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J Craniofac Surg. 2011 Mar 9. [Epub ahead of print] " O6 G! ]& _; M* p \
Mandibular Alveolar Bony Defect Repair Using Bone Morphogenetic Protein 2-Expressing Autologous Mesenchymal Stem Cells.- L b6 T' e4 a0 D" W4 h/ a) c
Chung VH, Chen AY, Kwan CC, Chen PK, Chang SC.
$ X& n8 g1 g; r- |; Z/ }% X; k I) gFrom 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.6 p' L( n! a4 M4 w" C0 g4 X
Abstract
$ ?8 [# F% m5 sBACKGROUND: 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.
- d& j' y& Z/ Y8 C$ t bMETHODS: 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.
7 K( e0 I. y! r$ D6 i/ P# {RESULTS: 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.
6 [$ ?1 l- m: T; F) V' z0 cCONCLUSIONS: 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.9 y I9 d, I1 C; y# I
PMID: 21403565 [PubMed - as supplied by publisher]
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