Kim Hyun-Young, Kim Chang-Sung, Jhon Gil-Ja, Moon Ik-Sang, Choi Seong-Ho, Cho Kyoo-Sung, Chai Jung-Kiu, Kim Chong-Kwan
Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul, Korea.
J Periodontol. 2002 Dec;73(12):1457-66. doi: 10.1902/jop.2002.73.12.1457.
Recent interest in naturally based products has increased. Various herbal extracts are known to have a variety of medicinal properties. Among the various natural medicines, safflower seeds have beneficial effects on various bone diseases such as bone fracture, osteoporosis, and osteodysplasia. In addition, they are known to have anti-inflammatory effects. The objective of this study was to evaluate the effect of a safflower seed extract (SSE) on the regeneration of periodontal tissue in a preclinical 1-wall model in dogs.
Preclinical 1-wall periodontal defects were surgically created in the mesial aspect of the maxillary third and mandibular fourth premolar and in the distal aspect of the maxillary first and mandibular second premolar, and were randomly assigned to receive SSE/collagen (SSE/Col), phosphate-buffered saline/collagen (buffer control), or root planing only (surgical control). The created 1-wall defect configuration was 4 mm in depth by 4 mm in width. We selected the segment showing the best activity to the osteoblast cells that was sensitive to the formation of calcified nodules among the SSE fractions extracted from various organic solvents. The animals were euthanized at 8 weeks postsurgery, and block sections of the defects were collected for histologic and histometric analysis.
The junctional epithelium migration did not show any statistically significant differences among the treatments. In connective tissue adhesion, the SSE/Col group and the buffer control group showed significant differences compared to the surgical control group. New cementum averaged 3.84 +/- 0.57 mm, 3.75 +/- 0.24 mm, and 1.53 +/- 1.22 mm for the SSE/Col group, the buffer control group, and the surgical control group, respectively, with the SSE/Col and buffer control groups significantly different from the surgical control group (P < 0.05). The amount of intrabony cementum in the SSE/Col group was significantly different (P < 0.01) from the surgical control group, but the amount of suprabony cementum did not demonstrate any statistical difference between the different treatments. The amount of new alveolar bone averaged 2.93 +/- 0.70 mm, 2.10 +/- 0.63 mm, and 1.20 +/- 0.65 mm for the SSE/Col group, the buffer control group, and the surgical control group, respectively. The difference in alveolar bone regeneration between the SSE/Col group and the surgical control group was significantly different (P < 0.01). Root resorption was often observed, but no ankylosis was present.
Wound conditioning with safflower seed extracts may contribute to bone formation but appears to have unpredictable potential for stimulating periodontal regeneration including new cementum.
近来对天然产品的兴趣有所增加。已知各种草药提取物具有多种药用特性。在各种天然药物中,红花籽对各种骨骼疾病如骨折、骨质疏松和骨发育异常均有有益作用。此外,它们还具有抗炎作用。本研究的目的是在犬的临床前单壁模型中评估红花籽提取物(SSE)对牙周组织再生的影响。
在上颌第三前磨牙和下颌第四前磨牙的近中面以及上颌第一前磨牙和下颌第二前磨牙的远中面手术创建临床前单壁牙周缺损,并随机分配接受SSE/胶原蛋白(SSE/Col)、磷酸盐缓冲盐水/胶原蛋白(缓冲对照组)或仅进行根面平整(手术对照组)。所创建的单壁缺损形态为深度4mm、宽度4mm。我们从各种有机溶剂中提取的SSE组分中选择了对成骨细胞活性最佳且对钙化结节形成敏感的片段。术后8周对动物实施安乐死,并收集缺损的块状切片进行组织学和组织计量学分析。
各治疗组间结合上皮迁移未见任何统计学显著差异。在结缔组织附着方面,SSE/Col组和缓冲对照组与手术对照组相比存在显著差异。SSE/Col组、缓冲对照组和手术对照组的新生牙骨质平均分别为3.84±0.57mm、3.75±0.24mm和1.53±1.22mm,SSE/Col组和缓冲对照组与手术对照组有显著差异(P<0.05)。SSE/Col组的牙槽骨内牙骨质量与手术对照组有显著差异(P<0.01),但不同治疗组间牙槽骨上牙骨质量未见任何统计学差异。SSE/Col组、缓冲对照组和手术对照组的新生牙槽骨量平均分别为2.93±0.70mm、2.10±0.63mm和1.20±0.65mm。SSE/Col组与手术对照组之间的牙槽骨再生差异有显著统计学意义(P<0.01)。经常观察到牙根吸收,但未出现牙根粘连。
用红花籽提取物进行伤口预处理可能有助于骨形成,但似乎在刺激包括新生牙骨质在内的牙周再生方面具有不可预测的潜力。