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左旋丙交酯-ε-己内酯共聚物膜对牙槽骨保存的影响:采用开放愈合方法的比较研究。

The effect of l-lactide-ε-caprolactone copolymer membrane on alveolar bone preservation: A comparative study using the open healing approach.

作者信息

Takabayashi Masayuki, Yahata Yoshio, Handa Keisuke, Kyaw Moe Sandar, Suresh Venkata Venkataih, Saito Masahiro

机构信息

Division of Operative Dentistry, Department of Ecological Dentistry, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8575, Japan.

Division of Molecular Biology and Oral Biochemistry, Department of Oral Science, Graduate School of Dentistry, Kanagawa Dental University, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan.

出版信息

Regen Ther. 2025 May 13;30:20-30. doi: 10.1016/j.reth.2025.04.007. eCollection 2025 Dec.

DOI:10.1016/j.reth.2025.04.007
PMID:40487228
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12141835/
Abstract

INTRODUCTION

This study evaluated the efficacy of a resorbable l-lactide-ε-caprolactone copolymer (PLCL) membrane in promoting epithelial healing and preserving alveolar bone morphology using the open healing approach (OHA), compared to conventional membranes.

METHODS

Extraction sockets in beagle dogs were filled with bone substitute material and covered with different membranes. Healing was assessed via histological analysis and micro-CT imaging.

RESULTS

The PLCL membrane reduced bone resorption and preserved alveolar bone morphology better than conventional membranes. Histological analysis showed excellent epithelial healing and notable bone formation.

CONCLUSIONS

The PLCL membrane effectively prevents infection, supports epithelial healing, and preserves alveolar bone morphology in OHA procedures.

摘要

引言

本研究评估了一种可吸收的左旋丙交酯-ε-己内酯共聚物(PLCL)膜在使用开放愈合方法(OHA)促进上皮愈合和保留牙槽骨形态方面的疗效,并与传统膜进行了比较。

方法

在比格犬的拔牙窝中填充骨替代材料,并用不同的膜覆盖。通过组织学分析和显微CT成像评估愈合情况。

结果

与传统膜相比,PLCL膜能更好地减少骨吸收并保留牙槽骨形态。组织学分析显示上皮愈合良好且有显著的骨形成。

结论

PLCL膜在OHA手术中能有效预防感染,支持上皮愈合并保留牙槽骨形态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/d509c68a06c6/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/0fb5d1e9aa63/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/90ca4e5212a2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/9965055c8ded/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/7ccd797e8198/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/b6bb89dfbf70/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/b67ccd52042f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/235c2b866618/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/d509c68a06c6/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/0fb5d1e9aa63/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/90ca4e5212a2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/9965055c8ded/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/7ccd797e8198/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/b6bb89dfbf70/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/b67ccd52042f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/235c2b866618/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dafa/12141835/d509c68a06c6/gr8.jpg

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本文引用的文献

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Membrane barriers for guided bone regeneration: An overview of available biomaterials.引导性骨再生中的膜屏障:现有生物材料概述。
Periodontol 2000. 2023 Oct;93(1):56-76. doi: 10.1111/prd.12502. Epub 2023 Oct 19.
3
Pathogenesis and treatment of wound healing in patients with diabetes after tooth extraction.
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4
Effect of Different Membranes on Vertical Bone Regeneration: A Systematic Review and Network Meta-Analysis.不同膜材料对垂直骨再生影响的系统评价和网状 Meta 分析。
Biomed Res Int. 2022 Jul 14;2022:7742687. doi: 10.1155/2022/7742687. eCollection 2022.
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Poly(lactic acid/caprolactone) bilayer membrane blocks bacterial penetration.聚(乳酸/己内酯)双层膜阻止细菌渗透。
J Periodontal Res. 2022 Jun;57(3):510-518. doi: 10.1111/jre.12980. Epub 2022 Feb 25.
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Clinical comparison of different flap advancement techniques to periosteal releasing incision in guided bone regeneration: A randomized controlled trial.不同皮瓣推进技术与引导骨再生骨膜切开术的临床比较:一项随机对照试验。
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