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Clin Oral Investig ; 16(1): 239-49, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20967476

RESUMO

Degree III furcation involvements were surgically created at four first molars in each of three monkeys. Following 6 weeks of healing, full-thickness flaps were elevated. Following 24% EDTA gel conditioning, the defects were treated with one of the following: (1) enamel matrix proteins (EMD), (2) guided tissue regeneration (GTR) or (3) a combination EMD and GTR. The control defects did not receive any treatment. After 5 months of healing, the animals were sacrificed. Three 8 µm thick histological central sections, 100 µm apart, were used for histomorphometric analysis in six zones of each tooth either within the furcation area or on the pristine external surface of the root. In all specimens, new cementum with inserting collagen fibres was formed. Following GTR or GTR + EMD, cementum was formed up to and including the furcation fornix indicating complete regeneration on the defect periphery. Periodontal ligament fibres were less in all four modalities compared to pristine tissues. In the teeth treated with GTR and GTR + EMD a higher volume of bone and periodontal ligament tissues was observed compared to EMD. After 5 months of healing, regenerated tissues presented quantitative differences from the pristine tissues. In the two modalities where GTR alone or combined with EMD was used, the regenerated tissues differed in quantity from the EMD-treated sites.


Assuntos
Defeitos da Furca/cirurgia , Regeneração Tecidual Guiada Periodontal/métodos , Implantes Absorvíveis , Processo Alveolar/patologia , Animais , Medula Óssea/patologia , Cementogênese/fisiologia , Quelantes/uso terapêutico , Colágeno , Cemento Dentário/patologia , Proteínas do Esmalte Dentário/uso terapêutico , Raspagem Dentária/métodos , Ácido Edético/uso terapêutico , Defeitos da Furca/classificação , Defeitos da Furca/patologia , Processamento de Imagem Assistida por Computador/métodos , Macaca fascicularis , Masculino , Doenças Mandibulares/patologia , Doenças Mandibulares/cirurgia , Membranas Artificiais , Dente Molar/patologia , Dente Molar/cirurgia , Ligamento Periodontal/patologia , Poliglactina 910 , Aplainamento Radicular/métodos , Retalhos Cirúrgicos , Raiz Dentária/patologia , Resultado do Tratamento , Cicatrização/fisiologia
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