中国口腔种植学杂志 ›› 2018, Vol. 23 ›› Issue (4): 155-159.DOI: 10.12337/zgkqzzxzz.2018.12.001

• 专题研究 •    下一篇

富血小板纤维蛋白(PRF)促进脱位再植牙牙周膜性愈合的动物实验研究

王得利, 林洋洋, 西玉立, 王海艳, 林娜, 徐颖, 石屹, 赵青亮   

  1. 157011 牡丹江牡丹江医学院口腔基础教研室(王得利, 徐颖);牡丹江红旗医院口腔科(林洋洋, 西玉立, 王海艳, 林娜, 石屹);哈尔滨市第一医院口腔科(赵青亮)
  • 出版日期:2018-12-10 发布日期:2021-09-06
  • 通讯作者: 赵青亮
  • 基金资助:
    1. 黑龙江省省属高等学校基本科研业务费科研项目(2017-KYYWFMY-0686); 2. 牡丹江医学院教育教学改革项目(Z2016s0077); 3. 牡丹江市科学技术计划项目(G2017d2368)

Effects of platelet-rich fibrin(PRF)on periodontal ligament healing in dislocation replantation

WANG Deli, LIN Yangyang, XI Yuli, et al   

  1. Department of Oral Basic Teaching and Research, Mudanjiang Medical College,Mudanjiang 157011, Heilongjiang Province, China
  • Online:2018-12-10 Published:2021-09-06

摘要: 目的: 探讨富血小板纤维蛋白(PRF)对促进犬脱位再植牙牙周膜性愈合。方法: 选取10只成年杂种犬,间隔拔除犬上下颌前牙,建立完全性牙脱位模型。自颈静脉抽取全血,制备PRF、PRP。将脱位牙按照体外干燥放置30分钟、1小时和2小时进行随机化分组,每组的患牙分别复合PRF、PRP或不添加任何移植物进行再植,以即刻再植作为对照组。采用组织学观察评价各组患牙牙周愈合情况。结果: 第1组均表现为正常牙周膜结构;无炎性改变及炎症性吸收情况;第3组及第4组无炎性改变及炎症性吸收的发生,其正常牙周膜及表面吸收差异无统计学意义(P> 0.05);第4组及第7组牙周膜样结构具有较致密的胶原纤维结构及较强的方向性;第4组、第7组正常牙周膜均与第1组差异无统计学意义(P> 0.05);第7组正常牙周膜高于第6组,而表面吸收低于第6组,差异均具有统计学意义(P< 0.05);第9组与第10组表面吸收无统计学差异(P> 0.05),但多表现为修复性及静止性表面吸收。结论: PRF促进脱位再植牙牙周愈合的效果比没添加移植物组及使用PRP组修复效果更加明显。脱位2小时后,PRF/PRP均较难促进牙周膜性愈合。

关键词: 富血小板纤维蛋白, 犬, 脱位再植牙, 牙周膜, 愈合效果

Abstract: Objective: To investigate the effect of platelet-rich fibrin(PRF)on promoting periodontal healing by replantation of canine dislocation. Methods: 10 adult mongrel dogs were selected and the upper and low-er anterior teeth were pulled out at intervals. Whole blood was extracted from jugular vein to prepare PRF and PRP. The dislocated teeth were randomly divided into groups according to 30min, 1h and 2h after dry placement in vitro. The infected teeth in each group were replanted with PRF, PRP or without any graft, and immediate replantation was used as the control group. Histological observation was used to evaluate the periodontal healing in each group. Results: The first group presented normal periodontal membrane structure. No inflammatory changes and inflammatory absorption, no inflammatory changes and inflamma-tory absorption occurred in groups 3 and 4, and the difference in normal periodontal membrane and sur-face absorption was not statistically significant(P>0.05). The periodontal membrane structure of the fourth group and the seventh group had relatively dense collagen fiber structure and strong directivity. There was no significant difference in normal periodontal membrane between the fourth group and the seventh group and the first group(P>0.05). Normal periodontal membrane of the 7th group was higher than that of the 6th group, while surface absorption was lower than that of the 6th group, and the difference was statistically significant(P<0.05). There was no significant difference in surface absorption between the 9th group and the 10th group(P>0.05), but surface absorption was mostly repaired and static. Conclusion: The effect of PRF on periodontal healing was more obvious than that of the group without grafting and the group using PRP. After 2h of dislocation, PRF/PRP was difficult to promote periodontal healing.

Key words: platelet-rich fibrin, the dog, dislocated replantation, the periodontal ligament, the heal-ing effect

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