop out

Outcomes

Clinical success (n)

Response to cold and electric pulp test (n)

Periapical healing

Apex closure

Root lengthening

Root canal thickening

Excellent + Good

Satisfactory (unsuccessful)

Excellent + Good

Satisfactory (no change)

Excellent + Good

Satisfactory (no change)

Excellent + Good

Satisfactory (no change)

Jadhav et al. (2012)[12]

10 (PRP)

0

No (10)

NR

9

1

10

0

9

1

8

2

 

10 (BC)

0

No (10)

NR

7

3

5

5

6

4

3

7

Bezgin et al. (2015)[14]

10 (PRP)

0

No (10)

Positive (5), Negative (5)

7**

0

7

3

&

&

&

&

 

10 (BC)

0

No (10)

Positive (2), Negative (8)

8**

0 (1)

6

4

    

Narang et al. (2015)[15]

5 (PRP)

0

No (5)

NR

4

1

3

2

2

3

1

4

 

5 (PRF)

0

No (5)

 

5

0

2

3

5

0

5

0

 

5 (BC)

0

No (5)

 

3

2

3

2

2

3

2

3

Sharma et al. (2016)[32]

4 (BC)

0

No (4)

NR

3

1

3

1

4

0

2

2

 

4 (PRF)

0

No (4)

 

4

0

4

0

4

0

3

1

 

4 (Collagen)

0

No (4)

 

4

0

3

1

4

0

3

1

 

4 (PLGA)

0

No (4)

 

1

3

2

2

4

0

1

3

Alag et al. (2017)[16]

15 (PRP)

0

No (15)

Positive (13), Negative (2)

12***

0

14

1

#

#

#

#

 

15 (BC)

0

No (15)

Positive (6), Negative (9)

13***

0

8

7

    

Shivashanker et al. (2017)[33]

20 (PRF)

0

No (20)

Positive (3), Negative (17)

15

3 (2)

4

10 (6)

6

7 (7)

6

8 (6)

 

20 (PRP)

1

No (19)

Positive (3), Negative (16)

19

0

4

12 (3)

5

9 (5)

5

11 (3)

 

20 (BC)

5

No (15)

Positive (2), Negative (13)

12

3

5

8 (2)

4

9 (2)

3

11 (1)

Lv et al. (2018)

5 (PRF)

0

No (5)

Positive (3), Negative (2)

5

0

4

1

4

1

4

1

[41]

5 (BC)

0

No (5)

Positive (1), Negative (4)

5

0

4

1

4

1

4

1

Mittal et al. (2019)[34]

4 (PRF)

0

No (4)

NR

3

1

3

1

0

4

4

0

 

4 (BC + collagen)

0

No (4)

NR

4

0

1

3

1

3

3

1

Ulusoy et al. (2019)[39]

PRP (18)

4

No (18)

Positive (13), Negative (5)

18

0

10

2 (6)

&

&

&

&

 

BC (21)

1

No (20)

Positive (20), Negative (1)

20

1

15

1 (5)

    
 

PRF (17)

5

No (16)

Positive (16), Negative (2)

16

1

9

5 (3)

    
 

PP (17)

5

No (17)

Positive (16), Negative (2)

17

0

7

8 (2)

    

Uppala et al. (2020)[38]

PRF (8)

0

No (8)

NR

8

0

8

0

1

7

2

6

 

BC (8)

0

No (8)

NR

6

2

8

0

6

2

4

4

 

BC + collagen (8)

0

No (8)

NR

8

0

5

3

3

5

2

6

  1. NR: not reported; PRP: platelet-rich plasma; PRF: platelet-rich fibrin; BC: blood clot
  2. **One tooth in the BC group and three teeth in the PRP group did not have periapical radiolucid lesions before treatment, and one tooth in the BC group exhibited enlargement of a pre-existing periapical lesion after treatment, which was judged radiographically unsuccessful
  3. ***Three teeth in the PRP group and two in the BC group did not have periapical radiolucid lesions before treatment
  4. &Total radiographic root area (RRA) was measured to comprehensively evaluate the development of tooth roots; root length and width could not be determined
  5. #In this study, root development was measured using cone-beam CT (CBCT) images, but was not classified as excellent, good, satisfactory, or unsatisfactory