Evaluation of a cell-permeable barrier for guided tissue regeneration combined with demineralized bone matrix.

Evaluation of a cell-permeable barrier for guided tissue regeneration combined with demineralized bone matrix.
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评估细胞渗透屏障与脱矿骨基质相结合的引导组织再生。

DOI:
10.1046/j.0905-7161.2003.00966.x
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发表时间:
2003
影响因子:
4.3
通讯作者:
T. Karring
T. Karring
中科院分区:
工程技术2区
文献类型:
--
作者:
N. Mardas;L. Kostopoulos;A. Stavropoulos;T. Karring

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目的
AIM To evaluate whether bone formation by guided tissue regeneration (GTR) and demineralized bone matrix (DBM) can be enhanced by the use of a cell-permeable Teflon barrier allowing the penetration of undifferentiated mesenchymal cells from the surrounding soft tissues. MATERIAL AND METHODS DBM was produced from the long bones of rats, and its bone-inductive properties were tested in three rats prior to the study by intramuscular implantation. Thirty, 4-month-old, male albino rats of the Wistar strain were used. Following surgical exposure of the mandibular ramus, a cell-permeable Teflon capsule, loosely packed with DBM, was placed with its opening facing the lateral surface of the ramus (test side). At the contralateral side, serving as control, a non-perforated (cell-occlusive) Teflon capsule, loosely packed with the same amount of DBM, was placed. After healing periods of 30, 60, and 120 days, groups of 10 animals were killed, and 40-70 microm thick undecalcified sections of the capsules were produced. RESULTS Computer-assisted planimetric measurements on the histological sections disclosed similar amounts of newly formed bone in both test and control capsules. After 4 months, the new bone in the control capsules occupied 45.0% of the cross-sectional area of the capsule, while it was 50.5% in the test capsules. This difference was not statistically significant (P<0.05). CONCLUSION Similar amounts of bone formed in cell-permeable and cell-occlusive capsules grafted with DBM, suggesting that invasion of undifferentiated mesenchymal cells from the surrounding soft tissues into the barrier-protected area is unnecessary for bone formation with GTR.