Schwarz Frank, Stratul Stefan-Ioan, Herten Monika, Beck Brigitte, Becker Jürgen, Sculean Anton
Department of Oral Surgery, Heinrich Heine University, Düsseldorf, Germany.
Clin Oral Investig. 2006 Mar;10(1):29-34. doi: 10.1007/s00784-005-0019-y. Epub 2005 Nov 29.
The aim of the present study was to evaluate histologically in dogs the effect of treating intrabony defects with an oily calcium hydroxide suspension (OCHS). Intrabony defects were surgically created bilaterally at the distal aspects of the maxillary first premolars and at the mesial aspects of the third premolars in two mongrel dogs. Subsequently, the defects were randomly treated with (a) access flap surgery followed by the application of an OCHS or (b) access flap surgery alone. After 8 weeks of healing, the animals were killed. Dissected blocks containing the experimental specimens were fixed in formalin, decalcified in EDTA, and embedded in paraffin. The formation of new cementum and bone was assessed histomorphometrically. In the control group, healing was predominantly characterized by the formation of a long junctional epithelium along the root surface and limited periodontal regeneration at the most apical part of the defect. The OCHS-treated defects consistently revealed periodontal regeneration (i.e., new periodontal ligament, new cementum with inserting collagen fibers, and new bone). Within the limits of the present study, it can be concluded that OCHS may favor periodontal regeneration in acute-type intrabony periodontal defects.
本研究的目的是通过组织学方法评估油性氢氧化钙悬液(OCHS)治疗犬骨内缺损的效果。在两只杂种犬的上颌第一前磨牙远中面和第三前磨牙近中面双侧手术制造骨内缺损。随后,缺损被随机分为两组进行治疗:(a)翻瓣手术并应用OCHS,或(b)单纯翻瓣手术。愈合8周后,处死动物。包含实验标本的解剖块用福尔马林固定,在乙二胺四乙酸(EDTA)中脱钙,然后石蜡包埋。采用组织形态计量学方法评估新牙骨质和骨的形成。在对照组中,愈合主要表现为沿牙根表面形成长结合上皮,缺损最根尖部的牙周再生有限。经OCHS治疗的缺损始终显示出牙周再生(即新的牙周膜、带有插入胶原纤维的新牙骨质和新骨)。在本研究的范围内,可以得出结论,OCHS可能有利于急性型骨内牙周缺损的牙周再生。