Department of Health Sciences III, Rey Juan Carlos University, Alcorcon, Spain.
Int J Oral Maxillofac Implants. 2010 Jan-Feb;25(1):123-9.
The purpose of this study was to evaluate the combination of anorganic bovine bone allograft (ABB) with platelet-rich plasma (PRP) when used in vertical bone augmentation.
Sixteen healthy 6-month-old female New Zealand rabbits were used in this study. Rabbits were randomly divided into two groups of eight animals each. Created calvarial defects were grafted with ABB or PRP in the first group whereas, in the second group, one cylinder was filled with PRP+ABB and the contralateral cylinder was left ungrafted to be filled by autologous blood (control cylinder). Six weeks after intervention, animals were sacrificed and biopsies were taken. Densitometric, histologic, and histomorphometric analyses were performed to evaluate bone mineral density, vertical bone augmentation, and remaining graft volume, respectively. Statistical analyses were performed with the Mann-Whitney test, using a significance level of P < .05.
Six weeks after rabbit calvariae were augmented, data analysis revealed that the mixture of PRP and ABB produced twice the vertical bone volume of ABB alone (P < .0001).
Based upon this study of 16 rabbits, it appears that the combination of ABB with PRP resulted in increased vertical bone augmentation when compared with autologous blood in similarly sized created defects.
本研究旨在评估无机牛骨移植物(ABB)与富血小板血浆(PRP)联合应用于垂直骨增量时的效果。
本研究使用了 16 只 6 月龄健康雌性新西兰兔。将兔子随机分为两组,每组 8 只。在第一组中,在创建的颅骨缺损部位分别植入 ABB 或 PRP;而在第二组中,一个圆柱体填充 PRP+ABB,对侧圆柱体不填充任何物质,作为自体血填充的对照(对照圆柱体)。干预 6 周后,处死动物并取活检。通过密度测定、组织学和组织形态计量学分析分别评估骨矿物质密度、垂直骨增量和剩余移植物体积。采用曼-惠特尼检验进行统计学分析,显著性水平 P <.05。
在兔子颅骨被增强 6 周后,数据分析显示 PRP 和 ABB 的混合物产生的垂直骨量是 ABB 单独使用的两倍(P <.0001)。
在这项对 16 只兔子的研究中,与同样大小的创建缺陷中的自体血相比,ABB 与 PRP 的组合似乎导致了垂直骨增量的增加。