CGF和A-PRF对即刻种植软组织愈合的研究
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国家自然科学基金面上项目( 81571008);四川省科技计划基金资助项目(2016SZ0010)


concentrated growth factors and advancedplatelet rich fibrin on immediateimplant soft tissue healing
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    摘要:

    目的 探究浓缩生长因子(CGF)和改良型富血小板纤维蛋白(A-PRF)对比格犬即刻种植软组织缺损修复再生能力的影响。方法利用专用离心设备及压膜工具盒,制备A-PRF和CGF膜,进行组织切片染色和扫描电镜观察。实验纳入4只成年健康雄性比格犬,双侧下颌第二和第四前磨牙(P2和P4)及第二磨牙(M2)作为实验牙位,采用左右半口随机对照将六颗实验牙位分为三组:A-PRF组,CGF组,空白组。麻醉下拔除实验牙齿,行即刻种植手术。新鲜牙槽窝均常规备洞,植入3.8mm×7mm纯钛种植体,牙槽嵴表面分别对应放置A-PRF膜、CGF膜和空白处理。充分减张后,无张力严密缝合伤口。于术后1周、1月肉眼观察记录手术伤口愈合情况。在术后1月处死4只比格犬,取比格犬手术位点牙龈制作组织标本,利用免疫组化方法观测牙龈组织神经血管再生情况。 结果 A-PRF的纤维蛋白网络结构较CGF疏松。术后1月时A-PRF组和CGF组软组织愈合较空白组更好,其中A-PRF组愈合较CGF为佳。结论 A-PRF较CGF具有更佳的促软组织再生作用。

    Abstract:

    Objective This study aims to compare the repair ability of concentrated growth factors (CGF) and advancedplatelet rich fibrin (A-PRF) on regeneration of immediateimplant soft tissue defect and to provide guidance for oral clinical implantation treatment. Methods A-PRF and CGF membranes were prepared by specific centrifuge equipment and filmpressing instruments for further tissue section staining and scanning electron microscope observation. Four adult healthy male beagle dogs were enrolled in the experiment. Six selected teeth were extracted under anesthesia for immediate implant surgery, which were divided into three groups by halfmouth random control method: APRF group, CGF group and blank group. After regularly prepared implant holes, implants (3.8*7mm) were implanted and freshly prepared CGF or A-PRF membranes were put on the corresponding sites. The implants were directly implanted in the blank group without any additive. After full reduction, the wound was sutured tightly without tension. One week and one month after operation, the soft tissue healing condition was recorded. Beagle dogs were sacrificed after one month. Immunohistochemical staining was performed to explore soft tissue nerve and vessel regeneration. Results A-PRF's fibrin network structure is looser than that of CGF. The soft tissue healing of A-PRF group and CGF group was better than that of blank group, while A-PRF group performed best. Conclusion A-PRF has a better effect on promoting soft tissue regeneration than CGF. 

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  • 在线发布日期: 2020-10-22
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