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异体犬牙周膜源性细胞的细胞治疗在临界尺寸缺损的牙周再生中的应用。

Cell therapy with allogenic canine periodontal ligament-derived cells in periodontal regeneration of critical size defects.

机构信息

Section of Periodontology, Faculty of Odontology, University Complutense of Madrid, Madrid, Spain.

Department of Cellular and Molecular Medicine, Centro de Investigaciones Biologicas (CIB-CSIC), Madrid, Spain.

出版信息

J Clin Periodontol. 2018 Apr;45(4):453-461. doi: 10.1111/jcpe.12863. Epub 2018 Jan 29.

Abstract

AIM

The objective of this in vivo experimental study to evaluate the regenerative potential of a cell therapy combining allogenic periodontal ligament-derived cells within a xenogeneic bone substitute in a similar experimental model.

METHODS

In nine beagle dogs, critical size 6-mm supra-alveolar periodontal defects were created around the PIII and PIV. The resulting supra-alveolar defects were randomly treated with either 1.4 × 10 allogenic canine periodontal ligament-derived cells seeded on de-proteinized bovine bone mineral with 10% collagen (DBBM-C) (test group) or DBBM-C without cells (control group). Specimens were obtained at 3 months, and histological outcomes were studied.

RESULTS

The histological analysis showed that total furcation closure occurred very seldom in both groups, being the extent of periodontal regeneration located in the apical third of the defect. The calculated amount of periodontal regeneration at the furcation area was comparable in both the test and control groups (1.93 ± 1.14 mm (17%) versus 2.35 ± 1.74 mm (22%), respectively (p = .37). Similarly, there were no significant differences in the amount of new cementum formation 4.49 ± 1.56 mm (41%) versus 4.97 ± 1.05 mm (47%), respectively (p = .45).

CONCLUSIONS

This experimental study was unable to demonstrate the added value of allogenic cell therapy in supra-crestal periodontal regeneration.

摘要

目的

本体内实验研究旨在评估将同种异体牙周膜细胞与异种骨替代物结合的细胞疗法在类似实验模型中的再生潜力。

方法

在 9 只比格犬中,在上颌第三磨牙和第四磨牙周围创建了 6mm 临界尺寸的牙槽嵴顶牙周缺损。将产生的牙槽嵴顶缺损随机用以下两种方法处理:用 1.4×10 个同种异体犬牙周膜来源细胞接种在含 10%胶原的去蛋白牛骨矿物质(DBBM-C)(实验组)或不含细胞的 DBBM-C(对照组)。在 3 个月时获取标本,并进行组织学评估。

结果

组织学分析表明,两组中很少出现完全性牙周附着愈合,牙周再生的程度位于缺损的根尖三分之一。在实验组和对照组中,分叉区的牙周再生量相当(分别为 1.93±1.14mm(17%)和 2.35±1.74mm(22%)(p=0.37)。同样,新牙骨质形成量也没有显著差异(分别为 4.49±1.56mm(41%)和 4.97±1.05mm(47%)(p=0.45)。

结论

本实验研究未能证明同种异体细胞疗法在牙槽嵴顶牙周再生中的附加价值。

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