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一种使用浓缩生长因子再生青少年骨缺损的新方法:一年随访。

A novel approach to regenerate bone loss in an adolescent using concentrated growth factors: One-year follow-up.

作者信息

Mathew Mebin George, Soni Ashu Jagdish, Khan Md Muzammil, Kauser Afreen

机构信息

Department of Pedodontics and Preventive Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.

Department of Pediatric Dentistry, Dr. Ashu's Dental Clinic, Vadodara, Gujarat, India.

出版信息

J Family Med Prim Care. 2020 Jan 28;9(1):428-431. doi: 10.4103/jfmpc.jfmpc_919_19. eCollection 2020 Jan.

DOI:10.4103/jfmpc.jfmpc_919_19
PMID:32110631
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7014901/
Abstract

Destructive periodontal diseases are rare occurrences in the paediatric population. Moreover, the regenerative potential of the periodontal tissues and supporting structures of teeth is even rare, once irreversible damage has occurred. The aim of this paper is to discuss the regeneration of alveolar bone defect in a 14-year-old using concentrated growth factors (CGF). Following crown removal, scaling, debridement and site preparation, CGF was placed and secured in one-walled defect in the mesial side of the lower right permanent molar. The crown was replaced on to the tooth and the patient was followed up at 1, 3, 6, 9 and 12 months for clinical and radiographic evaluation. After 12 months, the radiographic evaluation revealed the defect to be filled with alveolar bone and probing pocket depth had reduced significantly. Thus, CGF can be an effective agent and can act as a potential scaffold for periodontal regeneration in adolescents with bone loss.

摘要

破坏性牙周疾病在儿童群体中较为罕见。此外,一旦发生不可逆损伤,牙周组织和牙齿支持结构的再生潜力更是微乎其微。本文旨在探讨使用浓缩生长因子(CGF)对一名14岁患者的牙槽骨缺损进行再生治疗。在去除牙冠、进行洁治、刮治和术区准备后,将CGF放置并固定于右下第一恒磨牙近中侧的单壁缺损处。将牙冠重新安装到牙齿上,并在1、3、6、9和12个月时对患者进行随访,以进行临床和影像学评估。12个月后,影像学评估显示缺损处已被牙槽骨填充,探诊袋深度显著降低。因此,CGF可以成为一种有效的制剂,并可作为青少年骨丧失患者牙周再生的潜在支架材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e226/7014901/cfb268bb1b08/JFMPC-9-428-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e226/7014901/cfb268bb1b08/JFMPC-9-428-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e226/7014901/cfb268bb1b08/JFMPC-9-428-g001.jpg

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本文引用的文献

1
Concentrated Growth Factors as an Ingenious Biomaterial in Regeneration of Bony Defects after Periapical Surgery: A Report of Two Cases.浓缩生长因子作为根尖手术后骨缺损再生的一种创新生物材料:两例报告
Case Rep Dent. 2019 Jan 22;2019:7046203. doi: 10.1155/2019/7046203. eCollection 2019.
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Concentrated growth factor exudate enhances the proliferation of human periodontal ligament cells in the presence of TNF‑α.浓缩生长因子渗出物在 TNF-α 存在的情况下增强人牙周韧带细胞的增殖。
Mol Med Rep. 2019 Feb;19(2):943-950. doi: 10.3892/mmr.2018.9714. Epub 2018 Dec 3.
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Cytokine release kinetics of concentrated growth factors in different scaffolds.
不同支架中浓缩生长因子的细胞因子释放动力学。
Clin Oral Investig. 2019 Apr;23(4):1663-1671. doi: 10.1007/s00784-018-2582-z. Epub 2018 Aug 27.
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Effect of Concentrated Growth Factor (CGF) on the Promotion of Osteogenesis in Bone Marrow Stromal Cells (BMSC) in vivo.浓缩生长因子(CGF)对体内骨髓基质细胞(BMSC)成骨作用的影响。
Sci Rep. 2018 Apr 12;8(1):5876. doi: 10.1038/s41598-018-24364-5.
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Inhibition of TGF-β Signaling in SHED Enhances Endothelial Differentiation.抑制 SHED 中的 TGF-β 信号通路可增强血管内皮细胞分化。
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Growth factor and pro-inflammatory cytokine contents in platelet-rich plasma (PRP), plasma rich in growth factors (PRGF), advanced platelet-rich fibrin (A-PRF), and concentrated growth factors (CGF).富含血小板血浆(PRP)、富含生长因子血浆(PRGF)、高级富含血小板纤维蛋白(A-PRF)和浓缩生长因子(CGF)中的生长因子和促炎细胞因子含量。
Int J Implant Dent. 2016 Dec;2(1):19. doi: 10.1186/s40729-016-0052-4. Epub 2016 Aug 22.
7
Early Bone Formation at a Femur Defect Using CGF and PRF Grafts in Adult Dogs: A Comparative Study.成年犬股骨缺损处使用浓缩生长因子(CGF)和富血小板纤维蛋白(PRF)移植物的早期骨形成:一项比较研究。
Implant Dent. 2016 Jun;25(3):387-93. doi: 10.1097/ID.0000000000000423.
8
Common periodontal diseases of children and adolescents.儿童和青少年常见的牙周疾病。
Int J Dent. 2014;2014:850674. doi: 10.1155/2014/850674. Epub 2014 Jun 26.
9
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