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重组人血小板衍生生长因子与β-磷酸三钙治疗牙周骨内缺损的临床及影像学评估

Clinical and radiographic evaluation of recombinant human platelet derived growth factor with beta tricalcium phosphate in the treatment of a periodontal intrabony defect.

作者信息

Maroo Sneha, Murthy Katragadda Raja Venkatesh

机构信息

Department of Periodontics and Oral Implantology, Gitam Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India.

出版信息

J Indian Soc Periodontol. 2014 Nov-Dec;18(6):789-93. doi: 10.4103/0972-124X.147441.

Abstract

The need to increase the predictability of successful periodontal regeneration has led to the use of cell-stimulating proteins in combination with osteoconductive scaffolds and cells based on the principles of tissue engineering. The present case report describes the treatment of an intrabony defect with recombinant human platelet derived growth factor (rhPDGF) + β-tricalcium phosphate (β-TCP). A 25-year-old patient presented with a probing pocket depth of 9 mm mesial to the left maxillary molar. The radiograph revealed an intrabony defect with a depth of 4.23 mm. The defect was treated by open flap debridement and grafting with rhPDGF + β-TCP. On 9 months follow-up, the pocket depth reduced to 3 mm and the defect was completely filled as observed in radiographs and surgical re-entry. A gain in alveolar crest height was also observed.

摘要

提高牙周再生成功率的可预测性的需求,促使人们基于组织工程原理,将细胞刺激蛋白与骨传导支架及细胞联合使用。本病例报告描述了用重组人血小板衍生生长因子(rhPDGF)+β-磷酸三钙(β-TCP)治疗骨内缺损的情况。一名25岁患者左侧上颌磨牙近中探诊袋深度为9mm。X线片显示骨内缺损深度为4.23mm。通过翻瓣清创术并用rhPDGF +β-TCP进行植骨治疗该缺损。在9个月的随访中,探诊袋深度降至3mm,X线片和再次手术探查显示缺损已完全填充。还观察到牙槽嵴高度增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef54/4296468/4e4e0a37eed4/JISP-18-789-g001.jpg

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