用于牙槽窝无牙颌骨保存的含与不含富生长因子血浆的CenoBone的临床、组织学和组织形态计量学比较
Clinical, histological, and histomorphometrical comparison of CenoBone with and without plasma rich in growth factor for edentulous ridge preservation in the dental sockets.
作者信息
Keshavarzi Farshad, Ahrari Fateme, Seyedmajidi Maryam, Ziaei Maryam, Bijani Ali, Jenabian Niloofar
机构信息
Department of Periodontology, Reaserch Committte, Babol University of Medical Sciences, Babol, Iran.
Dental Materials Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
出版信息
Dent Res J (Isfahan). 2023 Feb 14;20:26. doi: 10.4103/1735-3327.369628. eCollection 2023.
BACKGROUND
The aim of this study was to compare the clinical, histological, and histomorphometrical outcomes of CenoBone allograft with and without plasma rich in growth factor (PRGF) for the preservation of edentulous ridge in the dental sockets.
MATERIALS AND METHODS
This study is experimental clinical trial that 14 dental sockets were included the sockets required ridge preservation followed by implant placement in the premolar and molar of the mandible. After extraction of the teeth, the CenoBone allograft and PRGF were used in the test group and CenoBone allograft was used alone in the control group. During the first stage of surgery and 5 months later, in the second stage of surgery (implant placement), the vertical changes of the ridge were measured. Furthermore, using Core-Biopsy in the second stage of surgery, criteria of histologic and histomorphometric were determined. Data were analyzed with -test, Mann-Whitney -test, and Fisher's exact test at the level of significance of < 0.05.
RESULTS
The mean trabecular thickness in the test group (52.18 ± 5.53) was significantly higher than that in the control group (41.53 ± 10.40) ( = 0.344). However, there were no significant differences in the mean values of vertical bone absorption, bone percentage, remaining biomaterials, inflammation, and blood vessels between the two groups. There was no case of foreign body reaction and the bone was vital in all the cases and in direct contact with the biomaterial.
CONCLUSION
Although CenoBone allograft with PRGF was effective in some histomorphometric factors such as trabecular thickness, it did not lead to significant clinical changes.
背景
本研究的目的是比较使用和不使用富含生长因子的血浆(PRGF)的CenoBone同种异体骨在牙槽窝中保留无牙颌骨嵴的临床、组织学和组织形态计量学结果。
材料与方法
本研究为实验性临床试验,纳入14个需要保留骨嵴并随后在下颌前磨牙和磨牙区植入种植体的牙槽窝。拔牙后,试验组使用CenoBone同种异体骨和PRGF,对照组单独使用CenoBone同种异体骨。在第一阶段手术时以及5个月后的第二阶段手术(种植体植入)时,测量骨嵴的垂直变化。此外,在第二阶段手术中采用核心活检确定组织学和组织形态计量学标准。数据采用t检验、Mann-Whitney U检验和Fisher精确检验进行分析,显著性水平为P<0.05。
结果
试验组的平均小梁厚度(52.18±5.53)显著高于对照组(41.53±10.40)(P = 0.344)。然而,两组之间在垂直骨吸收、骨百分比、剩余生物材料、炎症和血管平均值方面没有显著差异。没有异物反应的病例,所有病例中的骨均有活力且与生物材料直接接触。
结论
尽管含PRGF的CenoBone同种异体骨在一些组织形态计量学因素如小梁厚度方面有效,但并未导致显著的临床变化。