Effects of Combining Plasma Rich in Growth Factors with Different Bone Grafts on Early Bone Healing: An Experimental Study.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Metehan Keskin, Mehmet Cihan Bereket, Nilüfer Özkan, Mehmet Emin Önger
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Abstract

Purpose: To histologically and radiographically investigate the effect of plasma rich in growth factor (PRGF) mixed with bone grafts on ossification in the early period.

Materials and methods: A total of 12 New Zealand male rabbits (weighing between approximately 2.5 to 3 kg) were included in this study. Subjects were randomly divided into two sets of groups: control and experiment. Autograft, DFDBA (demineralized freeze-dried bone allograft), and DBBM (deproteinized bovine bone mineral) were applied to different defects in the control groups, and autograft + PRGF, DFDBA + PRGF, and DBBM + PRGF were applied in the experimental groups. All subjects were euthanized 28 days after surgery. The volumes of the bone, new connective tissue, and new capillaries were evaluated stereologically, and the bone density in the defects was investigated radiographically.

Results: Regarding the stereologic evaluation, the volumes of the bone and capillaries were significantly higher in the experimental groups than in the control groups. In contrast, the connective tissue volume was considerably lower (P < .001, in all groups). Similarly, radiographic examinations showed that the bone density measurements in the experimental groups were higher than in the control groups. However, these differences were statistically significant only between the DFDBA + PRGF and DFDBA groups (P < .011).

Conclusions: The present study provides evidence that the addition of PRGF to autograft, DFDBA, and DBBM enhances osteogenesis in the early period compared to using these grafts alone. It also accelerates the remodeling of connective tissue to bone in defects. Int J Oral Maxillofac Implants 2023;38:569-575. doi: 10.11607/jomi.9858.

富含生长因子的血浆与不同骨移植物联合应用对早期骨愈合的影响:一项实验研究。
目的:从组织学和放射学角度研究富含生长因子(PRGF)的血浆与骨移植物混合对早期骨化的影响。材料和方法:本研究共包括12只新西兰雄兔(体重约2.5至3公斤)。受试者被随机分为两组:对照组和实验组。对照组采用自体移植物、DFDBA(软化冻干同种异体骨)和DBBM(脱蛋白牛骨矿物质)治疗不同缺损,实验组采用自体移植+PRGF、DFDBA+PRGF和DBBM+PRGF。所有受试者在手术后28天实施安乐死。对骨、新结缔组织和新毛细血管的体积进行了立体评估,并对缺陷中的骨密度进行了放射学研究。结果:在立体评价方面,实验组的骨和毛细血管体积显著高于对照组。相反,结缔组织体积显著降低(P<0.001,在所有组中)。同样,放射学检查显示,实验组的骨密度测量值高于对照组。然而,这些差异仅在DFDBA+PRGF组和DFDBA组之间具有统计学意义(P<.011)。结论:本研究提供的证据表明,与单独使用这些移植物相比,在自体移植物、DFDBA和DBBM中添加PRGF可增强早期成骨。它还加速了缺损处结缔组织到骨骼的重塑。Int J口腔颌面种植体2023;38:569-575.doi:10.11607/jomi.9858。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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