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采用含成纤维细胞生长因子-2的猪胶原基质进行根覆盖:犬的初步研究。

Root coverage using porcine collagen matrix with fibroblast growth factor-2: a pilot study in dogs.

机构信息

Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul, Korea.

出版信息

J Clin Periodontol. 2017 Jan;44(1):96-103. doi: 10.1111/jcpe.12644. Epub 2016 Nov 24.

Abstract

AIM

The aim of this study was to evaluate the effect of fibroblast growth factor-2 (FGF-2) in combination with porcine collagen matrix (CM) for coverage of gingival recession defects in dogs.

MATERIALS AND METHODS

In five male mongrel dogs, labial gingival recession defects were surgically created in the lower-third incisors bilaterally. The defects were randomly assigned to the CM/FGF-2 group (experimental) or the CM-only group (control). Standardized clinical photographs and silicone impressions were taken at 4 and 16 weeks of healing to calculate the remaining recession area. The dogs were euthanized after 16 weeks for histometric analysis.

RESULTS

At 4 weeks, the recession area of the CM/FGF-2 group was significantly smaller than that of the CM-only group (2.55 ± 0.66 and 4.92 ± 1.05 mm , respectively, p = 0.023), However, no significant difference was observed at 16 weeks. Histometrically, the amount of newly formed cementum was larger in the CM/FGF-2 group than in the CM-only group at 16 weeks (1.55 ± 0.44 and 0.88 ± 0.51 mm, respectively, p = 0.024).

CONCLUSIONS

The combination of CM/FGF-2 may enhance the early wound healing and may promote cementum formation to a higher extent compared to the use of CM alone.

摘要

目的

本研究旨在评估成纤维细胞生长因子-2(FGF-2)联合猪胶原蛋白基质(CM)覆盖犬牙龈退缩缺陷的效果。

材料和方法

在 5 只雄性杂种犬中,双侧下前牙唇侧牙龈退缩缺陷被手术形成。将缺陷随机分配到 CM/FGF-2 组(实验组)或 CM 仅组(对照组)。在愈合的 4 周和 16 周时,分别拍摄标准化临床照片和硅橡胶印模,以计算剩余的退缩面积。16 周后,犬被安乐死,进行组织学分析。

结果

在 4 周时,CM/FGF-2 组的退缩面积明显小于 CM 仅组(分别为 2.55±0.66 和 4.92±1.05mm,p=0.023)。然而,在 16 周时未观察到显著差异。组织学上,16 周时 CM/FGF-2 组新形成的牙骨质量明显大于 CM 仅组(分别为 1.55±0.44 和 0.88±0.51mm,p=0.024)。

结论

与单独使用 CM 相比,CM/FGF-2 的联合应用可能增强早期伤口愈合,并在更大程度上促进牙骨质形成。

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