研究组患者牙种植前基于脂肪组织多能间充质细胞的骨增强材料的使用效率

A. Bambuliak, N. Kuzniak, L. Lopushniak, R. Dmytrenko, O. Boichuk
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摘要

目标。目的:确定基于脂肪组织多能间充质细胞的骨增强材料在研究组患者植牙前牙科手术中骨缺损的填充效果。材料和方法。我们对140名患者进行了牙种植体的检查和治疗,这些患者之前曾接受过手术,使用各种骨增强材料增加下颌牙槽突的骨体积。所有患者分为三组:I(主要)组49例(占35.0%),采用Colapan-L材料修复牙槽突骨组织;II(主要)组:62例(44.29%)患者,使用我们提出的组合:药物“Colapan-L”,脂肪组织的多能间充质基质细胞和富血小板血浆;第三组(对照组)29例(20.71%)伤口愈合发生在血凝块下(自发)。结果发现,以脂肪组织多能间充质细胞为基础,结合药物“Colapan-L”和富血小板血浆修复骨缺损的患者,种植体周围组织完全修复。我们提出的基于脂肪组织的多能间充质间质细胞、药物“Colapan-L”和富血小板血浆的骨成形术组合的有效性得到了牙周指数PMA、席勒-皮萨列夫测试的积极动态证实。在牙科手术中使用基于脂肪组织的多能间充质间质细胞的骨增强材料,提高了颌骨骨组织的再生和修复性能,促进了术后进程,缩短了患者的住院时间。
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Efficiency of use of bone augmentation materials based on multipotent mesenchymal stromal cells of adipose tissue before dental implantation in patients of study groups
Objective. To determine the effectiveness of bone augmentation materials based on multipotent mesenchymal stromal cells of adipose tissue, which were used to fill bone defects during dental operations before dental implantation in patients of the study groups.Materials and methods. Examination and treatment with dental implants were performed on 140 patients who had previously undergone surgery to increase the bone volume of the alveolar processes of the jaws with the use of various bone augmentation materials. All patients were divided into three groups: I (main) group – 49 people (35.0%), in whom the material “Colapan–L” was used to restore the bone tissue of the alveolar processes; II (main) group – 62 patients (44.29%), in whom the augmentation of bone defects was performed using our proposed composition: the drug “Colapan–L”, multipotent mesenchymal stromal cells of adipose tissue and platelet-rich plasma; group III (control) – 29 patients (20.71%) in whom wound healing occurred under a blood clot (spontaneous).Results. It was found that in patients in whom a combination based on multipotent mesenchymal stromal cells of adipose tissue, the drug “Colapan–L”and platelet-rich plasma was used to fill bone defects, peri-implant tissues were completely restored after dental implantation.Conclusions. The effectiveness of our proposed osteoplastic combination based on multipotent mesenchymal stromal cells of adipose tissue, the drug “Colapan–L” and platelet-rich plasma in patients was confirmed by the positive dynamics of the periodontal index PMA, Schiller–Pissarev test. The use of bone augmentation materials based on multipotent mesenchymal stromal cells of adipose tissue during dental operations improves the regenerative and reparative properties of the bone tissue of the jaws, facilitates the postoperative course and reduces the duration of inpatient treatment of patients.
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