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采用氩等离子体对牛骨基质进行生物活化:用于兔鼻窦提升的实验研究。

Bioactivation of Bovine Bone Matrix Using Argon Plasma: An Experimental Study for Sinus Augmentation in Rabbits.

出版信息

Int J Oral Maxillofac Implants. 2020 Jul/Aug;35(4):731-738. doi: 10.11607/jomi.8385.

Abstract

PURPOSE

To evaluate the influence of bioactivation with argon plasma of a xenograft used as graft material for sinus floor augmentation.

MATERIALS AND METHODS

Sinus floor elevation was performed in 20 rabbits using a deproteinized bovine bone mineral as graft material. The xenograft used in the test sites was bioactivated with argon plasma (plasma group), while that used in the control sites was left untreated (control group). Collagen membranes were used to cover the antrostomy. The rabbits were euthanized after 2 and 10 weeks, in groups of 10 each. A histomorphometric analysis was performed in various regions of the elevated space.

RESULTS

After 2 weeks of healing, a similar pattern of healing was observed in both groups. New bone fractions were 5.2% ± 2.9% in the plasma group and 5.0% ± 3.5% in the control group (P = .795). In this period, higher amounts of new bone were found in the region close to the sinus bone walls. After 10 weeks of healing, the amounts of new bone within the elevated space increased to 23.5% ± 7.0% and 21.3% ± 7.3% (P = .176) in the plasma and control groups, respectively. The only statistically significant difference was found in the central region, with 20.4% ± 9.7% in the plasma group and 13.2% ± 10.5% in the control group (P = .037).

CONCLUSION

The bioactivation of a xenograft using argon plasma improved bone formation within an augmented sinus, especially in the central regions, far from osteogenic sources.

摘要

目的

评估异种移植物经氩等离子体生物活化对鼻窦底提升的影响。

材料和方法

20 只兔子被用于本研究,采用脱蛋白牛骨矿物质作为移植材料进行鼻窦底提升。实验组的异种移植物采用氩等离子体进行生物活化(等离子体组),而对照组的异种移植物则未经处理(对照组)。在窦口切开处覆盖胶原膜。在第 2 周和第 10 周,每组各处死 10 只兔子。在升高的空间的不同区域进行组织形态计量分析。

结果

在愈合的第 2 周,两组的愈合模式相似。等离子体组的新生骨比例为 5.2%±2.9%,对照组为 5.0%±3.5%(P=0.795)。在这个时期,靠近窦骨壁的区域有更多的新生骨。在愈合的第 10 周,升高空间内的新生骨量增加到等离子体组的 23.5%±7.0%和对照组的 21.3%±7.3%(P=0.176)。唯一具有统计学意义的差异发生在中央区域,等离子体组为 20.4%±9.7%,对照组为 13.2%±10.5%(P=0.037)。

结论

采用氩等离子体对异种移植物进行生物活化可改善增强窦内的骨形成,尤其是在远离成骨源的中央区域。

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