가토 두개골 결손부에서 베타-삼칼슘 인산염 이식 시 혈소판 풍부 섬유소와 혈소판 풍부 혈장의 골형성능에 관한 연구

The Effect of PRF and PRP for New Bone Formation of ${\beta}$-TCP in Skull of White Rabbit

  • 박정균 (고려대학교 구강악안면외과) ;
  • 주현중 (고려대학교 구강악안면외과) ;
  • 이의석 (고려대학교 구강악안면외과) ;
  • 장현석 (고려대학교 구강악안면외과) ;
  • 임재석 (고려대학교 구강악안면외과) ;
  • 권종진 (고려대학교 구강악안면외과)
  • Park, Jeong-Kyun (Dentistry of Oral and Maxillofacial Surgery, Korea University) ;
  • Joo, Hyun-Jung (Dentistry of Oral and Maxillofacial Surgery, Korea University) ;
  • Lee, Ei-Seok (Dentistry of Oral and Maxillofacial Surgery, Korea University) ;
  • Jang, Hyon-Seok (Dentistry of Oral and Maxillofacial Surgery, Korea University) ;
  • Lim, Jae-Seok (Dentistry of Oral and Maxillofacial Surgery, Korea University) ;
  • Kwon, Jong-Jin (Dentistry of Oral and Maxillofacial Surgery, Korea University)
  • 투고 : 20101131
  • 심사 : 2010.12.31
  • 발행 : 2011.01.31

초록

Purpose: Addition of platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) to grafting material has become widely accepted additively for bone regeneration because it can raise high expectations on it's clinical potential. The aim of this study was to evaluate the efficacy of PRP and PRF on early bone regeneration of rabbits when used in combination with beta tricalcium phosphate. Methods: In eight rabbits, the calvarium was exposed and the two marrows were penetrated. After then these artificial bone defects were augmented with ${\beta}$-TCP or ${\beta}$-TCP with PRP or ${\beta}$-TCP with PRF and covered. The animals were sacrificed after four and eight weeks. Histologic findings were observed under the light-microscope and histomorphometric analysis was performed by measuring calcified area of new bone formation within the CSD. Results: They demonstrated that new bone formation tended to be produced along the outline of graft materials. More amounts of newly bone was regenerated in ${\beta}$-TCP only and in combination of${\beta}$-TCP with PRF and it was statistically significant. In contrast, there was no significant difference between nothing apply and ${\beta}$-TCP with PRP groups in the relative amounts of newly mineralized bone. Conclusion: Within the limitation of this study, it can be concluded that PRF in combination with ${\beta}$-TCP showed a positive effect on bone regeneration and statistically it was significant.

