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光生物调节疗法对健康犬非活髓成熟恒牙再生潜力的影响。

Influence of photobiomodulation therapy on regenerative potential of non-vital mature permanent teeth in healthy canine dogs.

作者信息

Khattab S F, Gomaa Y F, Abdelaziz E A E, Khattab N M A

机构信息

Ministry of Interior, Cairo, Egypt.

Faculty of Dentistry, Minia University, El Minia, Egypt.

出版信息

Eur Arch Paediatr Dent. 2025 Jan 31. doi: 10.1007/s40368-025-01000-1.

Abstract

PURPOSE

The purpose of this study is to evaluate the influence of photobiomodulation therapy on the regenerative potential of non-vital mature permanent teeth of healthy Canine dogs.

METHODS

54 mature roots, obtained from 27 premolars, in dogs, were selected and divided into three equal groups where Group I received regenerative endodontic procedures (REPs) using blood clot as a scaffold (positive control), Group II received similar treatment as Group I, followed by photobiomodulation therapy (study group) and Group III did not receive any intervention (negative control). Each group was further divided into three equal subgroups for the evaluation of the vascular area percentage and fibroblast count at 3 different intervals; 3, 10, and 15 weeks. Statistical analysis was performed with R statistical analysis software version 4.1.3 RESULTS: Data analysis for vascular area percentages, revealed an insignificant increase in mean values at 3 and 10 weeks for both the positive control and study group, and all values were significantly lower than the negative control (p < 0.001). At 15 weeks, there was an insignificant difference between the study group and the negative control group, with mean values was 9.76 ± 2.25, and 11.97 ± 2.37, respectively. However, both values were significantly higher than the positive control group (2.47 ± 1.0), (p < 0.001). Regarding fibroblast count, there was a gradual increase in mean values recorded at different intervals, reaching its maximum at the 15th week period; they were 41.40 ± 1.14, 56.60 ± 6.11 and 44.67 ± 17.04 for positive control, study group, and negative control respectively, with insignificant differences between the study group and negative control.

CONCLUSION

The results of this study support the revascularization of non-vital mature permanent teeth as an alternative treatment modality. Photobiomodulation could improve the construction of regenerated blood vessels and fibroblasts. However, further studies with longer flow-up periods and different animal models are recommended.

摘要

目的

本研究旨在评估光生物调节疗法对健康犬非活髓成熟恒牙再生潜力的影响。

方法

从27颗犬前磨牙中获取54个成熟牙根,将其分为三组,每组数量相等。第一组使用血凝块作为支架进行再生性牙髓治疗程序(REPs)(阳性对照组),第二组接受与第一组相似的治疗,随后进行光生物调节疗法(研究组),第三组不接受任何干预(阴性对照组)。每组再进一步分为三个相等的亚组,用于在3个不同时间间隔(3周、10周和15周)评估血管面积百分比和成纤维细胞计数。使用R统计分析软件版本4.1.3进行统计分析。结果:血管面积百分比的数据分析显示,阳性对照组和研究组在3周和10周时平均值的增加不显著,且所有值均显著低于阴性对照组(p < 0.001)。在15周时,研究组与阴性对照组之间存在不显著差异,平均值分别为9.76±2.25和11.97±2.37。然而,这两个值均显著高于阳性对照组(2.47±1.0)(p < 0.001)。关于成纤维细胞计数,在不同时间间隔记录的平均值逐渐增加,在第15周达到最大值;阳性对照组、研究组和阴性对照组分别为41.40±1.14、56.60±6.11和44.67±17.04,研究组与阴性对照组之间差异不显著。

结论

本研究结果支持将非活髓成熟恒牙的血管再生作为一种替代治疗方式。光生物调节可改善再生血管和成纤维细胞的构建。然而,建议进行更长随访期和不同动物模型的进一步研究。

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