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重组人骨形态发生蛋白-2注入型可吸收胶原海绵、重组人骨形态发生蛋白-2包被的磷酸三钙以及富血小板纤维蛋白混合磷酸三钙用于兔鼻窦增高的比较。

Comparison of recombinant human bone morphogenetic protein-2-infused absorbable collagen sponge, recombinant human bone morphogenetic protein-2-coated tricalcium phosphate, and platelet-rich fibrin-mixed tricalcium phosphate for sinus augmentation in rabbits.

作者信息

Kim Chul-Hun, Ju Mi-Ha, Kim Bok-Joo

机构信息

Department of Oral and Maxillofacial Surgery, Assistant Professor, Dong-a Univ. College of Medicine, Busan, South Korea.

Department of Pathology, Faculty of Pathology, Dong-a University College of Medicine, Busan, South Korea.

出版信息

J Dent Sci. 2017 Sep;12(3):205-212. doi: 10.1016/j.jds.2017.01.003. Epub 2017 Apr 25.

DOI:10.1016/j.jds.2017.01.003
PMID:30895052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6400000/
Abstract

BACKGROUND/PURPOSE: Numerous grafting materials have been used in the bone regeneration of maxillary sinus to obtain a sufficient amount of new bone in implant dentistry. The objective of this study was to compare the potentials of Type I absorbable collagen sponge (ACS) impregnated with recombinant human bone morphogenetic protein (rhBMP)-2, rhBMP-2-coated tricalcium phosphate (TCP), platelet-rich fibrin-mixed TCP for enhancing bone regeneration in sinus augmentation in rabbits.

MATERIALS AND METHODS

The sinus defects were grafted with rhBMP-2+ACS (Group A), rhBMP-2-coated TCP (Group B), and platelet-rich fibrin-mixed TCP (Group C). The specimens underwent decalcification, and were stained for histomorphometric analysis.

RESULTS

There were no significant differences in inflammatory features among the groups 1-week postoperation. In a histomorphometric analysis, the new bone formation ratio showed significant differences between groups at 2 weeks. rhBMP-2+ACS showed a larger and more rapid bone formation area at 2 weeks than those of Groups B and C.

CONCLUSION

Our histological evaluation demonstrates that Type I ACS can be used as a carrier of rhBMP-2, and rhBMP-2+ACS showed rapid bone formation, remodeling, and calcification at Week 2 in rabbit.

摘要

背景/目的:在种植牙科中,为了在上颌窦骨再生过程中获得足够量的新骨,已使用了多种移植材料。本研究的目的是比较浸渍有重组人骨形态发生蛋白(rhBMP)-2的I型可吸收胶原海绵(ACS)、rhBMP-2包被的磷酸三钙(TCP)、富含血小板纤维蛋白混合TCP在兔上颌窦提升术中促进骨再生的潜力。

材料与方法

用rhBMP-2+ACS(A组)、rhBMP-2包被的TCP(B组)和富含血小板纤维蛋白混合TCP(C组)移植鼻窦缺损处。标本进行脱钙处理,并进行组织形态计量学染色分析。

结果

术后1周时,各组间炎症特征无显著差异。组织形态计量学分析显示,2周时各组间新骨形成率存在显著差异。rhBMP-2+ACS在2周时的骨形成面积比B组和C组更大且更快。

结论

我们的组织学评估表明,I型ACS可作为rhBMP-2的载体,且rhBMP-2+ACS在兔实验中第2周时显示出快速的骨形成、重塑和钙化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/ee0a28420fa1/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/c7edb3ae48d2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/d975f7920678/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/dc77a892fb2e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/24f82b4be067/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/89cf75c99b2e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/e7b1ea069f33/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/ee0a28420fa1/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/c7edb3ae48d2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/d975f7920678/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/dc77a892fb2e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/24f82b4be067/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/89cf75c99b2e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/e7b1ea069f33/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a384/6400000/ee0a28420fa1/gr7.jpg

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