乳牙牙髓干细胞用于唇腭裂患者上颌牙槽骨重建
Deciduous Dental Pulp Stem Cells for Maxillary Alveolar Reconstruction in Cleft Lip and Palate Patients.
作者信息
Tanikawa Daniela Y S, Pinheiro Carla C G, Almeida Maria Cristina A, Oliveira Claudia R G C M, Coudry Renata de Almeida, Rocha Diógenes Laercio, Bueno Daniela Franco
机构信息
Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brazil.
Departamento de Fissura Lábio Palatina, Hospital Municipal Infantil Menino Jesus, São Paulo, SP, Brazil.
出版信息
Stem Cells Int. 2020 Mar 12;2020:6234167. doi: 10.1155/2020/6234167. eCollection 2020.
BACKGROUND
To reduce morbidity to cleft patients, new approaches have been developed and here, we report for the first time the use of deciduous dental pulp stem cells (DDPSC) associated with a hydroxyapatite-collagen sponge (Bio-Oss Collagen® 250 mg, Geistlich) for closing alveolar defects during secondary dental eruption, further comparing these results to historical controls.
METHODS
Six patients, aged 8 to 12, were selected. Autologous DDPSC were isolated from each patient, then associated with the biomaterial and this bone tissue engineered set was used to fill the alveolar defect. Computed tomography was performed to assess both preoperative and 6- and 12-month postoperative outcomes. Overall morbidity was recorded. Historical controls consisted of sixteen patients previously selected and randomly assigned to group one (rhBMP-2) or group two (iliac crest bone graft).
RESULTS
DDPSC could be isolated and characterized as mesenchymal stem cells. Progressive alveolar bone union has occurred in all patients. Similarly to group two 75.4%, SD ± 4.0, > 0.999, but statistically different from group one (59.6%, SD ± 9.9, > 0.999, but statistically different from group one (59.6%, SD ± 9.9.
CONCLUSION
For this selected group of patients, DDPSC therapy resulted in satisfactory bone healing with excellent feasibility and safety, which adds significantly to the prospect of stem cell use in clinical settings. . Therapeutic, II. This trial is registered with https://clinicaltrials.gov/ct2/show/NCT01932164?term=NCT01932164&rank=1.
背景
为降低腭裂患者的发病率,已开发出新方法,在此,我们首次报告使用乳牙牙髓干细胞(DDPSC)与羟基磷灰石 - 胶原海绵(Bio - Oss Collagen® 250mg,盖氏公司)联合,在恒牙萌出期闭合牙槽骨缺损,并将这些结果与历史对照进行比较。
方法
选取6例8至12岁的患者。从每位患者中分离出自体DDPSC,然后与生物材料联合,将这种骨组织工程组合用于填充牙槽骨缺损。进行计算机断层扫描以评估术前以及术后6个月和12个月的结果。记录总体发病率。历史对照由先前选取并随机分配到第一组(重组人骨形态发生蛋白 - 2)或第二组(髂嵴骨移植)的16例患者组成。
结果
DDPSC可被分离并鉴定为间充质干细胞。所有患者均出现了渐进性牙槽骨愈合。与第二组相似(75.4%,标准差±4.0,>0.999),但与第一组在统计学上有差异(59.6%,标准差±9.9,>0.999)。
结论
对于该选定的患者组,DDPSC治疗导致了令人满意的骨愈合,具有出色的可行性和安全性,这显著增加了干细胞在临床应用中的前景。治疗性,II期。本试验已在https://clinicaltrials.gov/ct2/show/NCT01932164?term=NCT01932164&rank=1注册。