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奇拉颗粒与粉末(羟基磷灰石)对兔牙槽骨再生的疗效:组织学评价

Efficacy of Chitra granule and powder (hydroxyapatite) in alveolar bone regeneration in rabbits. A histological evaluation.

作者信息

Rajesh K S, Mohanty M, Varma B R, Bhat K M

机构信息

Department of Periodontics, Yenepoya Dental College, Mangalore, India.

出版信息

Indian J Dent Res. 1998 Apr-Jun;9(2):59-65.

Abstract

The reconstruction or restoration of osseous defects caused by inflammatory periodontal disease is a continuing challenge in periodontal therapy. Great strides are being made to this effect using alloplasts such as hydroxyapatite. The present study was designed in Newzealand dwarf rabbits to observe the biologic response of periodontal tissues to synthetically prepared hydroxyapatite in both powder and granule forms by Srichitra Tirunal Institute for Medical Sciences & Technology, Trivandrum and to compare it with that of a commercially available, pure resorbable hydroxyapatite, OsteoGen (HA Resorb). The test materials were implanted in the artificially created bonydefects in the mandible via an intraoral approach. The wounds were allowed to heal upto 26 weeks postimplantation. The clinical evaluation at 12 weeks and 26 weeks postimplantation revealed neither any evidence of inflammation, infection or abscess formation nor any exposure or exfoliation of test materials. The histological examination of the implant sites at 12 and 26 weeks postimplantation revealed varying extent of formation of new osseous tissue and periodontal fibers. A comparison between test materials and control suggested that Chitra granules exhibit a relatively greater potential for newbone and periodontal fibre formation.

摘要

炎症性牙周病所致骨缺损的重建或修复是牙周治疗中持续存在的一项挑战。使用诸如羟基磷灰石等异体植入材料在这方面正取得巨大进展。本研究由特里凡得琅的斯里奇特拉蒂鲁纳尔医学科学与技术研究所设计,以新西兰矮兔为实验对象,观察牙周组织对合成制备的粉末状和颗粒状羟基磷灰石的生物学反应,并将其与市售的纯可吸收羟基磷灰石OsteoGen(HA Resorb)进行比较。通过口内途径将测试材料植入下颌骨的人工制造的骨缺损处。让伤口在植入后愈合长达26周。植入后12周和26周的临床评估显示,既没有炎症、感染或脓肿形成的迹象,也没有测试材料的任何暴露或脱落。植入后12周和26周对植入部位的组织学检查显示新骨组织和牙周纤维形成的程度各不相同。测试材料与对照之间的比较表明,Chitra颗粒在新骨和牙周纤维形成方面表现出相对更大的潜力。

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