Platelet-derived growth factor applications in periodontal and peri-implant bone regeneration.

Platelet-derived growth factor applications in periodontal and peri-implant bone regeneration.
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DOI:
10.1517/14712598.2011.554814
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发表时间:
2011-03
影响因子:
4.6
通讯作者:
Giannobile WV
Giannobile WV
中科院分区:
医学3区
文献类型:
--
作者:
Kaigler D;Avila G;Wisner-Lynch L;Nevins ML;Nevins M;Rasperini G;Lynch SE;Giannobile WV

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根据传统的治疗方案,结合骨移植和屏障膜,实现成功的组织再生,在某些临床情况下可能是具有挑战性的。对牙周和种植体周围伤口愈合的深入了解和组织工程领域的最新进展使临床医生能够采用新的方法来获得可预测的临床结果。将重组人血小板衍生生长因子-BB(RhPDGF)等生长因子与生物相容的基质结合起来促进组织再生,是牙周学和种植学领域的一种很有前途的方法。该综述涵盖了骨和牙周再生的基本原理,并概述了PDGF的生物学及其在常规临床实践中可预测和可重复地促进骨再生的潜力。对评估生长因子增强型基质有效性的临床前和临床人体研究结果进行了分析和讨论。目前可用的证据支持使用重组人PDGF增强基质来促进牙周和种植体周围骨再生。
Achieving successful tissue regeneration following traditional therapeutic protocols, combining bone grafts and barrier membranes, may be challenging in certain clinical scenarios. A deeper understanding of periodontal and peri-implant wound healing and recent advances in the field of tissue engineering have enabled clinicians with novel means to obtain predictable clinical outcomes. The use of growth factors such as recombinant human platelet-derived growth factor-BB (rhPDGF) with biocompatible matrices to promote tissue regeneration represents a promising approach in the disciplines of periodontology and implantology. This review covers the basic principles of bone and periodontal regeneration, and provides overview of the biology of PDGF and its potential to predictably and reproducibly promote bone regeneration in regular clinical practice. The results of preclinical and clinical human studies evaluating the effectiveness of growth factor-enhanced matrices are analyzed and discussed. Current available evidence supports the use of rhPDGF-enhanced matrices to promote periodontal and peri-implant bone regeneration.
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