Evidence map›Paper›PMID 40485861›Full record

ReviewCureus2025

Leukocyte-Platelet-Rich Fibrin Combined With Demineralized Bovine Bone Mineral for Maxillary Sinus Augmentation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Mohammad Almutairi, Sultan Z Alshammari, Dhaifallah Almutairi, Talal A Alansari, Fares Aldhafiri, Abdulaziz N Almutairi, Abdulmohsen Alazmi, Nasser B Alkandari, Maha Alkhaldi, Madhawi Alwegyan

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mohammad AlmutairiDepartment of Dentistry, Sulaibyia Polyclinic, Al Jahra, KWT.
Sultan Z AlshammariDepartment of Dentistry, Saad Al-Abdullah-Block 2 Polyclinic, Al Jahra, KWT.
Dhaifallah AlmutairiDepartment of Dentistry, Saad Al-Abdullah-Block 2 Polyclinic, Al Jahra, KWT.
Talal A AlansariDepartment of Dentistry, Abdullah Al Mubarak Al Sabah Polyclinic, Farwaniya, KWT.
Fares AldhafiriDepartment of Dentistry, Saad Al-Abdullah-Block 10 Polyclinic, Al Jahra, KWT.
Abdulaziz N AlmutairiDepartment of Dentistry, Abdullah Al Mubarak Al Sabah Polyclinic, Farwaniya, KWT.
Abdulmohsen AlazmiDepartment of Dentistry, Sulaibyia Polyclinic, Al Jahra, KWT.
Nasser B AlkandariDepartment of Dentistry, Abdulrahman Alzaid Misref West Clinic Polyclinic, Kuwait City, KWT.
Maha AlkhaldiDepartment of Dentistry, Saad Al-Abdullah-Block 2 Polyclinic, Al Jahra, KWT.
Madhawi AlwegyanDepartment of Dentistry, Al-Waha Polyclinic, Al Jahra, KWT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maxillary sinus augmentation is considered the gold standard procedure for increasing bone volume to support dental implant placement. However, the added benefit of leukocyte-platelet-rich fibrin (L-PRF) when combined with deproteinized bovine bone mineral (DBBM) remains uncertain. This systematic review and meta-analysis aimed to evaluate the histomorphometric outcomes of L-PRF combined with DBBM compared to DBBM alone. A comprehensive search of PubMed, Scopus, Web of Science, and Cochrane Central was conducted from inception through May 2025 to identify randomized controlled trials (RCTs) comparing the combination of L-PRF and DBBM versus DBBM alone in patients undergoing lateral maxillary sinus augmentation. Primary outcomes included the percentage of new bone formation and residual bone graft. Secondary outcomes were the percentage of soft tissue and the Implant Stability Quotient (ISQ) at the implant loading stage. Pooled mean differences (MDs) with 95% confidence intervals (CIs) were calculated using a random-effects model. All analyses were performed using STATA MP version 18 (StataCorp LLC, College Station, TX, US). Five RCTs involving 140 patients were included. The combination of L-PRF and DBBM significantly increased new bone formation (MD = 7.07; 95% CI: 2.20 to 11.93; p < 0.001; I² = 36.86%, p = 0.07) and reduced residual graft material (MD = -7.93; 95% CI: -11.20 to -4.66; p < 0.001; I² = 0%, p = 0.91) compared to DBBM alone. In conclusion, the adjunctive use of L-PRF with DBBM enhances histomorphometric outcomes in maxillary sinus augmentation. Further high-quality, long-term RCTs with standardized protocols are needed to confirm these findings.

Indexed as

deproteinized bovine bone mineralhistomorphometryleukocyte-platelet-rich fibrinmaxillary sinus augmentationprf

Identifiers

PMID40485861
PMCPMC12141606

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.