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一项评估用于牙槽窝保存的新型异种移植物的随机对照临床试验。

A randomized controlled clinical trial to evaluate a new xenograft for alveolar socket preservation.

作者信息

Calasans-Maia Monica, Resende Rodrigo, Fernandes Gustavo, Calasans-Maia Jose, Alves Adriana Terezinha, Granjeiro José Mauro

机构信息

Department of Oral Surgery, Fluminense Federal University, Niteroi, Brazil.

出版信息

Clin Oral Implants Res. 2014 Oct;25(10):1125-30. doi: 10.1111/clr.12237. Epub 2013 Aug 13.

Abstract

OBJECTIVE

The aim of this clinical trial was to compare the effect of Bio-Oss(®) and a new bovine xenograft (Osseus(®) ) in alveolar sockets after a 24-week healing period.

MATERIALS AND METHODS

A total of 20 adult volunteers ages 30-60 were subjected to single tooth extraction. A tooth extraction was performed at the baseline. All sites were randomly allocated to two test groups (TG1: grafted using a new bovine xenograft, Osseus(®) , and TG2: grafted using commercially available bovine xenograft-Bio-Oss(®) ). Six months later, a sample of the grafted area was obtained and implants were inserted in the same site. Histological sections were examined focusing on the presence of fibrous connective tissue (CT), and newly formed bone in direct contact with the graft. The HE-stained sections were subjected to histomorphometrical evaluation using Image Pro-Plus(®) software (Release 7.0). The definitive crown was placed 3 months later.

RESULTS

Upon completion of the study, no patients were removed from the study and all inserted implants (10 in each group) were eventually integrated. After 6 months, in the TG1, the mean value of new bone formation was 33.7 (± 7.1), for CT was 32.3 (± 8.9) and for the remaining biomaterial was 10.7 (± 16.2). In the TG2, the mean value of new bone formation was 19.3 (± 22.6), of the CT was 49.9 (± 14.1) and of the remaining biomaterial was 22.6 (± 7.9).

CONCLUSIONS

No statistically significant difference was observed between TG1 and TG2 after 6 months (P > 0.05), and both biomaterials afforded a more favorable implant position.

摘要

目的

本临床试验的目的是比较Bio-Oss(®)和一种新型牛异种移植物(Osseus(®))在牙槽窝愈合24周后的效果。

材料与方法

共有20名年龄在30至60岁之间的成年志愿者接受单颗牙拔除。在基线时进行拔牙。所有位点随机分为两个试验组(TG1:使用新型牛异种移植物Osseus(®)进行移植,TG2:使用市售牛异种移植物Bio-Oss(®)进行移植)。六个月后,获取移植区域的样本并在同一部位植入种植体。对组织学切片进行检查,重点关注纤维结缔组织(CT)的存在以及与移植物直接接触的新形成骨。使用Image Pro-Plus(®)软件(版本7.0)对苏木精-伊红染色切片进行组织形态计量学评估。三个月后放置最终牙冠。

结果

研究完成时,没有患者退出研究,所有植入的种植体(每组10颗)最终均实现骨结合。六个月后,在TG1组中,新骨形成的平均值为33.7(±7.1),CT为32.3(±8.9),剩余生物材料为10.7(±16.2)。在TG2组中,新骨形成的平均值为19.3(±22.6),CT为49.9(±14.1),剩余生物材料为22.6(±7.9)。

结论

六个月后TG1和TG2之间未观察到统计学上的显著差异(P>0.05),两种生物材料均为种植体提供了更有利的位置。

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