结缔组织-牙骨质再生:在裂开型缺损中使用釉基质衍生物后的一种新的组织学再生。犬类模型。
Connective tissue-cementum regeneration: a new histologic regeneration following the use of enamel matrix derivative in dehiscence-type defects. A dog model.
作者信息
Alhezaimi Khalid, Al-Shalan Thakib, O'Neill Rory, Shapurian Tanazi, Naghshbandi Jafar, Levi Paul, Griffin Terrence
机构信息
College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
出版信息
Int J Periodontics Restorative Dent. 2009 Aug;29(4):425-33.
The goal of this investigation was to evaluate histologically and histometrically the healing process in dehiscence-type defects treated by enamel matrix derivative (EMD). Five adult female beagle dogs were used. Buccal osseous dehiscences were surgically created on the maxillary canines and the second and fourth premolars. Thirty defect sites were randomly assigned to treatment and control groups (15 defect sites for each group). The treatment group received EMD application, while the control groups received no EMD. After 4 months of healing, the dogs were sacrificed and tissue blocks were prepared. Histometric parameters were employed to evaluate the type of periodontal tissues that formed in the defects. All created dehiscence defects in the test sites treated by EMD had formed functional connective tissue fibers inserted into regenerated cellular cementum. The mean amount of apicocoronal regenerated cementum was 3.74 +/- 0.43 mm in EMD- treated sites, whereas the control sites had not formed cementum in the created dehiscence defects (P < .000). Statistically significant differences were found between treatment and control sites. Within the limits of this study, it can be concluded that EMD alone effectively promoted new cementum and functionally oriented connective tissue formation.
本研究的目的是通过组织学和组织计量学方法评估釉基质衍生物(EMD)治疗裂开型缺损的愈合过程。使用了5只成年雌性比格犬。在上颌尖牙以及第二和第四前磨牙上通过手术制造颊侧骨裂开。30个缺损部位被随机分为治疗组和对照组(每组15个缺损部位)。治疗组应用EMD,而对照组不应用EMD。愈合4个月后,处死犬只并制备组织块。采用组织计量学参数评估缺损处形成的牙周组织类型。在接受EMD治疗的试验部位,所有制造的裂开缺损均形成了插入再生细胞性牙骨质的功能性结缔组织纤维。在接受EMD治疗的部位,根尖-冠向再生牙骨质的平均量为3.74±0.43毫米,而在对照组部位,在制造的裂开缺损中未形成牙骨质(P<0.000)。治疗组和对照组部位之间存在统计学上的显著差异。在本研究的范围内,可以得出结论,单独使用EMD可有效促进新牙骨质和功能性定向结缔组织的形成。