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J Craniofac Surg. 2011 Mar 9. [Epub ahead of print] ) V9 A1 k% F$ C* H w" g
Mandibular Alveolar Bony Defect Repair Using Bone Morphogenetic Protein 2-Expressing Autologous Mesenchymal Stem Cells.
/ T4 f+ P% i7 uChung VH, Chen AY, Kwan CC, Chen PK, Chang SC.
1 T$ ~0 _& D; m+ ^4 ?From the *Department of Applied Chemistry, Providence University, Taichung, †Department of Dentistry, Chang-Gung Memorial Hospital, Taoyuan; ‡Department of Plastic Surgery, Chang Gung Memorial Hospital, Chang Gung University College of Medicine; Taoyuan; and §Department of Plastic Surgery and ∥School of Medicine, China Medical University, Taichung,Taiwan.
+ e& k( ^0 y' OAbstract3 x ]& A+ u2 D. E/ r" k! o* y
BACKGROUND: Mandibular bone regeneration is stepped up by human recombinant bone morphogenetic protein 2 (BMP-2) whose application is also related to limited cementum and periodontal ligament regeneration, local root resorption, and ankylosis. The alveolar bone grafting without traditional autologous bone grafts remains a challenge for plastic surgeons.
# J+ o( x0 E3 [9 dMETHODS: Bilateral mandibular alveolar and periodontal defects were created over the premolar areas in 9 mature male beagles. The defects were randomly assigned for either the adenovirus BMP-2 (advBMP-2) group with BMP-2-expressing mesenchymal stem cells (MSCs) or the control with MSCs alone. The regenerated periodontal attachment apparatus was evaluated histologically, and the whole regenerated bone volume was scrutinized from three-dimensional computed tomography analysis.
" }9 ]2 Z2 }+ G9 Q6 ARESULTS: Periodontal apparatus regeneration was significantly better in the advBMP-2 group. New cementum and Sharpey fibers were observed on the denuded root surfaces in the advBMP-2 group, whereas incomplete healing with localized root surface resorption was noted in the control group. Eight weeks after implantation, the advBMP-2 group showed significant increase in bone regeneration than the control one.' E0 _; w; T, o- u) C: x" u, G
CONCLUSIONS: Thus, the use of ex vivo BMP-2-engineered autologous MSCs boosted bone and periodontal apparatus regeneration in mandibular periodontal defects. This de novo approach might be suitable for clinical mandibular bone repair and periodontal apparatus repair.! L$ k R; h# n6 ^
PMID: 21403565 [PubMed - as supplied by publisher]
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