Hayashi Chie, Kinoshita Atsuhiro, Oda Shigeru, Mizutani Koji, Shirakata Yoshinori, Ishikawa Isao
Periodontology, Department of Hard Tissue Engineering, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.
J Periodontol. 2006 Jun;77(6):940-6. doi: 10.1902/jop.2006.050283.
An earlier study showed that an injectable calcium phosphate cement (CPC) served as a stable scaffold for bone formation and promoted histocompatible healing of periodontal tissue in dogs. In this study, we evaluated the influence of CPC on regeneration of periodontal defects with experimental periodontitis in dogs.
Experimental periodontitis was induced by placing stainless-steel mesh on the mesial side of maxillary canines in six adult, healthy beagle dogs. Subsequently, intrabony defects were resized so as to be standard, and CPC was injected in the experimental bone defects. Non-grafted defects on the contralateral side served as controls. Twelve weeks after surgery, the animals were sacrificed and histologic specimens were prepared. Periodontal tissue healing was evaluated histologically and histometrically.
Healing of periodontal tissues, in terms of bone and cementum formation, was consistently observed in the CPC-applied sites. CPC was partly replaced by new bone. New cementum and periodontal ligament-like tissue were observed between CPC and the root surface. New bone (P <0.05), new cementum (P <0.01), and new connective tissue attachment and adhesion (P <0.05) were significantly enhanced in the experimental sites.
Calcium phosphate cement provides stable wound healing and enhanced periodontal regeneration in periodontal defects in dogs with experimental periodontitis.
一项较早的研究表明,可注射磷酸钙骨水泥(CPC)可作为骨形成的稳定支架,并促进犬牙周组织的组织相容性愈合。在本研究中,我们评估了CPC对实验性牙周炎犬牙周缺损再生的影响。
对6只成年健康比格犬的上颌犬齿近中侧放置不锈钢网,诱导实验性牙周炎。随后,将骨内缺损调整为标准大小,并将CPC注入实验性骨缺损中。对侧未移植的缺损作为对照。术后12周,处死动物并制备组织学标本。从组织学和组织计量学角度评估牙周组织愈合情况。
在应用CPC的部位,始终观察到牙周组织在骨和牙骨质形成方面的愈合情况。CPC部分被新骨替代。在CPC与牙根表面之间观察到新的牙骨质和牙周韧带样组织。实验部位的新骨(P<0.05)、新牙骨质(P<0.01)以及新的结缔组织附着和黏附(P<0.05)均显著增强。
磷酸钙骨水泥可在患有实验性牙周炎的犬的牙周缺损中提供稳定的伤口愈合并增强牙周再生。