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富含辛伐他汀的聚-3-羟基丁酸酯在拔牙后骨再生中的疗效(实验研究)

Efficacy of Poly-3-Hydroxybutyrate Enriched with Simvastatin in Bone Regeneration after Tooth Extraction (Experimental Study).

作者信息

Salekh K M, Muraev A A, Dolgalev A A, Dymnikov A B, Bonartseva G A, Makhina T K, Chesnokova D V, Voinova V V, Bonartsev A P, Mokrenko M E, Ivanov S Y

机构信息

PhD Student, Department of Maxillofacial Surgery and Surgical Dentistry; The Patrice Lumumba Peoples' Friendship University of Russia, 6 Miklukho-Maklaya St., Moscow, 117198, Russia.

MD, DSc, Professor, Department of Maxillofacial Surgery and Surgical Dentistry; The Patrice Lumumba Peoples' Friendship University of Russia, 6 Miklukho-Maklaya St., Moscow, 117198, Russia.

出版信息

Sovrem Tekhnologii Med. 2024;16(5):27-33. doi: 10.17691/stm2024.16.5.03. Epub 2024 Oct 30.

Abstract

UNLABELLED

Physiological resorption of bone tissue after tooth extraction leads to a decrease in the volume of bone tissue available for implantation and makes it difficult to install dental implants. Preservation of the well after tooth extraction is the solution to this problem, with the choice of bone plastic material playing an important role. The development of an "ideal" bone plastic material with osteoinductive properties that promotes reparative bone regeneration remains an urgent task. was to evaluate the regeneration of bone tissue of the alveolar ridge during implantation of a new osteoinductive bone plastic material containing simvastatin into the wells of extracted teeth in sheep using microcomputer tomography.

MATERIALS AND METHODS

The study was conducted on 24 adult sheep with a total of 48 teeth removed. 12 wells were filled with material based on poly(3-hydroxybutyrate) (PHB) with simvastatin; 12 wells were filled with PHB-based material without simvastatin, 24 wells were used as a control. Micro-CT was used for comparative analysis of bone tissue formation between the test groups after 3 and 6 months.

RESULTS

The results of the study confirm the positive effect of simvastatin released from the PHB-based osteoplastic material on the volume of the formed bone tissue and the total bone volume in the defect area (BV/TV) and bone mineral density (BMD) 3 and 6 months after surgery.

CONCLUSION

The study demonstrated that simvastatin, released from the PHB-based osteoplastic material, has an osteoinductive effect, promoting bone tissue regeneration in the wells left after tooth removal. Higher BV/TV and BMD values in the wells indicate better efficacy of the material in terms of regeneration support.

摘要

未标注

拔牙后骨组织的生理性吸收会导致可用于植入的骨组织体积减少,进而难以安装牙种植体。拔牙后保留牙槽窝是解决该问题的方法,其中骨塑形材料的选择起着重要作用。开发具有促进修复性骨再生的骨诱导特性的“理想”骨塑形材料仍然是一项紧迫的任务。本研究旨在使用微型计算机断层扫描技术评估一种含有辛伐他汀的新型骨诱导骨塑形材料植入绵羊拔牙窝后牙槽嵴骨组织的再生情况。

材料与方法

对24只成年绵羊进行研究,共拔除48颗牙齿。12个牙槽窝填充含辛伐他汀的聚(3-羟基丁酸酯)(PHB)基材料;12个牙槽窝填充不含辛伐他汀的PHB基材料,24个牙槽窝作为对照。在3个月和6个月后,使用微型计算机断层扫描对试验组之间的骨组织形成进行对比分析。

结果

研究结果证实,从PHB基骨塑形材料中释放的辛伐他汀对术后3个月和6个月时形成的骨组织体积、缺损区域的总骨体积(BV/TV)和骨矿物质密度(BMD)具有积极影响。

结论

该研究表明,从PHB基骨塑形材料中释放的辛伐他汀具有骨诱导作用,可促进拔牙后牙槽窝内的骨组织再生。牙槽窝中较高的BV/TV和BMD值表明该材料在支持再生方面具有更好的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/552c/11784884/a63cf4c1666f/STM-16-5-03-f1.jpg

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