Department of Oral Surgery and Periodontology, Ribeirão Preto School of Dentistry, University of São Paulo, Sao Paulo, Brazil.
J Periodontol. 2010 Apr;81(4):594-603. doi: 10.1902/jop.2010.090486.
The aim of this study is to verify the regenerative potential of particulate anorganic bone matrix-synthetic peptide-15 (ABM-P-15) in class III furcation defects associated or not with expanded polytetrafluoroethylene membranes.
Class III furcation defects were produced in the mandibular premolars (P2, P3, and P4) of six dogs and filled with impression material. The membranes and the bone grafts were inserted into P3 and P4, which were randomized to form the test and control groups, respectively; P2 was the negative control group. The animals were sacrificed 3 months post-treatment.
Histologically, the complete closure of class III furcation defects was not observed in any of the groups. Partial periodontal regeneration with similar morphologic characteristics among the groups was observed, however, through the formation of new cementum, periodontal ligament, and bone above the notch. Histologic analysis showed granules from the bone graft surrounded by immature bone matrix and encircled by newly formed tissue in the test group. The new bone formation area found in the negative control group was 2.28 + or - 2.49 mm(2) and in the test group it was 6.52 + or - 5.69 mm(2), which showed statistically significant differences for these groups considering this parameter (Friedman test P <0.05). There was no statistically significant difference among the negative control, control, and test groups for the other parameters.
The regenerative potential of ABM-P-15 was demonstrated through new bone formation circumscribing and above the graft particles. The new bone also was accompanied by the formation of new cementum and periodontal ligament fibers.
本研究旨在验证颗粒状无机骨基质-合成肽-15(ABM-P-15)在伴有或不伴有扩展聚四氟乙烯膜的 III 类分叉缺损中的再生潜力。
在 6 只狗的下颌前磨牙(P2、P3 和 P4)中产生 III 类分叉缺损,并填充印模材料。将膜和骨移植物插入 P3 和 P4 中,将其随机分为实验组和对照组,P2 为阴性对照组。动物在治疗后 3 个月被处死。
组织学上,各组均未观察到 III 类分叉缺损完全闭合。然而,通过在切迹上方形成新的牙骨质、牙周韧带和骨,观察到各组具有相似形态特征的部分牙周再生。组织学分析显示,实验组的骨移植物颗粒被不成熟的骨基质包围,并被新形成的组织环绕。在阴性对照组中发现的新骨形成区为 2.28 ± 2.49mm2,在实验组中为 6.52 ± 5.69mm2,考虑到该参数,两组之间存在统计学显著差异(Friedman 检验 P<0.05)。在其他参数方面,阴性对照组、对照组和实验组之间没有统计学差异。
通过围绕和在移植物颗粒上方形成新骨,证明了 ABM-P-15 的再生潜力。新骨还伴随着新牙骨质和牙周韧带纤维的形成。