Carvalho Valéria Abrantes Pinheiro, Tosello Darcy de Oliveira, Salgado Miguel Angel de Castillo, Gomes Mônica Fernandes
Department of Biosciences and Oral Diagnosis, São José dos Campos School of Dentistry, São Paulo State University (UNESP), São Jose dos Campos, São Paulo, Brazil.
Int J Oral Maxillofac Implants. 2004 Sep-Oct;19(5):679-86.
The aim of this work was to evaluate the effectiveness of homogenous demineralized dentin matrix (HDDM) slices in surgical bone defects created in the mandibles of rabbits and occluded with a polytetrafluoroethylene (PTFE) membrane in the promotion of bone growth.
Surgical bone defects were created in 36 adult rabbits and divided into 4 groups: bone defect (control), bone defect with PTFE membrane, bone defect with HDDM, and bone defect with both HDDM and a PTFE membrane (HDDM + PTFE). The rabbits were sacrificed after 30, 60, and 90 days, and the bone defects were examined histologically and by histomorphometric analysis (analysis of variance and the Tukey test).
The volume of newly formed bone matrix was significantly greater in the HDDM and HDDM + PTFE groups than in the control and PTFE groups. The discrete inflammatory reaction found in the HDDM and HDDM + PTFE groups did not prevent the osteopromotive activity of the dentin matrix.
HDDM slices were biocompatible and were resorbed during the bone remodeling process. They stimulated the newly formed bone until 30 days after implantation.
Bone repair was accelerated in the bone defects treated with HDDM in comparison to the control group.
本研究旨在评估均质脱矿牙本质基质(HDDM)切片在兔下颌骨手术造成的骨缺损中,并用聚四氟乙烯(PTFE)膜封闭时对促进骨生长的有效性。
在36只成年兔身上制造手术骨缺损,并分为4组:骨缺损(对照组)、带PTFE膜的骨缺损、带HDDM的骨缺损以及带HDDM和PTFE膜的骨缺损(HDDM + PTFE)。在30、60和90天后处死兔子,并对骨缺损进行组织学检查和组织形态计量分析(方差分析和Tukey检验)。
HDDM组和HDDM + PTFE组新形成的骨基质体积显著大于对照组和PTFE组。在HDDM组和HDDM + PTFE组中发现的离散性炎症反应并未阻止牙本质基质的骨促进活性。
HDDM切片具有生物相容性,并且在骨重塑过程中被吸收。它们在植入后30天内刺激新形成的骨。
与对照组相比,用HDDM治疗的骨缺损中骨修复加速。