Behfarnia Parichehr, Khorasani Mitra Mohammad, Birang Reza, Abbas Fateme Mashhadi
Dental Implants Research Centre, Department of Periodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Dent Res J (Isfahan). 2012 Sep;9(5):574-81. doi: 10.4103/1735-3327.104876.
Guided tissue regeneration (GTR) allows mesenchymal cells to repopulate the defects. However, there is limited information regarding the efficacy of different membranes. The present study was designed to histologically and histomorphometrically compare three collagen membranes in regenerative treatment of dehiscence defects in dogs.
This 8 weeks experimental animal study comprised 4 healthy dogs. 5 × 5 mm periodontal dehiscences were created in each side of the mandible (4 dehiscences in each side of dogs' mandible). In each side, one dehiscence defect was left uncovered as a control site and three other sites were randomly covered with different collagen membranes (Biogide (BG), Biomend (BM), and Cytoplast (CYT)). Histomorphometric and histologic analysis were conducted at 4 and 8 weeks. Data were analyzed using ANOVA, Mann-Withney, Kruskal-Wallis and Fisher 's exact tests (α = 0.05).
According to histomorphometric analysis there was a significant difference between treatment and control groups regarding the bone formation and the distance between the reference point and apical end of junctional epithelium (DJE) (P < 0.05). At 4 weeks, the maximum amount of bone thickness and height was observed in BG and CYT respectively, and this maximum rate was seen with the use of BG at 8 weeks. It was shown that DJE reached its highest rate in BM and CYT at 4 and 8 weeks, respectively. Organized PDL was formed in treatment groups.
The membrane-treated groups had a statistically significant increase in bone formation and connective tissue attachment compared to control groups. However, there are some differences among experimental groups, which should be considered in GTR treatments.
引导组织再生术(GTR)可使间充质细胞重新填充缺损部位。然而,关于不同膜的疗效的信息有限。本研究旨在通过组织学和组织形态计量学方法比较三种胶原膜在犬类龈裂缺损再生治疗中的效果。
这项为期8周的实验动物研究纳入了4只健康犬。在每只犬的下颌骨两侧制造5×5毫米的牙周龈裂(每侧下颌骨有4个龈裂)。在每侧,一个龈裂缺损不覆盖作为对照部位,另外三个部位随机覆盖不同的胶原膜(BioGide(BG)、Biomend(BM)和Cytoplast(CYT))。在4周和8周时进行组织形态计量学和组织学分析。使用方差分析、Mann-Withney检验、Kruskal-Wallis检验和Fisher精确检验分析数据(α = 0.05)。
根据组织形态计量学分析,治疗组和对照组在骨形成以及参考点与结合上皮顶端之间的距离(DJE)方面存在显著差异(P < 0.05)。在4周时,BG组和CYT组分别观察到最大的骨厚度和高度,而在8周时,使用BG组达到了最大增长率。结果表明,DJE在4周和8周时分别在BM组和CYT组达到最高值。治疗组形成了有组织的牙周膜。
与对照组相比,膜治疗组在骨形成和结缔组织附着方面有统计学意义的增加。然而,各实验组之间存在一些差异,在GTR治疗中应予以考虑。