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使用Bio-Oss骨胶原移植骨内缺损后牙周再生的评估:一份人体组织学报告

Evaluation of periodontal regeneration following grafting intrabony defects with bio-oss collagen: a human histologic report.

作者信息

Nevins Marc L, Camelo Marcelo, Lynch Samuel E, Schenk Robert K, Nevins Myron

机构信息

Department of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA.

出版信息

Int J Periodontics Restorative Dent. 2003 Feb;23(1):9-17.

Abstract

This study evaluated the clinical, radiographic, and histologic response to Bio-Oss Collagen when used alone or in combination with Bio-Gide bilayer collagen membrane for the treatment of four intrabony defects (5 to 7 mm) around single-rooted teeth. After reflecting a full-thickness flap, thorough degranulation and root planing were accomplished. In all cases, Bio-Oss Collagen was then used to fill the defects, and in two cases, a Bio-Gide membrane was placed over the filled defect. Radiographs, clinical probing depths, and attachment levels were obtained before treatment and immediately preceding en bloc resection of teeth and surrounding tissues 9 months later. Reduction in pocket depth and gain in clinical attachment level were observed for both treatment protocols. The histologic evaluation demonstrated the formation of a complete new attachment apparatus, evidencing periodontal regeneration that varied with defect morphology. This human histologic study demonstrated that Bio-Oss Collagen has the capacity to induce regeneration of the periodontal attachment apparatus when placed in intrabony defects.

摘要

本研究评估了单独使用Bio-Oss骨胶原或与Bio-Gide双层胶原膜联合使用时,对单根牙周围四个骨内缺损(5至7毫米)的临床、影像学和组织学反应。在翻起全厚瓣后,进行了彻底的清创和根面平整。在所有病例中,随后使用Bio-Oss骨胶原填充缺损,在两例病例中,在填充后的缺损上放置了Bio-Gide膜。在治疗前以及9个月后即将对牙齿和周围组织进行整块切除之前,获取了X线片、临床探诊深度和附着水平。两种治疗方案均观察到牙周袋深度减小和临床附着水平增加。组织学评估显示形成了完整的新附着装置,证明牙周再生随缺损形态而异。这项人体组织学研究表明,Bio-Oss骨胶原置于骨内缺损时具有诱导牙周附着装置再生的能力。

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