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颊脂自体移植对改善牙槽窝骨再生的影响:一项体内研究。

Effect of buccal fat autotransplantation on improving the alveolar socket bone regeneration: An in-vivo study.

作者信息

Mohammadi Iman, Najafi Amir, Razavi Sayed Mohammad, Khazaei Saber, Tajmiri Golnaz

机构信息

Department of Oral and Maxillofacial Surgery, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

Oral and Maxillofacial Surgery Department, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Heliyon. 2024 Mar 13;10(6):e28131. doi: 10.1016/j.heliyon.2024.e28131. eCollection 2024 Mar 30.

Abstract

BACKGROUND

There are various materials used for socket preservation following dental extraction. The aim of the present animal study was to histologically investigate the efficacy of buccal fat autotransplantation on alveolar bone regeneration following dental extraction.

STUDY DESIGN

In this prospective, double-blind laboratory experiment with a split-mouth design, 16 mandibular second premolar teeth in eight beagle dogs were extracted, and half of the extraction sockets were randomly filled using buccal fat autotransplantation. Other samples were left untouched to heal normally by the formed blood clot. Buccal fat autotransplantation was the primary predictor variable, and the type and amount of newly formed bone were the primary outcome variables. Assessment methods were the H & E coloring technique and histomorphometric evaluation. The significance level was set at 0.05, and data was subjected to Chi-Square and Wilcoxon signed-rank tests using SAS statistical software version 9.4.

RESULTS

From the total number of 16 samples in 8 dogs, 50% of the samples in the intervention group represented inflammation with lower intensity compared to 33% in the control group; however, this difference was not considered statistically significant (Chi-Square test, P-value = 0.55). Wilcoxon test results showed no statistically significant difference between the two groups regarding the mean amount of total bone formation (Z = 0.00, P-value = 1.00).

CONCLUSION

It was inferred from the outcomes of the present study that when compared to the normal healing of the socket, buccal fat autotransplantation did not represent with superior outcome concerning the socket bone regeneration.

摘要

背景

拔牙后用于牙槽窝保存的材料多种多样。本动物研究的目的是从组织学角度研究自体颊脂移植对拔牙后牙槽骨再生的疗效。

研究设计

在这项采用双盲、分口设计的前瞻性实验室实验中,拔除了8只比格犬的16颗下颌第二前磨牙,其中一半拔牙窝随机采用自体颊脂移植填充。其他样本不做处理,任由形成的血凝块自然愈合。自体颊脂移植是主要预测变量,新形成骨的类型和数量是主要结果变量。评估方法为苏木精-伊红染色技术和组织形态计量学评估。显著性水平设定为0.05,数据使用SAS 9.4统计软件进行卡方检验和威尔科克森符号秩检验。

结果

在8只犬的16个样本中,干预组50%的样本表现为炎症,强度低于对照组的33%;然而,这种差异无统计学意义(卡方检验,P值 = 0.55)。威尔科克森检验结果显示,两组在总骨形成的平均量方面无统计学显著差异(Z = 0.00,P值 = 1.00)。

结论

从本研究结果推断,与牙槽窝正常愈合相比,自体颊脂移植在牙槽骨再生方面并未表现出更好的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c907/10958428/411840afce77/gr1.jpg

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