Shafieian Reihaneh, Matin Maryam Moghaddam, Rahpeyma Amin, Fazel Alireza, Sedigh Hamideh Salari, Nabavi Ariane Sadr, Hassanzadeh Halimeh, Ebrahimzadeh-Bideskan Alireza
Department of Anatomy and Cell Biology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Arch Bone Jt Surg. 2017 Nov;5(6):406-418.
Due to the known disadvantages of autologous bone grafting, tissue engineering approaches have become an attractive method for ridge augmentation in dentistry. To the best of our knowledge, this is the first study conducted to evaluate the potential therapeutic capacity of PRP-assisted hADSCs seeded on HA/TCP granules on regenerative healing response of canine alveolar surgical bone defects. This could offer a great advantage to alternative approaches of bone tissue healing-induced therapies at clinically chair-side procedures.
Cylindrical through-and-through defects were drilled in the mandibular plate of 5 mongrel dogs and filled randomly as following: I- autologous crushed mandibular bone, II- no filling material, III- HA/TCP granules in combination with PRP, and IV- PRP-enriched hADSCs seeded on HA/TCP granules. After the completion of an 8-week period of healing, radiographic, histological and histomorphometrical analysis of osteocyte number, newly-formed vessels and marrow spaces were used for evaluation and comparison of the mentioned groups. Furthermore, the buccal side of mandibular alveolar bone of every individual animal was drilled as normal control samples (n=5).
Our results revealed that hADSCs subcultured on HA/TCP granules in combination with PRP significantly promoted bone tissue regeneration as compared with those defects treated only with PRP and HA/TCP granules (<0.05).
In conclusion, our results indicated that application of PRP-assisted hADSCs could induce bone tissue regeneration in canine alveolar bone defects and thus, present a helpful alternative in bone tissue regeneration.
由于自体骨移植存在已知的缺点,组织工程方法已成为牙科中牙槽嵴增高的一种有吸引力的方法。据我们所知,这是第一项评估接种于HA/TCP颗粒上的PRP辅助人脂肪间充质干细胞(hADSCs)对犬牙槽外科骨缺损再生愈合反应的潜在治疗能力的研究。这对于临床上椅旁手术中骨组织愈合诱导疗法的替代方法可能具有很大优势。
在5只杂种犬的下颌骨板上钻出圆柱形全层缺损,并按以下方式随机填充:I - 自体粉碎下颌骨,II - 不填充材料,III - HA/TCP颗粒与PRP联合,IV - 接种于HA/TCP颗粒上的富含PRP的hADSCs。在8周愈合期结束后,通过对骨细胞数量、新形成的血管和骨髓腔进行放射学、组织学和组织形态计量学分析,对上述组进行评估和比较。此外,将每只动物下颌牙槽骨的颊侧作为正常对照样本进行钻孔(n = 5)。
我们的结果显示,与仅用PRP和HA/TCP颗粒治疗的缺损相比,接种于HA/TCP颗粒上并与PRP联合的hADSCs显著促进了骨组织再生(<0.05)。
总之,我们的结果表明,应用PRP辅助的hADSCs可诱导犬牙槽骨缺损中的骨组织再生,因此,在骨组织再生方面提供了一种有用选择。