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评估两种有无间充质干细胞的牙槽窝愈合程序:一项对比研究。

Evaluation of two socket healing procedures with and without mesenchymal stem cells: A comparative study.

作者信息

Jain Abhinav, Singh Mahinder, Ganapathy K P, Ramola Vikas, Passi Deepak, Jain Komal

机构信息

Department of Oral and Maxillofacial Surgery, Uttaranchal Dental and Medical Research Institute, Dehradun, Uttarakhand, India.

Department of Oral and Maxillofacial Surgery, AECS Maaruti College of Dental Sciences and Research Center, Bengaluru, Karnataka, India.

出版信息

Natl J Maxillofac Surg. 2016 Jul-Dec;7(2):159-165. doi: 10.4103/0975-5950.201366.

Abstract

AIMS AND OBJECTIVES

Successful preservation of the edentulous ridge after extraction may eliminate or reduce the need for ridge augmentation procedures. It is proved that grafting of fresh extraction sockets with bone grafts promotes ridge preservation. An objective method of maintaining height and width of alveolar ridge using mesenchymal stem cells (MSCs) seeded on collagen membrane was implemented in this study.

METHODOLOGY

Ten bilaterally symmetrical extraction sockets scheduled for extraction were selected for this study. Involved teeth were extracted atraumatically and the sockets were curetted. MSCs seeded on collagen membrane were placed in the extracted socket on one side. On the other side, only collagen membrane was placed inside the socket. Both the sockets were closed primarily with nonresorbable sutures. Buccolingual and mesiodistal widths of the ridges at three different levels (2 mm below cementoenamel junction [CEJ], 5 mm below CEJ, and 8 mm below CEJ) were assessed immediately after extraction and postoperatively at 3 and 6 months.

RESULTS

There was statistically significant observation in maintaining the alveolar ridge width in the grafted site when compared to the nongrafted site.

CONCLUSION

Socket healing procedure using MSCs and collagen membrane was successful in maintaining width of alveolar socket.

摘要

目的

拔牙后成功保留无牙颌牙槽嵴可消除或减少牙槽嵴增量手术的需求。已证实用骨移植材料填充新鲜拔牙窝可促进牙槽嵴保留。本研究采用一种客观方法,即使用接种于胶原膜上的间充质干细胞(MSCs)来维持牙槽嵴的高度和宽度。

方法

本研究选取了10个计划拔牙的双侧对称拔牙窝。无创伤地拔除患牙并刮治拔牙窝。将接种于胶原膜上的MSCs放置于一侧的拔牙窝内。另一侧仅在拔牙窝内放置胶原膜。两个拔牙窝均用不可吸收缝线一期缝合。在拔牙后即刻以及术后3个月和6个月,评估牙槽嵴在三个不同水平(釉牙骨质界[CEJ]下方2mm、CEJ下方5mm和CEJ下方8mm)的颊舌向和近远中向宽度。

结果

与未移植部位相比,移植部位在维持牙槽嵴宽度方面有统计学意义上的显著差异。

结论

使用MSCs和胶原膜的拔牙窝愈合程序成功维持了牙槽窝的宽度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19f2/5357932/06d3e08d97ec/NJMS-7-159-g001.jpg

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