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论文摘要

脱矿牙本质基质和脱细胞牙本质基质成骨效果的对比研究

Comparison of the osteogenic effects of demineralized dentin matrix and acellular dentin matrix

作者:达尔亚·俄尼木拜, 张迪, 古丽努尔·阿吾提

Author:Enimubai Daerya, Zhang Di, Awuti Gulinuer

收稿日期:2023-05-24          年卷(期)页码:2024,42(1):28-28-36

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:脱矿牙本质基质,脱细胞牙本质基质,骨修复,骨移植材料,

Key words:demineralized dentin matrix,acellular dentin matrix,bone repair,bone graft material,

基金项目:中华口腔医学会西部口腔医学临床科研基金(CSA-W-2020-11)

中文摘要

目的 比较骨缺损区植入脱矿牙本质基质和脱细胞牙本质基质的成骨效果。 方法 制备脱矿牙本质基质和脱细胞牙本质基质。将24只SPF级SD雄性大鼠随机分为脱矿组(A组)、脱细胞组(B组)、Bio-Oss骨粉组(C组)、空白组(D组),每组6只大鼠,在麻醉条件下制备双侧股骨骨缺损。A、B、C组大鼠分别在骨缺损区植入脱矿牙本质基质、脱细胞牙本质基质、Bio-Oss骨粉,D组大鼠不植入任何材料。术后4周和8周,每组各随机处死3只大鼠。大体观察骨缺损区愈合情况,血清学检测成骨指标骨形态发生蛋白(BMP)-2及碱性磷酸酶(ALP)浓度,影像学观察骨缺损区高密度灰色区(代表骨愈合)分布情况,组织形态学观察新骨形成情况,计算新骨形成率。 结果 术后4周和8周,大体观察见A组成骨能力较其他组活跃,血清学检测A组BMP-2及ALP浓度均高于其他组,差异有统计学意义(P<0.05)。8周时,影像学观察可见A组骨缺损区高密度灰色区分布均匀,组织形态学观察见A组排列规则的骨基质。A组4、8周时的新骨形成率分别为28.51%±0.55%、32.57%±2.28%,均高于其他组,差异有统计学意义(P<0.05)。

英文摘要

ObjectiveThis study aims to compare the osteogenic effects of implanting demineralized dentin matrix and acellular dentin matrix in bone defect areas.MethodsDemineralized dentin matrix and acellular dentin matrix were prepared. Twenty-four male SPF-grade SD rats were randomly divided into four groups: demineralized group (group A), acelluar group (group B), Bio-Oss bone powder group (group C), and blank control group (group D), with six rats in each group. All rats were subjected to general anesthesia to prepare bilateral femoral bone defects. Rats in groups A, B, and C were implanted with demineralized dentin matrix, acellular dentin matrix, and Bio-Oss bone powder at the bone defect area, respectively, while rats in group D were not implanted with any material. At 4 and 8 weeks after surgery, three rats were randomly executed in each group. The healing of the bone defect area was analyzed through gross observation. The concentrations of osteogenic indicators bone morphogenetic protein-2 (BMP-2) and alkaline phosphatase (ALP) were detected by serology. The distribution of high-density gray area (representing bone healing) in the bone defect area was observed by X-ray examination, and the formation of new bone was observed by histomorphology. The rate of new bone formation was calculated.ResultsAt 4 and 8 weeks, the bone formation ability of group A was more active than that of the other groups; the concentrations of BMP-2 and ALP in group A were higher than those in the other groups, and the differences were statistically significant (P<0 .05). at 8 weeks, the imaging observation showed that the high-density gray area in the bone defect of group a was evenly distributed. the histomorphological observation showed the regular arrangement of bone matrix in group a. the rate of new bone formation in group a was 28.51%±0.55% at 4 weeks and 32.57%±2.28% at 8 weeks, both of which were significantly higher than those in the other groups (P<0 .05).ConclusionDemineralized dentin matrix has better osteogenic potential than acellular dentin matrix.

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