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富血小板血浆不能改善种植体周围骨缺损处的骨再生——一项犬类初步研究。

Platelet-rich plasma does not improve bone regeneration around peri-implant bone defects--a pilot study in dogs.

作者信息

Casati M Z, de Vasconcelos Gurgel B C, Gonçalves P F, Pimentel S P, da Rocha Nogueira Filho G, Nociti F H, Sallum E A

机构信息

Department of Prosthodontics and Periodontics, Division of Periodontics, School of Dentistry at Piracicaba/Unicamp, São Paulo, Brazil.

出版信息

Int J Oral Maxillofac Surg. 2007 Feb;36(2):132-6. doi: 10.1016/j.ijom.2006.06.004. Epub 2006 Aug 4.

Abstract

The purpose of the present study was to evaluate the influence of platelet-rich plasma (PRP) on bone regeneration in dehiscence-type bone defects around dental implants. Ten male adult mongrel dogs were used. Three months after teeth extractions, an osteotomie for implantation and a buccal dehiscence defect were prepared on both sides of the jaws. Two dental implants with machined surfaces were placed on each implant site of the mandible. Dehiscences were randomly assigned to the following groups: (1) test (PRP) and (2) control. After 3 months animals were sacrificed; implants and adjacent hard tissues were processed for undecalcified sections. Bone-to-implant contact (BIC), bone density (BD) within the limits of implant threads, bone density (BO) and new bone area (NB) in a zone lateral to the implant, corresponding to bone defects, were obtained and measured. Inter group analysis (paired Student's t-test, alpha = 5%) demonstrated no statistically significant differences for any of the parameters when PRP was used (P > 0.05). Within the limits of the present study, it was concluded that platelet-rich plasma alone did not enhance bone regeneration for peri-implant defects.

摘要

本研究的目的是评估富血小板血浆(PRP)对牙种植体周围裂开型骨缺损骨再生的影响。使用了10只成年雄性杂种犬。拔牙3个月后,在颌骨两侧制备用于种植的截骨术和颊侧裂开缺损。在下颌骨的每个种植部位植入两颗具有机械加工表面的牙种植体。将裂开缺损随机分为以下两组:(1)试验组(PRP)和(2)对照组。3个月后处死动物;对种植体和相邻硬组织进行处理以制作不脱钙切片。获得并测量骨与种植体接触率(BIC)、种植体螺纹范围内的骨密度(BD)、种植体侧面相当于骨缺损区域的骨密度(BO)和新骨面积(NB)。组间分析(配对学生t检验,α = 5%)表明,使用PRP时,任何参数均无统计学显著差异(P > 0.05)。在本研究范围内,得出结论:单独使用富血小板血浆并不能促进种植体周围缺损的骨再生。

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