Wang Qi Lin, Yang Pan Pan, Ge Li Hong, Liu He
Chin J Dent Res. 2016 Mar;19(1):49-54. doi: 10.3290/j.cjdr.a35697.
To evaluate the use of platelet-rich fibrin (PRF) in the regenerative therapy of immature canine permanent teeth.
Eight immature premolars of beagle dogs were pulp extracted and cleaned with irrigation, then divided into two groups of empty root canals and those filled with a PRF clot. All of the eight premolars were sealed with mineral trioxide aggregate and glass ionomer cement. Two premolars were left naturally grown as a positive control. The root development was assessed radiographically and histologically after 12 weeks.
The radiological findings showed greater increases in the thickness of lateral dentinal wall in the PRF group than in the vacant group. Histologically, dental-associated mineral tissue, connective tissue, and bone-like mineral tissue grew into the root canals independent of PRF clot use. The PRF was able to increase the thickness of dental-associated mineral tissue. However, the vital tissue differed from the pulp dentin complex.
Our study demonstrated the feasibility of using PRF-mediated regenerative therapy in pulpless immature teeth for improving tissue repair.
评估富血小板纤维蛋白(PRF)在未成熟犬恒牙再生治疗中的应用。
选取8颗比格犬未成熟前磨牙,进行牙髓摘除并冲洗清理,然后分为空根管组和填充PRF凝块组。8颗前磨牙均用三氧化矿物凝聚体和玻璃离子水门汀封闭。留2颗前磨牙自然生长作为阳性对照。12周后通过影像学和组织学评估牙根发育情况。
影像学结果显示,PRF组侧方牙本质壁厚度的增加幅度大于空根管组。组织学上,与牙齿相关的矿化组织、结缔组织和骨样矿化组织长入根管,与是否使用PRF凝块无关。PRF能够增加与牙齿相关的矿化组织的厚度。然而,活组织与牙髓牙本质复合体不同。
我们的研究证明了在无髓未成熟牙齿中使用PRF介导的再生治疗以改善组织修复的可行性。