키워드

참고문헌

  1. Jakse N, Tangl S, Gilli R, Berghold A. Influence of PRP on autogenous sinus grafts. An experimental study on sheep. Clin Oral Implants Res 2003;14:578-83. https://doi.org/10.1034/j.1600-0501.2003.00928.x
  2. Kenley RA, Yim K, Abrams J, et al. Biotechnology and bone graft substitutes. Pharm Res 1993;10:1393-401. https://doi.org/10.1023/A:1018902720816
  3. Kassolis JD, Rosen PS, Reynolds MA. Alveolar ridge and sinus augmentation utilizing platelet-rich plasma in combination with freeze-dried bone allograft: case series. J Periodontol 2000;71:1654-61. https://doi.org/10.1902/jop.2000.71.10.1654
  4. Wiltfang J, Schlegel KA, Schultze-Mosgau S, Nkenke E, Zimmermann R, Kessler P. Sinus floor augmentation with beta-tricalciumphosphate (beta-TCP): does platelet-rich plasma promote its osseous integration and degradation? Clin Oral Implants Res 2003;14:213-8. https://doi.org/10.1034/j.1600-0501.2003.140212.x
  5. Simunek A, Kopecka D, Somanathan RV, Pilathadka S, Brazda T. Deproteinized bovine bone versus beta-tricalcium phosphate in sinus augmentation surgery: a comparative histologic and histomorphometric study. Int J Oral Maxillofac Implants 2008;23:935-42.
  6. Tamura K, Sato S, Kishida M, Asano S, Murai M, Ito K. The use of porous beta-tricalcium phosphate blocks with platelet- rich plasma as an onlay bone graft biomaterial J Periodontol 2007;78:315-21. https://doi.org/10.1902/jop.2007.060228
  7. Jung UW, Choi SY, Pang EK, Kim CS, Choi SH, Cho KS. The effect of varying the particle size of beta tricalcium phosphate carrier of recombinant human bone norphogenetic protein-4 on bone formation in rat calvarial defects. J Periodontol 2006;77:765-72. https://doi.org/10.1902/jop.2006.050268
  8. Zafiropoulos GG, Hoffmann O, Kasaj A, Willershausen B, Weiss O, Van Dyke TE. Treatment of intrabony defects using guided tissue regeneration and autogenous spongiosa alone or combined with hydroxyapatite/beta-tricalcium phosphate bone substitute or bovine-derived xenograft. J Periodontol 2007;78:2216-25. https://doi.org/10.1902/jop.2007.070146
  9. Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. Platelet-rich plasma: growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:638-46. https://doi.org/10.1016/S1079-2104(98)90029-4
  10. Marx RE. Platelet-rich plasma: evidence to support its use. J Oral Maxillofac Surg 2004;62:489-96. https://doi.org/10.1016/j.joms.2003.12.003
  11. Pieri F, Lucarelli E, Corinaldesi G, et al. Effect of mesenchymal stem cells and platelet-rich plasma on the healing of standardized bone defects in the alveolar ridge: a comparative histomorphometric study in minipigs. J Oral Maxillofac Surg 2009;67:265-72. https://doi.org/10.1016/j.joms.2008.06.036
  12. Lynch SE, de Castilla GR, Williams RC, et al. The effects of short-term application of a combination of platelet-derived and insulin-like growth factors on periodontal wound healing. J Periodotol 1991;62:458-67. https://doi.org/10.1902/jop.1991.62.7.458
  13. Moreira-Gonzalez A, Lobocki C, Barakat K, et al. Evaluation of 45S5 bioactive glass combined as a bone substitute in the reconstruction of critical size calvarial defects in rabbits. J Craniofac Surg 2005;16:63-70. https://doi.org/10.1097/00001665-200501000-00013
  14. Bodde EW, Spauwen PH, Mikos AG, Jansen JA. Closing capacity of segmental radius defects in rabbits. J Biomed Mater Res A 2008;85:206-17.
  15. Suba Z, Takacs D, Gyulai-Gaal S, et al. Alveolar bone regeneration stimulated by a combination of platelet-rich plasma and Cerasorb graft in Beagle dogs. Histological and histomorphometric studies. Fogorv Sz 2004;97:143-9.
  16. Schwartz-Arad D, Levin L, Aba M. The use of platelet rich plasma (PRP) and Platelet rich fibrin (PRP) extracts in dental implantology and oral surgery. Refuat Hapeh Vehashinayim 2007;24:51-5, 84.
  17. Meyer C, Chatelain B, Benarroch M, Garnier JF, Ricbourg B, Camponovo T. Massive sinus-lift procedures with beta-tricalcium phosphate: long-term results. Rev Stomatol Chir Maxillofac 2009;110:69-75. https://doi.org/10.1016/j.stomax.2008.10.006
  18. Gassling VL, Acil Y, Springer IN, Hubert N, Wiltfang J. Platelet-rich plasma and platelet-rich fibrin in human cell culture. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:48-55. https://doi.org/10.1016/j.tripleo.2009.02.007
  19. He L, Lin Y, Hu X, Zhang Y, Wu H. A comparative study of platelet-rich fibrin (PRF) and platelet-rich plasma (PRP) on the effect of proliferation and differentiation of rat osteoblasts in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:707-13. https://doi.org/10.1016/j.tripleo.2009.06.044