Department of Oral Medicine, Periodontology, Oral Diagnosis and Radiology, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
J Periodontol. 2018 Nov;89(11):1340-1350. doi: 10.1002/JPER.17-0685. Epub 2018 Sep 4.
Complementary and alternative medicine approaches are gaining ground in everyday practice. Propolis is a bee product that has been suggested to have bone regenerative effects. This study was conducted to compare the effectiveness of Egyptian propolis with nanohydroxyapatite graft on furcation defect regeneration in mongrel dogs.
A split mouth design was utilized in six clinically healthy mongrel dogs. A total of 24 Class II furcation defects were surgically created in mandibular third and fourth premolars. The defects on the right side were filled with nanohydroxyapatite graft and covered with collagen membrane, while on the left side the defects were filled with propolis and also covered with collagen membrane. The dogs were sacrificed after 1 and 3 months. Segments containing the defects were prepared for histological evaluation.
The histological evaluation after one month revealed newly formed bone in both treatment groups. However, after 3 months, the bone trabeculae appeared thinner in the collagen/nanohydroxyapatite group than in the collagen/propolis group. The histomorphometric evaluation showed a significant increase in bone height as well as bone surface area for the collagen/propolis group compared to collagen/nanohydroxyapatite group.
Both Egyptian propolis and nanohydroxyapatite graft material showed favorable periodontal regenerative effect. Propolis showed increased cellular proliferative ability that could be beneficial in reducing the healing period needed after periodontal therapy.
补充和替代医学方法在日常实践中越来越受到重视。蜂胶是一种被认为具有骨再生作用的蜂产品。本研究旨在比较埃及蜂胶与纳米羟基磷灰石在杂种犬分叉缺损再生中的疗效。
采用双侧半口设计,选用 6 只临床健康的杂种犬。在第三和第四下颌前磨牙上共建立 24 个 II 类分叉缺损。右侧缺损用纳米羟基磷灰石和胶原膜填充,左侧缺损用蜂胶和胶原膜填充。术后 1 个月和 3 个月处死犬,取包含缺损的标本进行组织学评价。
术后 1 个月,两组治疗后均有新骨形成。然而,3 个月后,胶原/纳米羟基磷灰石组的骨小梁比胶原/蜂胶组更薄。组织形态计量学评价显示,与胶原/纳米羟基磷灰石组相比,胶原/蜂胶组的骨高度和骨表面积显著增加。
埃及蜂胶和纳米羟基磷灰石都显示出良好的牙周再生效果。蜂胶显示出增强的细胞增殖能力,这可能有助于减少牙周治疗后所需的愈合时间。