阿巴巴拉肽促进牙槽缺损骨再生:体内实验研究。

IF 4.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Jessica Latimer, Birtan Yilmaz, Balazs Feher, Takahiko Shiba, Tobias Fretwurst, Bruce Mitlak, Beate Lanske, Paul Kostenuik, William V Giannobile
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引用次数: 0

摘要

目的:Abaloparatide (ABL)是一种合成甲状旁腺激素相关蛋白类似物,是一种治疗骨质疏松症的合成代谢药物。ABL增加长骨和脊柱的骨密度(BMD);然而,ABL对牙槽骨再生的影响尚不清楚。本研究在临床前啮齿类动物模型中评估了全身ABL给药对拔牙槽愈合和种植体骨整合的影响。方法:Sprague-Dawley大鼠在上颌第一磨牙(M1)拔牙时每日皮下注射ABL (25 μg/kg)或载药(VEH);动物分别接受:(1)单侧M1拔除,然后在10或42天牺牲;(2)双侧M1拔除,然后在标准化缺陷的截骨术中分阶段植入植入物,并在21或28天牺牲。结果:微计算机断层扫描(micro-CT)分析显示,ABL增加了42d再生拔牙槽骨体积分数(p = 0.004)和骨矿物质密度(BMD) (p = 0.006)。股骨显微ct证实了ABL的全身性作用,显示ABL在6 (p)后具有更大的骨小梁骨密度(BMD)。结论:在目前的啮齿动物模型中,ABL的全身性给药增强了种植体植入前拔牙窝的成骨,并加速了种植体周围愈合早期的骨形成。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Abaloparatide Enhances Bone Regeneration in Extraction Socket Dental Implant Defects: An Experimental In Vivo Study.

Objective: Abaloparatide (ABL) is a synthetic parathyroid hormone-related protein analog developed as an anabolic drug to treat osteoporosis. ABL increases bone mineral density (BMD) of the long bones and spine; however, the influence of ABL on alveolar bone regeneration remains unknown. This study assessed the effects of systemic ABL administration on tooth extraction socket healing and dental implant osseointegration in a preclinical rodent model.

Methods: Sprague-Dawley rats received daily subcutaneous injection of ABL (25 μg/kg) or vehicle (VEH) at the time of maxillary first molar (M1) extraction surgery; animals underwent either: (1) unilateral M1 extraction followed by sacrifice at 10 or 42d or (2) bilateral M1 extraction followed by staged implant placement in osteotomies with standardized defects and sacrifice at 21 or 28d.

Results: Micro-computed tomography (micro-CT) analysis demonstrated that ABL increased bone volume fraction (p = 0.004) and bone mineral density (BMD) (p = 0.006) of regenerated extraction sockets at 42d. Micro-CT of the femur validated systemic effects of ABL, showing greater trabecular BMD after 6 (p < 0.01), 9 (p < 0.001), and 14 (p < 0.001) weeks of treatment. Histomorphometry confirmed a higher mineralized bone area with ABL treatment in extraction sockets at 42d (p = 0.03) and in the regenerated peri-implant bone at 21d post-implant placement (p = 0.01) compared to control.

Conclusion: Systemic ABL administration enhances osteogenesis in extraction sockets prior to implant placement and accelerates peri-implant bone formation in the early phase of healing in the present rodent model.

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来源期刊
Clinical Oral Implants Research
Clinical Oral Implants Research 医学-工程:生物医学
CiteScore
7.70
自引率
11.60%
发文量
149
审稿时长
3 months
期刊介绍: Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.
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