›› 2013, Vol. 33 ›› Issue (2): 95-99.

• 基础与临床研究 • 上一篇    下一篇

以Bio-oss胶原为支架材料的组织工程化骨修复种植体周围骨缺损的初步实验研究以Bio-oss胶原为支架材料的组织工程化骨修复种植体周围骨缺损的初步实验研究

赵健1,黄远亮2,刘阿贵3,蒋欣泉4   

  1. 1. 无锡市第四人民医院
    2. 上海同济大学附属东方医院口腔科
    3. 无锡市第四人民医院口腔科
    4. 上海第九人民医院
  • 收稿日期:2012-02-21 修回日期:2012-04-11 出版日期:2013-02-08 发布日期:2013-02-22
  • 通讯作者: 赵健 E-mail:zhaojian1998@126.com
  • 基金资助:
    无锡市卫生局指令性课题

Preliminary experimental study of repairing bone defects around dental implants with tissue engineering bone established with Bio-oss collagen scaffoldbone establish by Bio-oss collagen as scaffold

  1. 1. 上海同济大学附属东方医院口腔科
    2.
  • Received:2012-02-21 Revised:2012-04-11 Online:2013-02-08 Published:2013-02-22
  • Contact: 黄远亮 刘阿贵蒋欣泉 E-mail:zhaojian1998@126.com

摘要: 目的 研究以Bio-oss胶原为支架材料的组织工程化骨修复种植体周围骨缺损的效果。方法 取4只小型猪设立自身对照,获取骨髓基质细胞(BMSCs),经成骨诱导培养液体外培养、扩增、诱导后进行I型胶原、骨钙素的免疫细胞化学检测,将培养的第3代细胞同Bio-oss胶原构建BMSCs/Bio-oss胶原复合物,构建小型猪下颌骨种植体周围骨缺损模型,将复合物植入骨缺损处,通过影像学、能谱分析种植体-新骨界面Ca2+含量及组织学检测初步评价其促成骨作用。结果I型胶原、骨钙素免疫细胞化学染色呈阳性,Von Kossa染色可见钙结节形成;超微结构观察可见细胞生长附着于材料网孔内表面;8周时成骨组织学观察可见时BMSCs/Bio-oss胶原复合物植入组成骨量大于Bio-oss胶原植入组,能谱分析显示,2组Ca2+含量有统计学差异。16周时,组织学观察可见2组成骨量已无明显差别,能谱分析显示,2组Ca2+含量无统计学差异。结论 利用BMSCs/Bio-oss胶原复合物修复小型猪种植体周围骨缺损相对于植入Bio-oss胶原能够缩短种植体发生骨结合的时间。

关键词: 骨缺损, 种植体, Bio-Oss胶原, 骨组织工程, bone defects, implant, Bio-Oss collagen, bone tissue engineering

Abstract: Objective To evaluate the effects of repairing bone defects around dental implants with tissue engineering bone established with Bio-oss collagen scaffold. Methods Four minipigs were divided into 2 groups randomly. The bone marrow stroma cells (BMSCs) were separated with adherent methods. They were cultured, proliferated and induced in osteogenic induction medium. Collagen I and BGP were evaluated by immunocytochemistry. The induced passage 3 cells and Bio-oss collagen were mixed as a complex. The experimental model was established. The complex was implanted into peri-implant bone defects. Animals were sacrificed at the end of the 8th week and the 16th week. Element Ca2+ in the specimens and its osteogenesis were analyzed with X-ray examination, histological examination, and energy disperse analysis. Results Staining of collagen I and BGP was positive by immunocytochemistry. Von Kossa staining proofed the formation of mineralization nodules. Scanning electron micrographs showed the cells adhered to the inner surfaces of the Bio-oss collagen. At the 8th week, the new bone was more in group BMSCs / Bio-oss collagen than that in group of Bio-oss collagen. There was significant difference between two groups in the percentages of element Ca2+(P<0.05) according to energy disperse anaylsis. At the 16th week, there was good osseointegration in two groups, and there was no significant difference in the percentages of element Ca2+ between two groups according to energy disperse anaylsis. Conclusion Using BMSCs/Bio-oss collagen complex can shorten the time for osseointegration in reparing bone defects around implants in minipigs compared with using Bio-oss collagen alone.

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