以明胶/磷酸三钙海绵为基质的再生剂体外治疗II类功能缺损

Mona EL-Meligy, M. El-Razzak, Amal Al-Hessy, Sara Abo-Ali
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摘要

目的观察明胶海绵载β-磷酸三钙(β- tcp)复合再生剂(RGTA)对晚期牙周炎患者下颌骨II级分叉缺损的体外修复效果。材料与方法选取平均年龄13 ~ 16月龄、平均体重9 ~ 10 kg的埃及巴拉迪犬3只。在每只狗的下颌骨上产生6个临界尺寸缺陷,3个在右侧,3个在左侧下颌第二、第三和第四前磨牙上。所有的缺陷都是由同一个操作人员用同样的方法制造的。两组(I组和II组)盲目接受其中一种治疗方式,分别用明胶/β-TCP海绵加载RGTA或明胶海绵/β-TCP海绵加载安慰剂治疗缺陷。12周后从实验缺陷的手术部位采集样本。结果组织学和组织形态学:新生骨形成表面积I组与II组比较,差异有统计学意义。结论明胶/β-TCP海绵负载RGTA可作为牙周再生的增强材料。
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ReGeneraTing agents as matrix-based therapy loaded on gelatin/beta tricalcium phosphate sponge for the treatment of class II furcation defects in vitro
Objectives The experimental study was designed to evaluate the efficacy of gelatin sponge loaded with β tricalcium phosphate (β-TCP) with or without ReGeneraTing agent (RGTA) in the treatment of mandibular class II furcation defects in advanced periodontitis in vitro. Materials and methods Three Egyptian Baladi dogs were included with average age 13–16 months and average body weight of 9–10 kg. Six critical size defects class II furcation defects were created in the mandible of each dog, three in the right and three in the left mandibular second, third, and fourth premolars. All defects were made in the same way by the same operator. The defects were treated either with RGTA loaded on gelatin/β-TCP sponge or placebo loaded on gelatin sponge/β-TCP in two groups (group I and group II) that blindly received one of the treatment modalities. Samples were collected from the surgical sites of the experimental defects after 12 weeks. Results Histologically and histomorphometrically: there was a statistically significant difference when group I was compared with group II regarding surface area of new bone formation. Conclusion RGTA loaded on gelatin/β-TCP sponge could be considered as a potentiating material for periodontal regeneration.
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